Overview of new technologies for lower extremity revascularization

Jason H Rogers, John R. Laird

Research output: Contribution to journalArticlepeer-review

143 Scopus citations

Abstract

Lower extremity peripheral arterial occlusive disease poses a unique challenge to traditional angioplasty-based endovascular therapies. The diffuse nature of lower extremity atherosclerotic disease, the presence of chronic total occlusions, poor distal runoff, and the presence of critical limb ischemia all have contributed to the disappointing results of balloon angioplasty for complex infrainguinal arterial disease. These challenges have spawned the development of a host of new technologies in an attempt to improve the safety and effectiveness of percutaneous revascularization for lower extremity peripheral arterial occlusive disease. This review summarizes the recent advances in available technologies, including novel angioplasty balloons; nitinol stents, stent grafts, and drug-eluting stents; excisional, laser, and rotational atherectomy devices; devices for crossing total occlusions; true-lumen reentry devices; thrombectomy catheters; and embolic protection devices.

Original languageEnglish (US)
Pages (from-to)2072-2085
Number of pages14
JournalCirculation
Volume116
Issue number18
DOIs
StatePublished - Oct 2007

Keywords

  • Catheter
  • Lower extremity
  • Peripheral vascular diseases
  • Technology

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

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