{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:26:43Z","timestamp":1761863203201},"reference-count":0,"publisher":"Hogrefe Publishing Group","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2010,8,1]]},"abstract":"<jats:p> Background: Directional atherectomy (DA) has become popular in some centers to remove atherosclerotic plaques in femoro-popliteal lesions. Although immediate and also short - term outcome data are promising, solid long-term data are warranted to justify the widespread use in daily practice. Patients and methods: In this prospective study de novo and restenotic lesions of the femoro-popliteal segments were treated with the Silverhawk\u2122 device. 161 consecutive patients (164 lesions) with peripheral artery disease (PAD) Rutherford classes 2 to 5 were included from June 2002 to October 2004 and October 2006 to June 2007 (59 % male, mean age 67 \u00b1 11 years, range 40 to 88) and the outcome analyzed according to the TASC II classification. Results: DA alone was performed successfully in 28 % (n = 46), adjunctive balloon angioplasty in 65 % (n = 107) and stenting in 7 % (n = 11). The overall technical success rate was 76 % (124 \/ 164) and the procedural success rate 95 % (154 \/ 164). At 12 months primary patency rate was 61 % (85 \/ 140) and the secondary patency rate was 75 % (105 \/ 140) in the entire cohort, being less favourable in TASC D compared to TASC A to C lesions (p = 0.034 and p &lt; 0.001, respectively). Furthermore the restenosis rate differed trendwise (p = 0.06) between de novo and restenotic lesions. Changes in the ABI and the Rutherford classes were significantly in favour of TASC A to C lesions compared to TASC D after 12 months (p = 0.004). The event free survival (MI, TIA, or restenosis) was 48 % at 12 months and 38.5 % at 24 months. Predictor for restenosis in the multivariable analysis was only male gender (p=0.04). Conclusions: The results in TASC D lesions are inferior to those in the lesser stages. DA of femoro-popliteal arteries leads shows a trend to better long-term technical and clinical outcome in de novo lesions compared to restenotic lesions. <\/jats:p>","DOI":"10.1024\/0301-1526\/a000034","type":"journal-article","created":{"date-parts":[[2013,2,2]],"date-time":"2013-02-02T02:20:59Z","timestamp":1359771659000},"page":"229-236","source":"Crossref","is-referenced-by-count":15,"title":["Acute and long-term outcome of silverhawk assisted atherectomy for femoro-popliteal lesions according the TASC II classification: a single-center experience"],"prefix":"10.1024","volume":"39","author":[{"family":"Sixt","sequence":"first","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Rastan","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Beschorner","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Noory","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Schwarzw\u00e4lder","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"B\u00fcrgelin","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Schwarz","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University Hospital Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Hauk","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Brantner","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"M\u00f6hrle","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Linnemann","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Macharzina","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Neumann","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Zeller","sequence":"additional","affiliation":[{"name":"Department of Angiology, Heart Centre Bad Krozingen, Bad Krozingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","container-title":["Vasa"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/0301-1526\/a000034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T11:44:26Z","timestamp":1652010266000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/0301-1526\/a000034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,8,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,8,1]]}},"alternative-id":["10.1024\/0301-1526\/a000034"],"URL":"https:\/\/doi.org\/10.1024\/0301-1526\/a000034","relation":{},"ISSN":["0301-1526","1664-2872"],"issn-type":[{"value":"0301-1526","type":"print"},{"value":"1664-2872","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,8,1]]}}}