Document Detail


Directional atherectomy of a heavy calcified axillary artery stenosis inducing critical hand ischemia.
MedLine Citation:
PMID:  23371036     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The presence of a severe calcified peripheral artery lesion is responsible for a poor response to balloon dilation, due to significant acute vessel recoil and frequent flow-limiting dissections requiring stent implantation. This possibility could be associated with very high compression and/or fracture rates particularly in cases of lesion located at the mobile joints. In this setting directional atherectomy offers the theoretical advantages of eliminating stretch injury on arterial walls and reducing the restenosis rate by direct plaque excision. In this report, we present a case of critical hand ischemia due to a heavily calcified axillary artery lesion managed by directional atherectomy and balloon angioplasty followed by immediate angiographic success and sustained clinical benefit up to 3 years of follow-up.
Authors:
Angelo Anzuini; Altin Palloshi; Gianfranco Aprigliano; Alfonso Ielasi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-1
Journal Detail:
Title:  Cardiovascular intervention and therapeutics     Volume:  -     ISSN:  1868-4297     ISO Abbreviation:  Cardiovasc Interv Ther     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101522043     Medline TA:  Cardiovasc Interv Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Catheterization Laboratory, Cardio-Vascular Department, Istituto Clinico Humanitas Mater Domini, Via Gerenzano 2, 21053, Castellanza, VA, Italy, anzangelo@yahoo.com.
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