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Doctor insights on: Tibial Atherectomy

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What is the benefit of an atherectomy over an angioplasty?

What is the benefit of an atherectomy over an angioplasty?

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 vessels. At times, heavy calcium makes the arteries so hard they won't open w/ the balloon. Some of those lesions can be addressed w/ Atherectomy, a device that shaves the plaque down creating a more wide flow channel. ...Read more

Dr. Najam Wasty
95 doctors shared insights

Atherectomy (Definition)

It is a percutaneous intervention -- a vascular procedure like 'scrapping' the vascular wall ...Read more


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Could you explain what is atherectomy's benefit over angioplasty?

Could you explain what is atherectomy's benefit over angioplasty?

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

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

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

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. ...Read more

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Is it possible for you to combine angioplasty and atherectomy procedures?

Yes: Angiography and atherectomy are both performed through the same approach, namely inserting a catheter into an artery, usually the artery at the groin. The angiography is performed first. If this reveals a plaque in the artery accounting for the symptoms, the catheter can be exchanged for another type of catheter that can carry out the atherectomy. ...Read more

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What must I expect in terms of effects having atherectomy for cad?

What must I expect in terms of effects having atherectomy for cad?

Same as angioplasty: This should not feel any different from a regular angioplasty. As far as long term effects, the usual patient for atherectomy does not have very good anatomy and that is primarily the reason atherectomy is used. Hard, calcified plaques are usually not amenable to other methods of angioplasty. There are many cases when atherectomy is combined with stenting which is usually a better outcome. ...Read more

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Atherectomy-how big of a lesion can it treat?

Atherectomy: there is surgical and transcatheter atherectomy. In general surgical atherectomy can deal with larger lesions. Your physician who has the information about you can provide specific advice for you. ...Read more

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What is the definition or description of: atherectomy?

PI: It is a percutaneous intervention -- a vascular procedure like 'scrapping' the vascular wall of layers of plaques. ...Read more

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Is atherectomy better than stent?

Is atherectomy better than stent?

Different : Atherectomy is not better than stenting, it usually is reserved for cases when a balloon angioplasty combined with stenting, or direct stenting can not be accomplished due to the plaque burden. In those cases atherectomy is used to debulk the plaque and the best result would be if this can then be supplemented with a stenting to prevent plaque regrowth or near-term closure of the vessel. ...Read more

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Atherectomy is it better than bypass?

Atherectomy is it  better than bypass?

No: Bypass if needed and possible is a better form of revascularization. To this day, and to the best of my knowledge, there have not been any studies that show angioplasty of any kind has a better long-term outcome than bypass surgery. ...Read more

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What do you think about atherectomy for cad?

Sometimes useful: sometimes useful for specific issues, but generally no better than simple stenting. ...Read more

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