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Intravascular ultrasound guided directional atherectomy versus directional atherectomy guided by angiography for the treatment of femoropopliteal in-stent restenosis
Author(s) -
Prakash Krishnan,
Arthur Tarricone,
KRaman Purushothaman,
Farhan Ahmed Majeed,
Vishal Kapur,
Karthik Gujja,
José Wiley,
Miguel Vasquez,
Rheoneil A. Lascano,
Katherine G. Quiles,
Tashanne Distin,
Ran Fontenelle,
Farah Atallah-Lajam,
Annapoorna Kini,
Samin K. Sharma
Publication year - 2017
Publication title -
therapeutic advances in cardiovascular disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.164
H-Index - 33
eISSN - 1753-9455
pISSN - 1753-9447
DOI - 10.1177/1753944717745509
Subject(s) - atherectomy , medicine , restenosis , intravascular ultrasound , stent , radiology , angiography , revascularization , cardiology , myocardial infarction
Background: The aim of this study was to compare 1-year outcomes for patients with femoropopliteal in-stent restenosis using directional atherectomy guided by intravascular ultrasound (IVUS) versus directional atherectomy guided by angiography.Methods and results: This was a retrospective analysis for patients with femoropopliteal in-stent restenosis treated with IVUS-guided directional atherectomy versus directional atherectomy guided by angiography from a single center between March 2012 and February 2016. Clinically driven target lesion revascularization was the primary endpoint and was evaluated through medical chart review as well as phone call follow up.Conclusions: Directional atherectomy guided by IVUS reduces clinically driven target lesion revascularization for patients with femoropopliteal in-stent restenosis.

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