{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T22:43:53Z","timestamp":1781995433116,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Calcified femoropopliteal lesions remain a major challenge in peripheral endovascular interventions. Vessel preparation with atherectomy before drug\u2010coated balloon (DCB) angioplasty has been proposed to improve long\u2010term outcomes, but evidence remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the 3\u2010year clinical outcomes of Jetstream atherectomy combined with Ranger DCB angioplasty in patients with calcified femoropoplite.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective, single\u2010center study included 50 patients (74% male, mean age 72.7\u2009\u00b1\u20099.8 years) treated between 2016 and 2020 for 63 femoropopliteal lesions. Lesions were classified as severely calcified in 56% of cases and TASC C\u2010D in 54%. Jetstream atherectomy was performed before Ranger DCB angioplasty. The primary endpoint was primary patency at 36 months, defined as freedom from restenosis or target lesion revascularization (TLR). Secondary endpoints included freedom from TLR and target vessel revascularization (TVR), Rutherford category and ankle\u2010brachial index (ABI) improvement, limb salvage, and all\u2010cause mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>TThe mean lesion length was 122.8\u2009\u00b1\u200978.9 mm. Bailout stenting was required in 6.3% of cases. Primary patency was 91.7% at 12 months and 69.2% at 36 months. Freedom from TLR was 98.4% at 12 months and 92.0% at 36 months. TVR freedom at 36 months was 82.0%. Rutherford improvement was observed in 92.0% of patients at 1 month and sustained in 84.0% at 36 months. ABI\u2009\u2265\u20090.9 was achieved in 69.4% at 1 month and 68.6% at 36 months. No major amputations or cardiovascular deaths occurred during follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Jetstream atherectomy combined with Ranger DCB angioplasty provided sustained long\u2010term patency, low reintervention rates, and durable clinical benefit in patients with calcified femoropopliteal lesions. Further prospective trials are needed to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70204","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T05:32:07Z","timestamp":1758691927000},"page":"3355-3361","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long\u2010Term Outcomes of Jetstream Atherectomy Combined With Ranger Drug\u2010Coated Balloon in Calcified Femoropopliteal Lesions: A Three\u2010Year Single\u2010Center Experience"],"prefix":"10.1002","volume":"106","author":[{"given":"J\u00e9r\u00f4me","family":"Brunet","sequence":"first","affiliation":[{"name":"Cardiovascular Department Rh\u00f4ne Durance Clinic Avignon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann","family":"Gou\u00ebffic","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery Groupe Hospitalier Paris St Joseph Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Pascal","family":"Peyre","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Rh\u00f4ne Durance Clinic Avignon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Bayet","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Rh\u00f4ne Durance Clinic Avignon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5457-8807","authenticated-orcid":false,"given":"Maxime","family":"Dubosq\u2010Lebaz","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Institut Coeur\u2010Poumon Lille University Hospital Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.08.067"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.122.059606"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32262-1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jconrel.2017.08.037"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2020.558129"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2017.12.015"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2022.10.007"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X251323508"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-024-03839-1"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58091293"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25387"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-014-0904-3"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0021-9509.19.11038-5"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-017-1649-6"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.117.005654"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29777"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.116.004848"},{"issue":"1","key":"e_1_2_6_20_1","first-page":"56","article-title":"JET\u2010RANGER Investigators. Jetstream Atherectomy With Paclitaxel\u2010Coated Balloons: 3\u2010Year Outcomes of the Prospective Randomized JET\u2010RANGER Study","volume":"34","author":"Shammas N. 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