A 33-year-old member asked:
Disclaimer

what is atherectomy's benefit over angioplasty, if it is in fact better?

3 doctor answers
Dr. Mark Rasak
32 years experience Cardiology
Calcified blockages: Rotational atherectomy is used for very hard and calcified blockages. Its like a drill bit and strips away the calcium so an angioplasty or a stent can be deployed. Often without the atherectomy catheter u can't do a stent and a bypass would be neccessary.
Answered on Mar 12, 2014
2
2 thanks
Dr. Bradley Thomas
18 years experience Vascular Surgery
It's probably not. : The argument behind atherectomy is that it actually can remove some of the plaque that causes a blockage. An angioplasty simply moves it out of the way. However, atherectomy can cause as much or more trauma to the artery and induce the formation of scar tissue. Surgeons and peripheral intervention must have been arguing about the merits of each approach for years.
Answered on Jun 19, 2015
3
3 thanks
Dr. Shadi Abu Halimah
20 years experience Vascular Surgery
Vs stent: Atherectomy decrease amount of plaque and the compliance of the plaque. Typically atherectomy is followed by angioplasty but at low pressure which may cause less dissection . In comparison angioplasty alone has more recurrence of stenosis and more dissection. Stenting have better patency and less recurrence but it eliminates target for future bypass.
Answered on Sep 23, 2016
2
2 thanks

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 44-year-old member asked:
Dr. Kevin Nolan
34 years experience Vascular Surgery
Atherectomy v balloo: typically blocked arteries can be opened more widely by inflating a balloon inside the vessel. The balloon is then deflated and removed from the vess ... Read More
2
2 thanks
A 32-year-old member asked:
Dr. Bennett Werner
43 years experience Cardiology
Heavy calcification: Angioplasty can't dilate some types of blockage because they're too heavily calcified. Atherectomy can be successful sometimes where angioplasty can't ... Read More
A 48-year-old member asked:
Dr. Richard Sanders
66 years experience Vascular Surgery
Yes: Angiography and atherectomy are both performed through the same approach, namely inserting a catheter into an artery, usually the artery at the groin. ... Read More
A 55-year-old male asked:
Dr. Bennett Werner
43 years experience Cardiology
acute or chronic?: If the occluded vessels are associated with a heart attack implying that they have just occurred (that in itself is odd because there is generally onl ... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month