{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T22:44:04Z","timestamp":1781995444086,"version":"3.54.5"},"reference-count":31,"publisher":"Hogrefe Publishing Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p> Summary: Purpose: Technical aspects are crucial for the planning and performing of the atherectomy to treat peripheral arterial disease. This report illustrates the use of a novel atherectomy device and investigates the feasibility, efficacy, and safety procedures involved in performing the atherectomy on 28 patients. Materials and methods: We performed a prospective analysis of patients who underwent an atherectomy with the BYCROSS<jats:sup>TM<\/jats:sup> Atherectomy device between August 2022 and September 2023 at a tertiary referral centre. Patients with a lesion below the aortic bifurcation (vessel diameter \u2265 3mm) having a de novo or restenotic (stent-included) present were recruited. Major adverse events (MAE) are defined as amputation, death, myocardial infarction, or angiographic distal embolization that require a separate intervention. Results: Of the 28 patients treated with the BYCROSS device, 23 were men with a mean age of 65.6 \u00b1 9,6 years and a mean BMI of 24,6 \u00b1 3.9 kg\/m<jats:sup>2<\/jats:sup>. Most patients had a typical atherogenic risk profile as well as multiple preexisting comorbidities. In all patients, a symptomatic peripheral arterial disease (PAD) was the main reason for an intervention. The most common Rutherford category was 5 (12\/28). The most common lesion region was the femoropopliteal segment (25\/28) with 23 de novo stenosis. Mean lesion length was 218,0 \u00b1 93,7 mm. The mean PACCS Score was 3,0 \u00b1 1,0. Stenosis grade was by mean 99,3 \u00b1 3,7%. Ankle Brachial Index (ABI) increased significantly after BYCROSS atherectomy (pre- 0,44 \u00b1 0,43 vs. post-procedure 0,84 \u00b1 0,30 P&lt;0,001. Target lesion\/vessel revascularization (TLR\/TVR) within the first 30 days was 3,6% (1\/28). 30-day MAE rate was 14,3% (vessel perforation in 3\/28 patients, embolism in 1\/28). There were no deaths, index limb amputations, or myocardial infarctions. Conclusion: The BYCROSS<jats:sup>TM<\/jats:sup> atherectomy system is a new device with numerous advantages in treating high-grade, calcifying stenosis and occlusion processes in PAD. Based on the above findings, the BYCROSS<jats:sup>TM<\/jats:sup> Atherectomy device represents a feasible, safe, and effective method for endovascular treatment of peripheral arterial disease. <\/jats:p>","DOI":"10.1024\/0301-1526\/a001151","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T12:18:53Z","timestamp":1729253933000},"page":"388-396","source":"Crossref","is-referenced-by-count":8,"title":["Technical aspects of the new BYCROSS<sup>TM<\/sup> atherectomy device \t\t\t\t\t\u2013 preliminary results after 28 patients"],"prefix":"10.1024","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1050-6470","authenticated-orcid":true,"given":"Dominik","family":"Liebetrau","sequence":"first","affiliation":[{"name":"Vascular Surgery, Medical Faculty, University of \t\t\t\t\tAugsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6827-8584","authenticated-orcid":true,"given":"J\u00f6rg","family":"Te\u00dfarek","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Bonifatius Hospital Lingen, Lingen \t\t\t\t\t(Ems), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Elger","sequence":"additional","affiliation":[{"name":"Cardiac, Thoracic and Vascular Surgery, Medical \t\t\t\t\tFaculty, University Medical Center G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viktoria","family":"Peters","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Medical Faculty, University of \t\t\t\t\tAugsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0702-7460","authenticated-orcid":true,"given":"Christian","family":"Scheurig-M\u00fcnkler","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional \t\t\t\t\tRadiology, University Hospital of Augsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4217-7758","authenticated-orcid":true,"given":"Alexander","family":"Hyhlik-D\u00fcrr","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Medical Faculty, University of \t\t\t\t\tAugsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2008.03.014"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67704-5"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1583\/05-1780MR.1"},{"issue":"2","key":"c4","first-page":"II105","volume":"16","author":"Garcia LA","year":"2009","journal-title":"J Endovasc Ther"},{"key":"c5","first-page":"1","author":"Tessarek J","year":"2021","journal-title":"Gefasschirurgie"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.5152\/dir.2021.20100"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1177\/1708538117712383"},{"key":"c8","volume":"152660282311612","author":"Dukic D","year":"2023","journal-title":"J Endovasc Ther"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2017.12.015"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70045-4"},{"key":"c11","unstructured":"GmbH T-M. 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