Peripheral atherectomy with the pullback atherectomy catheter: Procedural safety and efficacy in a multicenter trial

C. J. White; A. Belli; T. Buckenham; S. Stagg; Jr Condos W.; M. McElderry; L. Tami; J. Silva; C. Walker; R. Abben; J. Kowalski; S. Ramee; B. Katzen; J. Benenati; G. Zemel; J. Hollman; A. Rees; B. Dearing; K. Singanayagam; M. Rees; R. White; J. Pollack; D. Denny; M. Sivananthan; C. Semba; L. Wexler; M. Dake; G. Wittich; C. Cope; R. Shlansky-Goldberg; M. Soulen; M. Penetecost; Z. Haskal; R. Baum; D. Redd; R. Sanchez; B. Lovett; J. Jaffe; J. Newcomb; A. Weinstein; E. Diethrich; L. Lopez-Galarza; C. Cates; W. Knopf; N. Lembo; D. Whitney; Jr Doubler; E. Kahn; R. Gray; B. Dolmatch; K. Horton; J. Levy; W. Horsley; G. Cook; A. Cragg; S. Kaufman; L. Martin; A. Zuckerman; W. Casarella; P. Block; G. Geary; J. Putman; A. Van Breda; K. Rholl; C. Parker; J. Regan; W. Miller; F. Osterman; A. Venbrux; S. Mitchell; G. Melville; G. Williams; G. Lund; S. Savader; E. McIff; F. Soliman; C. McGlade; P. Wilson; M. Steed; R. Gunther; D. Vorwerk

doi:10.1583/1074-6218(1998)005<0009:PAWTPA>2.0.CO;2

Peripheral atherectomy with the pullback atherectomy catheter: Procedural safety and efficacy in a multicenter trial

C. J. White, A. Belli, T. Buckenham, S. Stagg, Jr Condos W., M. McElderry, L. Tami, J. Silva, C. Walker, R. Abben, J. Kowalski, S. Ramee, B. Katzen, J. Benenati, G. Zemel, J. Hollman, A. Rees, B. Dearing, K. Singanayagam, M. ReesR. White, J. Pollack, D. Denny, M. Sivananthan, C. Semba, L. Wexler, M. Dake, G. Wittich, C. Cope, R. Shlansky-Goldberg, M. Soulen, M. Penetecost, Z. Haskal, R. Baum, D. Redd, R. Sanchez, B. Lovett, J. Jaffe, J. Newcomb, A. Weinstein, E. Diethrich, L. Lopez-Galarza, C. Cates, W. Knopf, N. Lembo, D. Whitney, Jr Doubler, E. Kahn, R. Gray, B. Dolmatch, K. Horton, J. Levy, W. Horsley, G. Cook, A. Cragg, S. Kaufman, L. Martin, A. Zuckerman, W. Casarella, P. Block, G. Geary, J. Putman, A. Van Breda, K. Rholl, C. Parker, J. Regan, W. Miller, F. Osterman, A. Venbrux, S. Mitchell, G. Melville, G. Williams, G. Lund, S. Savader, E. McIff, F. Soliman, C. McGlade, P. Wilson, M. Steed, R. Gunther, D. Vorwerk

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Purpose: To report the initial results of a newly designed catheter for percutaneous circumferential atherectomy in patients with lower extremity atherosclerotic occlusive disease. Methods: The Pullback Atherectomy Catheter (PAC) is an over-the-wire device that circumferentially debulks atherosclerotic lesions in peripheral arteries up to 6 mm in diameter. Pullback atherectomy with or without adjunctive balloon angioplasty was attempted in 190 patients (246 lesions) with lower extremity lesions ≤ 7.0 cm in length and a diameter stenosis > 50%. Results: Angiographic success was accomplished in 95% (234/246) of the of the lesions attempted. The baseline ankle-brachial index rose from 0.61 ± 0.20 to 0.83 ± 0.20 (p < 0.001) at 24 hours after the procedure. There were no major complications (distal emboli, dissection, thrombosis, or perforation requiring surgical correction) attributable to pullback atherectomy. Conclusions: The acute results of pullback atherectomy demonstrate an extremely high technical success rate and an excellent safety record for lower extremity percutaneous revascularization. The catheter facilitates debulking longer lesions, but it is limited to small-diameter (≤ 6 mm) peripheral vessels.

