New generation devices for the femoropopliteal district Giuseppe
- Slides: 28
New generation devices for the femoro-popliteal district Giuseppe Biondi Zoccai University of Modena and Reggio Emilia gbiondizoccai@gmail. com www. metcardio. org
LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices www. metcardio. org
LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices www. metcardio. org
SCOPE OF THE PROBLEM: SUCCESS Sangiorgi et al, submitted www. metcardio. org
SCOPE OF THE PROBLEM: PATENCY Schillinger et al, New Engl J Med 2006 www. metcardio. org
WHEN MORE IS LESS? Rogers et al, Circulation 2007 www. metcardio. org
LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices www. metcardio. org
DEVICES TO INCREASE SUCCESS • • Outback Pioneer Frontrunner Crosser Scoring/cutting balloons Directional atherectomy Laser www. metcardio. org
OUTBACK www. metcardio. org
PIONEER www. metcardio. org
FRONTRUNNER www. metcardio. org
CROSSER www. metcardio. org
VASCUTRAK www. metcardio. org
TURBOHAWK ATHERECTOMY www. metcardio. org
PATHWAY ATHERECTOMY www. metcardio. org
TURBO BOOSTER LASER www. metcardio. org
LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices www. metcardio. org
DEVICES TO INCREASE PATENCY • • • Bare-metal stents Stent-grafts Cryoplasty Drug-coated balloons Drug-eluting stents www. metcardio. org
SUPERA STENT SUPERA SMART www. metcardio. org
STENT GRAFT www. metcardio. org
CRYOPLASTY www. metcardio. org
DRUG-COATED BALLOON Werk et al, Circulation 2008 www. metcardio. org
ZILVER PTX STENT www. metcardio. org
LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices www. metcardio. org
CARDIATIS MULTILAYER STENT www. metcardio. org
TAKE HOME MESSAGES www. metcardio. org
TAKE HOME MESSAGES • Several devices are available to increase success or patency rates for femoropopliteal interventions • Most devices are limited by substantial costs and limited evidence base • We recommend to pick a few of these devices (if any at all) and develop a specific expertise in order to maximize safety and efficacy in niche applications www. metcardio. org
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