A new alternative for PCI of the common femoral artery

Courtesy of Dr. Carlos Fava.

A new alternative for PCI of the common femoral arteryNot long ago, atherosclerosis of the common femoral artery used to be treated surgically and, thanks to better training and new balloon devices, we have advanced the endovascular treatment alternative. However, severe calcification continues to be a great limitation.

 

This study aimed at evaluating the feasibility and one year efficacy of the endovascular treatment of the common femoral artery with the combined use of directional atherectomy and the paclitaxel coated balloon.

 

The study included 30 patients presenting intermittent claudication, severe or with critical ischemia, undergoing peripheral PCI with the drug coated balloon and directional atherectomy.

 

Mean age was 78; most patients were men and diabetic. Five patients presented severe kidney failure (GFR <30 ml/min), and three of these required dialysis.

 

All patients saw technical and procedural success and only 3 required stent implantation.

 

At one year follow up, all limbs were salvaged with no major amputations. Two patients presented restenosis and only one presented the need for revascularization. Secondary patency was 96.7% and freedom from major events in the treated limb was 93.4%.

 

Conclusion

This prospective study suggests that the combination of directional atherectomy and a paclitaxel coated balloon is safe and effective as an alternative to surgery. In addition, it is a valid option to treat the common femoral artery and provides encouraging results in this context.

 

Editorial Comment

Common femoral artery lesions are one of the most challenging given their anatomical location and limited stenting options.

 

The combination of these two techniques could provide an endovascular solution to treat these obstruction, but this territory requires further stent developing, more flexibility and lower fracture rate.

 

Courtesy of Dr. Carlos Fava. Favaloro Foundation, Buenos Aires, Argentina.

 

Original Title: Combined use of directional atherectomy and drug-coated balloon for the endovascular treatment of common femoral artery disease: immediate and one year outcomes.

Reference: Angel Cioppa et al. EuroIntervention 2017;12:1789-1794.


Subscribe to our weekly newsletter

Get the latest scientific articles on interventional cardiology

We are interested in your opinion. Please, leave your comments, thoughts, questions, etc., below. They will be most welcome.

More articles by this author

TCT 2024 | SIRONA: Randomized Study Comparing Sirolimus-Coated vs Paclitaxel-Coated Balloon Angioplasty in Femoropopliteal Disease

This prospective, randomized, multicenter, investigator-initiated non-inferiority study compared the use of sirolimus-coated balloon (MagicTouch) vs paclitaxel-coated balloon in endovascular treatment.  The primary objective was to...

TCT 2024 | PEERLESS: Mechanical Thrombectomy with FlowTriever vs Catheter-Directed Thrombolysis in Intermediate Risk PTE

Pulmonary embolism (PE) continues to be the third cause of cardiovascular mortality. The current clinical guidelines recommend anticoagulation in intermediate risk patients presenting right...

Atherosclerotic Renal Artery Stenosis: To Revascularize or Not

At long term, atherosclerotic renal artery stenosis (RAS) can lead to hypertension, chronic kidney disease, and cardiac failure. Historically, these patients have been referred...

Endovascular Management of Chronic TEPH: Is Coronary Management Extrapolatable in This Scenario?

Chronic thromboembolic pulmonary hypertension (CTEPH) is a condition that causes significant functional limitation. Its surgical treatment, known as pulmonary endarterectomy (PEA), has improved the...

LEAVE A REPLY

Please enter your comment!
Please enter your name here

Related Articles

SOLACI Sessionsspot_img

Recent Articles

TCT 2024 | FAVOR III EUROPA

The study FAVOR III EUROPA, a randomized trial, included 2,000 patients with chronic coronary syndrome, or stabilized acute coronary syndrome, and intermediate lesions. 1,008...

TCT 2024 | TRISCEND II

This randomized study included 400 patients; 267 were treated with EVOQUE valve and 133 with optimal medical treatment (OMT). After one-year follow-up, there were no...

TCT 2024 – ACCESS-TAVI: Comparing Percutaneous Access Closure Strategies After TAVI

Vascular access complications following transcatheter aortic valve implantation (TAVI) remain common. However, few studies compare vascular access closure methods.  Based on the CHOICE-CLOSURE and MASH...