| Distal embolic protection for infrainguinal interventions: how to and when? | |
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MedLine Citation:
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PMID: 20123433 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Distal embolization is a well-recognized complication during lower extremity revascularization procedures. Preliminary work has shown safety and feasibility of the use of embolic protection devices in this vascular territory. While many interventionalists believe that this technology offers a clear benefit for infrainguinal use based on the clinical safety data seen in other vascular beds, others believe that the exact role is poorly defined. All clinical experience to date has been with devices designed for other vascular territories and this has created a unique set of technical obstacles and potential risks. At present, clinical use is increasing despite a lack of data regarding which patients are at greatest risk for distal embolization, which anatomy is appropriate for the use of this technology, and which device, if any, is ideally suited for the infrainguinal arterial circulation. In addition, the clinical relevance and effect of distal embolization in the lower extremity remains poorly understood. Ultimately, more trial data may be necessary to substantiate the increased use of distal protection devices in infrainguinal interventions to justify the increase in cost, complexity, and potential risks associated with the use of this technology. |
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Authors:
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Robert A Lookstein; Sara Lewis |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Techniques in vascular and interventional radiology Volume: 13 ISSN: 1557-9808 ISO Abbreviation: Tech Vasc Interv Radiol Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-03 Completed Date: 2010-04-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9806675 Medline TA: Tech Vasc Interv Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 54-8 Citation Subset: IM |
Affiliation:
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Division of Interventional Radiology, Mount Sinai Medical Center, New York, NY. robert.lookstein@mssm.edu <robert.lookstein@mssm.edu> |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty
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adverse effects,
instrumentation* Device Removal Embolism / etiology, prevention & control* Equipment Design Filtration / instrumentation* Humans Lower Extremity / blood supply* Patient Selection* Peripheral Vascular Diseases / radiography, surgery, therapy* Prosthesis Design Treatment Outcome Vascular Surgical Procedures / adverse effects, instrumentation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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