Original language	English (US)
Pages (from-to)	9-17
Number of pages	9
Journal	Journal of Endovascular Surgery
Volume	5
Issue number	1
DOIs	https://doi.org/10.1583/1074-6218(1998)005<0009:PAWTPA>2.0.CO;2
State	Published - 1998
Externally published	Yes

Keywords

Angioplasty
Atherosclerosis
Balloon dilation
Percutaneous translumina
Peripheral vascular disease

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1583/1074-6218(1998)005<0009:PAWTPA>2.0.CO;2

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White, C. J., Belli, A., Buckenham, T., Stagg, S., Condos W., J., McElderry, M., Tami, L., Silva, J., Walker, C., Abben, R., Kowalski, J., Ramee, S., Katzen, B., Benenati, J., Zemel, G., Hollman, J., Rees, A., Dearing, B., Singanayagam, K., ... Vorwerk, D. (1998). Peripheral atherectomy with the pullback atherectomy catheter: Procedural safety and efficacy in a multicenter trial. Journal of Endovascular Surgery, 5(1), 9-17. https://doi.org/10.1583/1074-6218(1998)005<0009:PAWTPA>2.0.CO;2

White, CJ, Belli, A, Buckenham, T, Stagg, S, Condos W., J, McElderry, M, Tami, L, Silva, J, Walker, C, Abben, R, Kowalski, J, Ramee, S, Katzen, B, Benenati, J, Zemel, G, Hollman, J, Rees, A, Dearing, B, Singanayagam, K, Rees, M, White, R, Pollack, J, Denny, D, Sivananthan, M, Semba, C, Wexler, L, Dake, M, Wittich, G, Cope, C, Shlansky-Goldberg, R, Soulen, M, Penetecost, M, Haskal, Z, Baum, R, Redd, D, Sanchez, R, Lovett, B, Jaffe, J, Newcomb, J, Weinstein, A, Diethrich, E, Lopez-Galarza, L, Cates, C, Knopf, W, Lembo, N, Whitney, D, Doubler, J, Kahn, E, Gray, R, Dolmatch, B, Horton, K, Levy, J, Horsley, W, Cook, G, Cragg, A, Kaufman, S, Martin, L, Zuckerman, A, Casarella, W, Block, P, Geary, G, Putman, J, Van Breda, A, Rholl, K, Parker, C, Regan, J, Miller, W, Osterman, F, Venbrux, A, Mitchell, S, Melville, G, Williams, G, Lund, G, Savader, S, McIff, E, Soliman, F, McGlade, C, Wilson, P, Steed, M, Gunther, R & Vorwerk, D 1998, 'Peripheral atherectomy with the pullback atherectomy catheter: Procedural safety and efficacy in a multicenter trial', Journal of Endovascular Surgery, vol. 5, no. 1, pp. 9-17. https://doi.org/10.1583/1074-6218(1998)005<0009:PAWTPA>2.0.CO;2

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abstract = "Purpose: To report the initial results of a newly designed catheter for percutaneous circumferential atherectomy in patients with lower extremity atherosclerotic occlusive disease. Methods: The Pullback Atherectomy Catheter (PAC) is an over-the-wire device that circumferentially debulks atherosclerotic lesions in peripheral arteries up to 6 mm in diameter. Pullback atherectomy with or without adjunctive balloon angioplasty was attempted in 190 patients (246 lesions) with lower extremity lesions ≤ 7.0 cm in length and a diameter stenosis > 50%. Results: Angiographic success was accomplished in 95% (234/246) of the of the lesions attempted. The baseline ankle-brachial index rose from 0.61 ± 0.20 to 0.83 ± 0.20 (p < 0.001) at 24 hours after the procedure. There were no major complications (distal emboli, dissection, thrombosis, or perforation requiring surgical correction) attributable to pullback atherectomy. Conclusions: The acute results of pullback atherectomy demonstrate an extremely high technical success rate and an excellent safety record for lower extremity percutaneous revascularization. The catheter facilitates debulking longer lesions, but it is limited to small-diameter (≤ 6 mm) peripheral vessels.",

keywords = "Angioplasty, Atherosclerosis, Balloon dilation, Percutaneous translumina, Peripheral vascular disease",

author = "White, {C. J.} and A. Belli and T. Buckenham and S. Stagg and {Condos W.}, Jr and M. McElderry and L. Tami and J. Silva and C. Walker and R. Abben and J. Kowalski and S. Ramee and B. Katzen and J. Benenati and G. Zemel and J. Hollman and A. Rees and B. Dearing and K. Singanayagam and M. Rees and R. White and J. Pollack and D. Denny and M. Sivananthan and C. Semba and L. Wexler and M. Dake and G. Wittich and C. Cope and R. Shlansky-Goldberg and M. Soulen and M. Penetecost and Z. Haskal and R. Baum and D. Redd and R. Sanchez and B. Lovett and J. Jaffe and J. Newcomb and A. Weinstein and E. Diethrich and L. Lopez-Galarza and C. Cates and W. Knopf and N. Lembo and D. Whitney and Jr Doubler and E. Kahn and R. Gray and B. Dolmatch and K. Horton and J. Levy and W. Horsley and G. Cook and A. Cragg and S. Kaufman and L. Martin and A. Zuckerman and W. Casarella and P. Block and G. Geary and J. Putman and {Van Breda}, A. and K. Rholl and C. Parker and J. Regan and W. Miller and F. Osterman and A. Venbrux and S. Mitchell and G. Melville and G. Williams and G. Lund and S. Savader and E. McIff and F. Soliman and C. McGlade and P. Wilson and M. Steed and R. Gunther and D. Vorwerk",

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T2 - Procedural safety and efficacy in a multicenter trial

AU - White, C. J.

