www.metcardio.org new generation devices for the femoro-popliteal district giuseppe biondi zoccai...
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New generation devices for New generation devices for the femoro-popliteal districtthe femoro-popliteal district
Giuseppe Biondi ZoccaiGiuseppe Biondi ZoccaiUniversity of Modena and Reggio EmiliaUniversity of Modena and Reggio Emilia
[email protected]@gmail.com
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LEARNING GOALS
• Scope of the problem• Devices to increase success• Devices to increase patency• Other devices
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LEARNING GOALS
• Scope of the problem• Devices to increase success• Devices to increase patency• Other devices
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SCOPE OF THE PROBLEM: SUCCESS
Sangiorgi et al, submitted
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SCOPE OF THE PROBLEM: PATENCY
Schillinger et al, New Engl J Med 2006
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WHEN MORE IS LESS?
Rogers et al, Circulation 2007
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LEARNING GOALS
• Scope of the problem• Devices to increase success• Devices to increase patency• Other devices
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DEVICES TO INCREASE SUCCESS
• Outback• Pioneer• Frontrunner• Crosser• Scoring/cutting balloons• Directional atherectomy• Laser
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OUTBACK
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PIONEER
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FRONTRUNNER
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CROSSER
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VASCUTRAK
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TURBOHAWK ATHERECTOMY
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PATHWAY ATHERECTOMY
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TURBO BOOSTER LASER
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LEARNING GOALS
• Scope of the problem• Devices to increase success• Devices to increase patency• Other devices
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DEVICES TO INCREASE PATENCY
• Bare-metal stents• Stent-grafts• Cryoplasty• Drug-coated balloons• Drug-eluting stents
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SUPERA STENT
SUPERA SMART
SUPERA
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STENT GRAFT
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CRYOPLASTY
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DRUG-COATED BALLOON
Werk et al, Circulation 2008
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ZILVER PTX STENT
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LEARNING GOALS
• Scope of the problem• Devices to increase success• Devices to increase patency• Other devices
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CARDIATIS MULTILAYER STENT
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TAKE HOME MESSAGES
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TAKE HOME MESSAGES• Several devices are available to increase success
or patency rates for femoro-popliteal 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
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