Lumivascular Optical Coherence Tomography–Guided Atherectomy in Recurrent Femoropopliteal Occlusive Diseases Associated with In-Stent Restenosis: Case-Series Report
| Autor: | Stephen W.K. Cheng, Grace C.Y. Cheung, Yiu Che Chan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
diagnosis Endocrinology Diabetes and Metabolism medicine.medical_treatment Artery walls 030204 cardiovascular system & hematology atherectomy Atherectomy 03 medical and health sciences 0302 clinical medicine Optical coherence tomography Restenosis vascular peripheral arterial disease Lumivascular Medicine Pharmacology (medical) Case Series 030212 general & internal medicine intervention optical coherence tomography medicine.diagnostic_test business.industry Normal anatomy Public Health Environmental and Occupational Health Hematology General Medicine medicine.disease Atherectomy device endovascular Radiology In stent restenosis Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vascular Health and Risk Management |
| ISSN: | 1178-2048 1176-6344 |
| Popis: | Lumivascular optical coherence tomography (OCT) is a novel adjunct in the field of medicine. It offers clear real-time imaging of artery walls before and during endovascular intervention. This study reports our initial experience on the use of lumivascular OCT-guided atherectomy in the management of two patients with recurrent restenosis in their femoropopliteal arteries associated with in-stent restenosis. Endovascular procedures were successful with a Pantheris atherectomy device (Avinger, Redwood City, CA, USA) and drug-eluting balloons. The OCT images clearly distinguished normal anatomy from plaque pathology, were of great advantage in both the accurate diagnosis and treatment of target lesions, and may reduce radiation during the endovascular procedure. However, the price of the device and its need for contrast infusion limit its routine clinical use. |
| Databáze: | OpenAIRE |
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