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JOURNAL ARTICLE
REVIEW
Current Role of Atherectomy for Treatment of Femoropopliteal and Infrapopliteal Disease.
Interventional Cardiology Clinics 2017 April
Atherectomy improves the acute procedural success of a procedure whether treating de novo or restenotic (including in-stent) disease. Intermediate follow-up results seem to be in favor of atherectomy in delaying and reducing the need for repeat revascularization in patients with femoropopliteal in-stent restenosis. Recent data suggest that avoiding cutting into the external elastic lamina is an important factor in reducing restenosis. The interplay between directional atherectomy and drug-coated balloons is unclear.
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