Rotational atherectomy followed by drug-eluting stent implantation in the treatment of severe below-the-knee calcification in a patient with critical limb ischaemia

Zoltán Ruzsa, Tamás Forster, Attila Nemes

Research output: Contribution to journalArticle

Abstract

The treatment of chronic limb ischaemia is a very challenging topic for vascular doctors. Among the tools available, percutaneous rotational atherectomy (Rotablator), a high speed rotational burr appears a useful alternative to surgical revascularisation to open arterial lesions in both diffuse and segmental peripherial artery disease. When thinking on a limb salvage in patients with diffuse peripherial artery disease, decreased hospital stay, morbidity and mortality, and improved quality of life are all factors considering the method of therapy. In the present report we aimed to highlight attention on the fact that Rotablator treatment can be combined with balloon angioplasty and drug-eluting stent implantation (DES) as a method of choice in the treatment of patients with chronic limb ischaemia. The postoperative antithrombotic regimen in below-the-knee rotational atherectomy is not well studied. The rationale for dual antiplatelet agents can be predicated on extensive coronary DES data demonstrating improved stent patency with combined aspirin and thienopyridines. However, based on literature findings patients should always be frequently followed for thrombemboli and restenosis.

Original languageEnglish
Pages (from-to)322-324
Number of pages3
JournalPolski Przeglad Kardiologiczny
Volume12
Issue number4
Publication statusPublished - Dec 1 2010

Keywords

  • Calcification
  • Critical limb ischaemia
  • Rotablator
  • Stent-implantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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