Eroshkin I A, Eroshenko An V, Eroshenko Al V, Karpalov V T
Angiol Sosud Khir. 2009;15(4):49-52.
The authors consider a possibility of employing devices for catheter-assisted atherectomy as an alternative or addition to the conventional procedure of balloon angioplasty and stenting of occlusive and stenotic lesions of lower-limb arteries. This is followed by a detailed review of research on employing the device intended for directional catheter-mediated atherectomy SilverHawk (eV3, USA). It was revealed that the outcomes following interventions using this device were substantially superior to those obtained using balloon angioplasty and stenting of lower-limb arteries, with the primary arterial patency in the intervention zone being preserved in more than 60% of cases within the first 12 months postoperatively and in more than 50% of cases within the terms up to 18 months. The limb-salvage rate at 18 months exceeded 88% in patients with critical ischaemia, amounting to 100% in those with intermittent claudication.
作者们考虑将导管辅助旋切术设备用作下肢动脉闭塞性和狭窄性病变常规球囊血管成形术及支架置入术的替代方法或补充手段。接下来详细回顾了关于使用定向导管介导旋切术设备SilverHawk（美国eV3公司）的研究。结果显示，使用该设备进行干预后的效果显著优于下肢动脉球囊血管成形术和支架置入术，干预区域的主要动脉通畅率在术后12个月内超过60%的病例得以保留，在长达18个月的时间内超过50%的病例得以保留。在严重缺血患者中，18个月时的肢体挽救率超过88%，间歇性跛行患者的该比率达100%。
