Abstract
Results: Mean age was 63±7.3 years, 95% were men and 100% were diabetic. Mean lesion length was 156.9±94.7 mm; 43.5% were total occlusions. Mean presenting Rutherford category was 3.0±0.3. A total of 20 limbs (43.5%) were debulked using laser atherectomy, rotational atherectomy, directional atherectomy and/or cutting balloons. Immediate postprocedural mean PVR was significantly lower in the debulking group compared to the conventional balloon predilation group (0.96 vs. 1.07, P=.01). Furthermore, mean ABI was significantly lower in patients who had PVR ≥2 compared with patients who PVR ≤2 at 6 months and 1 year postprocedure (0.64 vs. 0.89, P=.005; 0.42 vs. 0.70, P=.01, respectively). Mean NDEMD was lower in the debulking group; however, the difference was not statistically significant. Conclusion: Our results suggest the potential utility of debulking prior to the deployment of n-SES in complex SFA lesions in diabetics.
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