Clinical Research
Efficacy of Turbo Hawk atherectomy system in treatment of lower extremity arteriosclerosis obliterans
Sheng Guan, Jianping Yang, Jiareke Tang, Xiaohu Ge
Published 2019-02-15
Cite as Chin J Clinicians(Electronic Edition), 2019, 13(4): 272-276. DOI: 10.3877/cma.j.issn.1674-0785.2019.04.006
Abstract
ObjectiveTo assess the clinical efficacy and application value of the Turbo Hawk atherectomy system in treating patients with superficial femoral artery stenosis or occlusion.
MethodsThis study retrospectively analyzed the clinical data of 60 patients with superficial femoral arteriosclerosis occlusion or stenosis diagnosed by lower extremity artery imaging and treated with the TurboHawk plaque circumcision system at Xinjiang Uygur Autonomous Region People′s Hospital from January 2016 to December 2017. The clinical symptoms, lumen stenosis degree, and ankle brachial index (ABI) of patients with superficial femoral artery lesions before and after operation were observed to evaluate the improvement of clinical symptoms, lumen patency, and hemodynamics.
ResultsOf the 60 patients who had grades 3-6 disease according to the Rutherford classification criteria, 46.67% (28/60) showed significant improvement in clinical symptoms after surgery, and 53.33% (32/60) showed moderate improvement in clinical symptoms Postoperative digital subtraction angiography (DSA) showed a significant decrease in lumen stenosis compared with preoperative value (0.26±0.05 vs 0.9±0.08, t=2.847, P=0.015). Postoperative ABI was significantly higher than preoperative value (0.85±0.11 vs 0.25±0.13, t=1.546, P=0.023).
ConclusionTurbo Hawk plaque resection can remove the plaque of superficial femoral arteriosclerosis occlusion, open the narrowed or occluded arterial lumen, and improve the clinical symptoms, representing an effective intraluminal volume reduction method.
Key words:
Atherectomy; Arteriosclerosis obliterans; Endovascular treatment; Efficacy
Contributor Information
Sheng Guan
Department of Vascular Surgery, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
Jianping Yang
Jiareke Tang
Xiaohu Ge