Number of Blades-up Runs Using JetStream XC Atherectomy for Optimal Tissue Debulking in Patients with Femoropopliteal Artery In-Stent Restenosis

J Vasc Interv Radiol. 2015 Dec;26(12):1847-51. doi: 10.1016/j.jvir.2015.08.026.

Abstract

Rotational atherectomy with the use of the JetStream XC device is indicated for treatment of infrainguinal arterial obstructive disease. The number of blades-up (BU) runs needed for optimal tissue debulking in femoropopliteal in-stent restenosis (ISR) is unknown. In the present series, 6 patients (15 lesions) were treated for femoropopliteal ISR with the JetStream XC device. Minimal luminal diameter or percent stenosis improved significantly from baseline after 2 BU runs, but no further gain was seen between 2 and 4 BU runs (P > .05). However, adjunctive balloon angioplasty reduced percent stenosis significantly following BU runs. In conclusion, the JetStream XC device achieved optimal acute angiographic results in treating femoropopliteal ISR following 2 BU runs and adjunctive balloon angioplasty.

Publication types

  • Clinical Trial

MeSH terms

  • Aged
  • Atherectomy / instrumentation*
  • Atherectomy / methods*
  • Equipment Design
  • Equipment Failure Analysis
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / surgery*
  • Graft Occlusion, Vascular / diagnostic imaging
  • Graft Occlusion, Vascular / surgery*
  • Humans
  • Male
  • Popliteal Artery / diagnostic imaging
  • Popliteal Artery / surgery*
  • Radiography
  • Treatment Outcome