AU - Belli, A.

AU - Buckenham, T.

AU - Stagg, S.

AU - Condos W., Jr

AU - McElderry, M.

AU - Tami, L.

AU - Silva, J.

AU - Walker, C.

AU - Abben, R.

AU - Kowalski, J.

AU - Ramee, S.

AU - Katzen, B.

AU - Benenati, J.

AU - Zemel, G.

AU - Hollman, J.

AU - Rees, A.

AU - Dearing, B.

AU - Singanayagam, K.

AU - Rees, M.

AU - White, R.

AU - Pollack, J.

AU - Denny, D.

AU - Sivananthan, M.

AU - Semba, C.

AU - Wexler, L.

AU - Dake, M.

AU - Wittich, G.

AU - Cope, C.

AU - Shlansky-Goldberg, R.

AU - Soulen, M.

AU - Penetecost, M.

AU - Haskal, Z.

AU - Baum, R.

AU - Redd, D.

AU - Sanchez, R.

AU - Lovett, B.

AU - Jaffe, J.

AU - Newcomb, J.

AU - Weinstein, A.

AU - Diethrich, E.

AU - Lopez-Galarza, L.

AU - Cates, C.

AU - Knopf, W.

AU - Lembo, N.

AU - Whitney, D.

AU - Doubler, Jr

AU - Kahn, E.

AU - Gray, R.

AU - Dolmatch, B.

AU - Horton, K.

AU - Levy, J.

AU - Horsley, W.

AU - Cook, G.

AU - Cragg, A.

AU - Kaufman, S.

AU - Martin, L.

AU - Zuckerman, A.

AU - Casarella, W.

AU - Block, P.

AU - Geary, G.

AU - Putman, J.

AU - Van Breda, A.

AU - Rholl, K.

AU - Parker, C.

AU - Regan, J.

AU - Miller, W.

AU - Osterman, F.

AU - Venbrux, A.

AU - Mitchell, S.

AU - Melville, G.

AU - Williams, G.

AU - Lund, G.

AU - Savader, S.

AU - McIff, E.

AU - Soliman, F.

AU - McGlade, C.

AU - Wilson, P.

AU - Steed, M.

AU - Gunther, R.

AU - Vorwerk, D.

PY - 1998

Y1 - 1998

N2 - Purpose: To report the initial results of a newly designed catheter for percutaneous circumferential atherectomy in patients with lower extremity atherosclerotic occlusive disease. Methods: The Pullback Atherectomy Catheter (PAC) is an over-the-wire device that circumferentially debulks atherosclerotic lesions in peripheral arteries up to 6 mm in diameter. Pullback atherectomy with or without adjunctive balloon angioplasty was attempted in 190 patients (246 lesions) with lower extremity lesions ≤ 7.0 cm in length and a diameter stenosis > 50%. Results: Angiographic success was accomplished in 95% (234/246) of the of the lesions attempted. The baseline ankle-brachial index rose from 0.61 ± 0.20 to 0.83 ± 0.20 (p < 0.001) at 24 hours after the procedure. There were no major complications (distal emboli, dissection, thrombosis, or perforation requiring surgical correction) attributable to pullback atherectomy. Conclusions: The acute results of pullback atherectomy demonstrate an extremely high technical success rate and an excellent safety record for lower extremity percutaneous revascularization. The catheter facilitates debulking longer lesions, but it is limited to small-diameter (≤ 6 mm) peripheral vessels.

AB - Purpose: To report the initial results of a newly designed catheter for percutaneous circumferential atherectomy in patients with lower extremity atherosclerotic occlusive disease. Methods: The Pullback Atherectomy Catheter (PAC) is an over-the-wire device that circumferentially debulks atherosclerotic lesions in peripheral arteries up to 6 mm in diameter. Pullback atherectomy with or without adjunctive balloon angioplasty was attempted in 190 patients (246 lesions) with lower extremity lesions ≤ 7.0 cm in length and a diameter stenosis > 50%. Results: Angiographic success was accomplished in 95% (234/246) of the of the lesions attempted. The baseline ankle-brachial index rose from 0.61 ± 0.20 to 0.83 ± 0.20 (p < 0.001) at 24 hours after the procedure. There were no major complications (distal emboli, dissection, thrombosis, or perforation requiring surgical correction) attributable to pullback atherectomy. Conclusions: The acute results of pullback atherectomy demonstrate an extremely high technical success rate and an excellent safety record for lower extremity percutaneous revascularization. The catheter facilitates debulking longer lesions, but it is limited to small-diameter (≤ 6 mm) peripheral vessels.

KW - Angioplasty

KW - Atherosclerosis

KW - Balloon dilation

KW - Percutaneous translumina

KW - Peripheral vascular disease

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Peripheral atherectomy with the pullback atherectomy catheter: Procedural safety and efficacy in a multicenter trial

Abstract

Keywords

ASJC Scopus subject areas

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