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Semin intervent Radiol 2008; 25(1): 011-019
DOI: 10.1055/s-2008-1052301
© Thieme Medical Publishers

Plaque Excision in Management of Lower Extremity Peripheral Arterial Disease with the SilverHawk Atherectomy Catheter

Martin G. Radvany1 , 3 , R. Stefan Kiesz2 , 4
  • 1Department of Radiology, Brooke Army Medical Center, Fort Sam Houston, Texas
  • 2San Antonio Endovascular and Heart Institute, San Antonio, Texas
  • 3Uniformed Services University of the Health Sciences, Bethesda, Maryland
  • 4University of Texas Health Sciences Center, San Antonio, Texas
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Publication History

Publication Date:
19 March 2008 (online)

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ABSTRACT

Atherectomy, the removal of plaque from diseased vessels, is theoretically appealing with respect to various procedures used for revascularization of lower extremity vessels. Instead of damaging the native vessel by pushing aside plaque with a balloon or stent, the plaque is removed. Many atherectomy devices have been designed in attempts to achieve this goal. The SilverHawk device is the latest percutaneous device employing this treatment strategy. We discuss patient selection, technical considerations, and strategies for both above and below the knee revascularization, as well as pitfalls in each location based on our experience with over 200 patients.

KEYWORDS

Atherectomy - SilverHawk - femoropopliteal - tibial

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Martin G RadvanyM.D. 

Department of Radiology, Johns Hopkins Hospital

600 N. Wolfe Street, Baltimore, MD 21287

Email: mradvan2@jhmi.edu

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