{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T10:05:43Z","timestamp":1790330743936,"version":"4.1.0"},"reference-count":19,"publisher":"Hogrefe Publishing Group","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"abstract":"<jats:p>Summary: Background: To evaluate the ability of atherectomy combined with scoring and drug coated balloon (DCB) angioplasty for the treatment of atherosclerotic common femoral artery (CFA) disease. Patients and methods: This dual-center retrospective study analyzed data from consecutive patients who underwent atherectomy-assisted endovascular revascularization followed by scoring and DCB angioplasty and if required stent placement in the CFA. The primary endpoints included target-lesion revascularization (TLR) and improvement in clinical symptoms as measured by Rutherford categories (RC). Lesion calcification was evaluated using the Peripheral Arterial Calcification Scoring System (PACSS). Results : Of 111 patients, 64 (57.7%) had lifestyle limiting claudication, whereas 47 (42.3%) had chronic limb-threatening ischemia (CLTI). Mean age was 71.9 \u00b1 7.8 years, 45 (40.5%) were female and 32 (28.8%) had diabetes mellitus. CFA median lesion length was 3.2 (2.4\u20133.7cm) and median lesion calcification by PACSS was 3.0 (3.0\u20133.0), whereas 13 (11.7%) were chronic total occlusions. Atherectomy was performed in 46 (41.4%) patients using the Phoenix and in 65 (58.6%) patients using the Jetstream atherectomy device with low complication rates (zero perforations and 4 (3.6%) distal embolizations). Bail-out stenting was necessary in 6 (5.4%) patients. During median follow-up of 2.0 (1.5\u20132.2) years, TLR was necessary in 9 (8.1%) patients, whereas RC improvement of \u22652 categories was noticed in 79 (71.2%) patients. Severe calcification PACSS four was associated with higher TLR rates (p &lt; .001). Conclusions: Atherectomy- and scoring balloon assisted lesion preparation combined with DCB resulted in a low rate of bail-out stenting, low TLR and clinically acceptable RC improvement rates in CFAD patients. Long-term prospective trials are warranted.<\/jats:p>","DOI":"10.1024\/0301-1526\/a001309","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T09:36:43Z","timestamp":1790329003000},"source":"Crossref","is-referenced-by-count":0,"title":["Atherectomy, scoring and drug-coated balloon angioplasty for atherosclerotic common femoral artery disease \u2013 A two center study"],"prefix":"10.1024","author":[{"given":"Martin","family":"Andrassy","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, F\u00fcrst Stirum Clinic Bruchsal, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Sch\u00f6fthaler","sequence":"additional","affiliation":[{"name":"GRN Hospital Weinheim, Department of Cardiology and Vascular Medicine, Weinheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Karcher","sequence":"additional","affiliation":[{"name":"GRN Hospital Weinheim, Department of Cardiology and Vascular Medicine, Weinheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Wegen","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, F\u00fcrst Stirum Clinic Bruchsal, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalibor","family":"Dukic","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, F\u00fcrst Stirum Clinic Bruchsal, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6038-2253","authenticated-orcid":true,"given":"Grigorios","family":"Korosoglou","sequence":"additional","affiliation":[{"name":"GRN Hospital Weinheim, Department of Cardiology and Vascular Medicine, Weinheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.01.024"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X251323508"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-21-01070"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000960"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.04.016"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-19-00693"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X241231943"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820914618"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2025.09.054"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1177\/17085381211019244"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2024.11.038"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001150"},{"issue":"2","key":"c13","first-page":"205","volume":"60","author":"Lichtenberg M","year":"2019","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.11.036"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.12.037"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001259"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.03.046"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.10.031"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.03.010"}],"container-title":["Vasa"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/0301-1526\/a001309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T09:36:45Z","timestamp":1790329005000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/0301-1526\/a001309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":19,"alternative-id":["10.1024\/0301-1526\/a001309"],"URL":"https:\/\/doi.org\/10.1024\/0301-1526\/a001309","relation":{},"ISSN":["0301-1526","1664-2872"],"issn-type":[{"value":"0301-1526","type":"print"},{"value":"1664-2872","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"article-number":"0301-1526\/a001309"}}