{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:28:21Z","timestamp":1789475301126,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The Jetstream device is an effective treatment option for debulking calcified lesions; however, it carries a risk of damaging the healthy vessel wall. This study aimed to evaluate the safety and efficacy of the Jetstream device combined with wire bias adjustments for treating eccentric calcified lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study was to evaluate the safety and efficacy of JET EDGE technique for treating eccentric calcified lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This single\u2010center, retrospective, nonrandomized observational study was conducted at a cardiovascular department in Japan. It included patients aged \u2265\u200920 years with eccentric calcified lesions (Rutherford classification 3\u22126) who underwent endovascular therapy using the Jetstream catheter for femoropopliteal disease between October 2022 and September 2024.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010eight lesions in 28 patients (28.6% female; mean age: 76.9\u2009\u00b1\u20097.3 years) with a mean follow\u2010up period of 409\u2009\u00b1\u2009174 days were analyzed. All lesions were graded 3 or 4 on the peripheral arterial calcium scoring system. The procedural success rate was 96.4%. No vascular perforations or medial layer damage were observed on imaging following the use of the Jetstream catheter. The 1\u2010year Kaplan\u2013Meier estimates for primary patency, freedom from major adverse limb events, and freedom from target lesion revascularization were 88.6%, 88.1%, and 91.3%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This retrospective study demonstrates that eccentric calcified lesions, which pose a risk of damaging the healthy vessel wall during treatment with the Jetstream catheter, can be safely treated by adjusting the wire bias during the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.31452","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T08:30:25Z","timestamp":1739262625000},"page":"1222-1229","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["JET EDGE Technique: Results of a Single\u2010Center Retrospective Study of Jetstream Atherectomy Using the Guidewire Bias Method for Eccentric Severely Calcified Lesions"],"prefix":"10.1002","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0435-1372","authenticated-orcid":false,"given":"Shuko","family":"Iwata","sequence":"first","affiliation":[{"name":"Department of Cardiology Tokeidai Memorial Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4202-8226","authenticated-orcid":false,"given":"Michinao","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Tokeidai Memorial Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Miwa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Tokeidai Memorial Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wataru","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Clinical Engineering Tokeidai Memorial Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazushi","family":"Urasawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology Tokeidai Memorial Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"e_1_2_9_2_1","article-title":"2024 ACC\/AHA\/AACVPR\/APMA\/ABC\/SCAI\/SVM\/SVN\/SVS\/SIR\/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"83","author":"Writing Committee Members","year":"2024","journal-title":"Journal of the American College of Cardiology"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehae179"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1526602819836095"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816656612"},{"issue":"12","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.122.025677","article-title":"Vessel Patency and Associated Factors of the Drug\u2010Coated Balloon for Femoropopliteal Lesion","volume":"3","author":"Soga Y.","year":"2023","journal-title":"Journal of the American Heart Association"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30622"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV11I1A17"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2023.12.030"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","DOI":"10.1177\/15266028231202718","article-title":"Insights From the FDA's MAUDE Database Regarding the Real\u2010World Safety of Jetstream Atherectomy for Peripheral Arterial Disease","author":"Min A.","year":"2023","journal-title":"Journal of Endovascular Therapy"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jccase.2024.03.003"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.5758\/vsi.240046"},{"key":"e_1_2_9_13_1","first-page":"493","article-title":"Coronary Artery Dissection and Perforation Complicating Percutaneous Coronary Intervention","volume":"16","author":"Rogers J. 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