Short Communication - Case Reports in Surgery and Invasive Procedures (2023) Volume 7, Issue 5
Atherectomy: Precision intervention for vascular health
Department of Surgery
- *Corresponding Author:
- Ran Liu
Department of Surgery
University of Cagliari
Received:25-Aug-2023, Manuscript No. AACRSIP-23-112563; Editor assigned:28-Aug-2023, PreQC No. AACRSIP-23-112563(PQ); Reviewed:11-Sept-2023, QC No. AACRSIP-23-112563; Revised:16-Sept-2023, Manuscript No. AACRSIP-23-112563(R); Published:23-Sept-2023, DOI:10.35841/aacrsip-7.5.168
Citation: Liu R. Atherectomy: Precision intervention for vascular health. Case Rep Surg Invasive Proced. 2023;7(5):168
Cardiovascular disease is a leading cause of morbidity and mortality worldwide, with atherosclerosis being a common underlying culprit. Atherosclerosis involves the accumulation of fatty deposits (atherosclerotic plaques) within the arteries, narrowing or blocking blood flow and increasing the risk of heart attacks and strokes. Atherectomy is a sophisticated medical procedure designed to treat these obstructions by removing or modifying the plaque build-up. In this article, we will explore atherectomy, its principles, techniques, and the valuable role it plays in restoring vascular health .
Atherectomy is a minimally invasive, precision-driven procedure employed to remove atherosclerotic plaque from arteries. The goal is to restore proper blood flow, reduce symptoms, and prevent further complications associated with vascular disease. This approach offers several advantages over traditional treatments like angioplasty with or without stent placement. Before the procedure, the patient undergoes a thorough evaluation, including imaging studies like angiography, to identify the location and severity of the arterial blockage. This information guides the interventional cardiologist or vascular surgeon in planning the atherectomy .
Local anesthesia is administered to numb the area near the insertion site, typically in the groin or wrist, where a catheter will be introduced into the artery. In some cases, general anesthesia may be used. A specialized catheter is carefully threaded through the arterial system to reach the site of the atherosclerotic plaque. Once the catheter is in position, the atherectomy device is advanced through the catheter to the site of the plaque. There are several types of atherectomy devices available, each with its unique mechanism of action: Rotational Atherectomy employs a high-speed rotating burr to physically grind away the plaque, creating tiny particles that can be safely absorbed by the body. Laser energy is used to vaporize or ablate the plaque, effectively breaking it down. An eccentrically mounted burr spins rapidly within the artery, sanding down the plaque while minimizing damage to the healthy vessel wall. Directional Atherectomy features a cutting blade at its tip that shaves and removes the plaque .
As technology continues to evolve, atherectomy devices become increasingly refined and sophisticated, enhancing their effectiveness and safety. For patients facing the challenges of atherosclerosis or peripheral artery disease, atherectomy offers hope and the prospect of improved vascular health and a better quality of life. By harnessing the power of precision and innovation, atherectomy stands as a testament to the remarkable progress achieved in the field of medical intervention for vascular health .
As the atherectomy device removes or modifies the plaque, the generated debris is carefully captured and removed from the artery to prevent embolization (plaque particles traveling downstream). After the plaque has been treated, further imaging studies, such as angiography, may be performed to assess the results and ensure adequate blood flow restoration. Atherectomy's application extends beyond coronary arteries; it is commonly used in peripheral arteries, particularly in the legs, to treat peripheral artery disease (PAD). The procedure can improve blood circulation, alleviate claudication (leg pain), and prevent limb-threatening complications, such as gangrene or amputation .
Atherectomy represents a critical advancement in the field of interventional cardiology and vascular medicine. By precisely targeting and removing atherosclerotic plaque from arteries, this minimally invasive procedure offers a valuable means of restoring blood flow, reducing symptoms, and preventing the progression of cardiovascular and peripheral vascular diseases. The success of atherectomy is built upon its versatility, allowing it to be adapted to various arterial locations and plaque compositions.
- Ramkumar N, Martinez-Camblor P, Columbo JA, et al. Adverse Events After Atherectomy: Analyzing Long-Term Outcomes of Endovascular Lower Extremity Revascularization Techniques. J Am Heart Assoc 2019;8(12):e012081.
- Zeller T, Langhoff R, Rocha-Singh KJ et al. Directional Atherectomy Followed by a Paclitaxel-Coated Balloon to Inhibit Restenosis and Maintain Vessel Patency: Twelve-Month Results of the DEFINITIVE AR Study. Circ Cardiovasc Interv. 2017;10(9):e004848.
- Wiley LK, Shah A, Xu H, et al. ICD-9 tobacco use codes are effective identifiers of smoking status. J Am Med Inform Assoc 2013;20(4):652–8.
- Mehta HB, Sura SD, Adhikari D et al. Adapting the Elixhauser comorbidity index for cancer patients. Cancer 2018;124(9):2018-25.
- Katsanos K, Spiliopoulos S, Reppas L, et al. Debulking Atherectomy in the Peripheral Arteries: Is There a Role and What is the Evidence?. Cardiovasc Intervent Radiol 2017;40:964-77.