Atherectomy: Precision in Vascular Health

Here, we will explore the procedure in more detail along with its benefits to better understand why it's considered a game-changer in vascular health.

Understanding Atherectomy

Atherectomy is a medical procedure designed to remove atherosclerotic plaque from blood vessels. Atherosclerosis is the gradual accumulation of plaque (a combination of fat, cholesterol, calcium, and other substances) inside the arteries. Over time, this buildup can narrow or block the arteries, leading to reduced blood flow and a range of cardiovascular issues.

The Procedure in Detail

• Patient Preparation: Before the procedure, patients typically undergo various diagnostic tests, such as angiography or ultrasound, to identify the location and severity of plaque buildup.
• Local Anesthesia: The procedure is performed under local anesthesia, which means you'll be awake during the process but won't feel pain in the treated area.
• Access Site: A small incision is made at the access site, usually in the groin or wrist, to allow the insertion of a thin, flexible catheter.
• Guidance via Imaging: Using real-time imaging technology, such as fluoroscopy, the physician guides the catheter to the blocked or narrowed artery.
• Atherectomy Device Insertion: Once in place, a specialized atherectomy device, often equipped with a rotating tip, laser, or directional blades, is inserted through the catheter.
• Plaque Removal: The atherectomy device is used to break up and remove the plaque that is causing the blockage. The removed plaque is collected within the device and later extracted.
• Final Imaging: After the plaque is removed, the physician uses imaging technology to ensure that the artery is clear and that blood flow has been restored.
• Closure of Access Site: The small incision is then closed, typically with a stitch or a small closure device.

Benefits of Atherectomy

Given that overview of the atherectomy procedure, let's delve into the significant benefits that make it a remarkable advancement in vascular health:

• Minimally Invasive: Atherectomy is minimally invasive, meaning it doesn't require open surgery. This results in shorter recovery times and reduced risk of complications. A study published in the Journal of Vascular Surgery reports that atherectomy can significantly reduce hospitalization duration.
• Precision Plaque Removal: Atherectomy devices are designed to precisely target and remove plaque buildup. This precision reduces the risk of damaging healthy arterial tissue, enhancing the overall safety of the procedure.
• Improved Blood Flow: By effectively removing plaque, atherectomy can restore blood flow to previously obstructed or narrowed arteries. Improved blood flow can lead to reduced symptoms such as leg pain, shortness of breath, or chest pain.
• Lower Re-Blockage Rates: Atherectomy has demonstrated lower rates of re-blockage in treated arteries compared to some other interventions. A study in the Journal of the American College of Cardiology reveals a lower re-stenosis rate in peripheral artery disease patients treated with atherectomy.
• Suitable for Complex Cases: Atherectomy is particularly beneficial for complex cases where traditional angioplasty or stent placement may be challenging. Its versatility makes it a valuable tool for physicians treating a wide range of vascular diseases.
• Outpatient Procedure: In many cases, atherectomy can be performed on an outpatient basis, meaning patients can return home on the same day as the procedure. This reduces hospitalization costs and the inconvenience of extended hospital stays.

The Power of Data

The effectiveness of atherectomy is well-supported by data and research:

• A report from the National Cardiovascular Data Registry CathPCI Registry concludes that atherectomy resulted in a reduction in major adverse cardiovascular events in patients with common risk factors of peripheral artery disease.
• A study in the Journal of Endovascular Therapy found that laser-assisted atherectomy resulted in a limb salvage of an impressive 92% of the test patients suffering from critical limb ischemia.

Atherectomy is changing the landscape of vascular health by offering a minimally invasive, highly effective procedure for plaque removal. With precision, improved blood flow, and lower re-blockage rates, atherectomy is a game-changer for complex cases and offers the potential for a quicker recovery and reduced hospitalization. Backed by solid data, this innovative procedure is improving the quality of life for many patients by restoring the natural flow of blood through their arteries. It's a testament to the power of medical innovation in the pursuit of better patient outcomes.

Pearl Cardio-Vascular of Inland Empire believes in the power of atherectomies in improving the lives of our patients.  If you'd like to consult with our staff about whether you're a candidate for this procedure, call us at (909) 318-3498 and we'll set up an appointment for you!