{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T09:21:47Z","timestamp":1790414507107,"version":"4.1.0"},"reference-count":44,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T00:00:00Z","timestamp":1456444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:p>Purpose: To evaluate the outcomes and stent-device interaction of the JetStream atherectomy device in the treatment of in-stent restenosis (ISR) of the femoropopliteal segment. Methods: The JetStream XC atherectomy device, a rotational cutter with aspiration capacity, was evaluated in a prospective cohort of 29 patients (mean age 69.9\u00b111.7 years; 11 men) with femoropopliteal ISR in 32 limbs ( ClinicalTrials.gov identifier NCT01722877). Lesion length was 17.4\u00b113.1 cm. The primary effectiveness outcome was acute success (\u226430% residual narrowing with no serious adverse events). The primary safety endpoint was major adverse events. Secondary endpoints included clinically driven target lesion revascularization (TLR) at 6 months and 1 year and loss of stent integrity as assessed by an angiographic core laboratory. Results: Treated length was 19.5\u00b112.9 cm. Acute success was obtained in 29\/32 (91%) limbs. Acute device success (&lt;50% residual narrowing after atherectomy alone) was 76% (22\/29). Adjunctive balloon angioplasty was performed in all cases at a mean pressure of 11.6\u00b13.3 atm. Embolic filter protection was used in 16 (50%) of 32 limbs. Macrodebris was noted in 2 (12%) of 16 filters. Distal embolization requiring treatment occurred in 3\/32 (9.4%) limbs (2 with no filter). Other non-procedure-related adverse events were 1 (3%) death (nonvascular) and 1 (3%) case of major bleeding. There were no new stent fractures or deformities (n=24) postatherectomy. Follow-up was completed on 27 patients (29 limbs) at 6 and 12 months. TLR at these time points occurred in 4\/29 (14%) and 12\/29 (41%) patients. Patency (duplex-derived peak systolic velocity ratio &lt;2.4) was 72% at 6 months. Conclusion: JetStream atherectomy using the XC device has favorable acute results in treating femoropopliteal ISR with high procedure success, no device-stent interaction, and favorably low TLR rates. A multicenter trial is needed to confirm these results.<\/jats:p>","DOI":"10.1177\/1526602816634028","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T21:10:36Z","timestamp":1456521036000},"page":"339-346","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":48,"title":["JetStream Rotational and Aspiration Atherectomy in Treating In-Stent Restenosis of the Femoropopliteal Arteries"],"prefix":"10.1177","volume":"23","author":[{"given":"Nicolas W.","family":"Shammas","sequence":"first","affiliation":[{"name":"Midwest Cardiovascular Research Foundation, Davenport, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail A.","family":"Shammas","sequence":"additional","affiliation":[{"name":"Midwest Cardiovascular Research Foundation, Davenport, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhash","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey J.","family":"Popma","sequence":"additional","affiliation":[{"name":"VA Medical Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atif","family":"Mohammad","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Jerin","sequence":"additional","affiliation":[{"name":"St Ambrose University, Davenport, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,2,26]]},"reference":[{"key":"bibr1-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1177\/1526602814564385"},{"key":"bibr2-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2481071159"},{"key":"bibr3-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1583\/13-4420R.1"},{"key":"bibr4-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.017364"},{"key":"bibr5-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.09.009"},{"key":"bibr6-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2012.03.004"},{"key":"bibr7-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2012.08.012"},{"key":"bibr8-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23475"},{"key":"bibr9-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-012-0479-9"},{"key":"bibr10-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000256"},{"key":"bibr11-1526602816634028","first-page":"551","volume":"51","author":"Trentmann J","year":"2010","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr12-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1583\/13-4538R.1"},{"key":"bibr13-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1281634"},{"key":"bibr14-1526602816634028","first-page":"81","volume":"24","author":"Shammas NW","year":"2015","journal-title":"Int J Angiol"},{"key":"bibr15-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa051303"},{"key":"bibr16-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.109.903468"},{"key":"bibr17-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.688341"},{"key":"bibr18-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1583\/11-3627.1"},{"key":"bibr19-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2009.04.014"},{"key":"bibr20-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1177\/15266028060130S207"},{"key":"bibr21-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1583\/08-2564.1"},{"key":"bibr22-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.09.036"},{"key":"bibr23-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1177\/1708538112473968"},{"key":"bibr24-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.07.023"},{"key":"bibr25-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.735985"},{"key":"bibr26-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2013.07.010"},{"key":"bibr27-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.111.962324"},{"key":"bibr28-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.033"},{"key":"bibr29-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.12.118"},{"key":"bibr30-1526602816634028","first-page":"333","volume":"26","author":"van den Berg JC","year":"2014","journal-title":"J Invasive Cardiol"},{"key":"bibr31-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.02.019"},{"key":"bibr32-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1583\/05-1771.1"},{"key":"bibr33-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1583\/08-2397.1"},{"key":"bibr34-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.07.058"},{"key":"bibr35-1526602816634028","first-page":"628","volume":"21","author":"Shammas NW","year":"2009","journal-title":"J Invasive Cardiol"},{"key":"bibr36-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.09.008"},{"key":"bibr37-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1583\/08-2642.1"},{"key":"bibr38-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2004.07.010"},{"key":"bibr39-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20634"},{"key":"bibr40-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25384"},{"key":"bibr41-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2012.05.004"},{"key":"bibr42-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2011.06.002"},{"key":"bibr43-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2011.05.013"},{"key":"bibr44-1526602816634028","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815592135"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602816634028","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602816634028","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602816634028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:29:40Z","timestamp":1777498180000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602816634028"}},"subtitle":["Results of the JETSTREAM-ISR Feasibility Study"],"short-title":[],"issued":{"date-parts":[[2016,2,26]]},"references-count":44,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1177\/1526602816634028"],"URL":"https:\/\/doi.org\/10.1177\/1526602816634028","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,26]]}}}