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Optimal therapeutic approaches to femoropopliteal artery intervention
Author(s) -
Das Tony
Publication year - 2004
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20063
Subject(s) - medicine , atherectomy , critical limb ischemia , femoral artery , claudication , intermittent claudication , catheter , surgery , coronary artery disease , superficial femoral artery , angioplasty , radiology , vascular disease , arterial disease , cardiology , stent , restenosis
Superficial femoral artery disease presents a complex challenge for therapy. The extent of vascular involvement may vary from focal disease with symptoms of intermittent claudication to long total occlusions manifest as critical limb ischemia. Optimal therapy requires understanding the available options including exercise programs, pharmacologic medical therapy, surgery and interventional endovascular therapy. Rapidly advancing endovascular technology for enabling safe intervention in complex, long occlusive segments of the superficial femoral artery continues to emerge. New devices like the SafeCross wire, Excimer laser, Silverhawk Atherectomy catheter, Cryoplasty catheter and new generations of bare metal and drug‐eluting nitinol stents are shifting the paradigm for therapy from surgical to more endovascular treatment even for the most complex disease presentation. Catheter Cardiovasc Interv 2004;63:21–30. © 2004 Wiley‐Liss, Inc.