Abstract
JETSTREAM (Bayer, Whippany, NJ) atherectomy is a highly effective rotational atherectomy
device with active aspiration capacity approved in the United States to treat infrainguinal
obstructive peripheral arterial disease. The technique in using the JETSTREAM is critical
and relies on appropriate wire use, appropriate sizing, and speed in advancing the
cutter as well as the use of fluoroscopic imaging and tactile and auditory senses.
Using the right technique, the device appears to have a low rate of distal embolization
and complications and results in high procedural success. We describe our own experience
with the JETSTREAM device and the techniques used in our endovascular laboratory.
Keywords
JETSTREAM atherectomy - superficial femoral artery - popliteal artery - tibial vessels
- distal embolization - embolic filter protection - technique
