New generation devices for the femoro-popliteal district

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New generation devices for the femoro-popliteal
district

• Giuseppe Biondi Zoccai
• University of Modena and Reggio Emilia
• gbiondizoccai_at_gmail.com

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LEARNING GOALS

• Scope of the problem
• Devices to increase success
• Devices to increase patency
• Other devices

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LEARNING GOALS

• Scope of the problem
• Devices to increase success
• Devices to increase patency
• Other devices

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SCOPE OF THE PROBLEM SUCCESS
Sangiorgi et al, submitted
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SCOPE OF THE PROBLEM PATENCY
Schillinger et al, New Engl J Med 2006
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WHEN MORE IS LESS?
Rogers et al, Circulation 2007
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LEARNING GOALS

• Scope of the problem
• Devices to increase success
• Devices to increase patency
• Other devices

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DEVICES TO INCREASE SUCCESS

• Outback
• Pioneer
• Frontrunner
• Crosser
• Scoring/cutting balloons
• Directional atherectomy
• Laser

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OUTBACK
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PIONEER
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FRONTRUNNER
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CROSSER
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VASCUTRAK
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TURBOHAWK ATHERECTOMY
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PATHWAY ATHERECTOMY
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TURBO BOOSTER LASER
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LEARNING GOALS

• Scope of the problem
• Devices to increase success
• Devices to increase patency
• Other devices

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DEVICES TO INCREASE PATENCY

• Bare-metal stents
• Stent-grafts
• Cryoplasty
• Drug-coated balloons
• Drug-eluting stents

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SUPERA STENT
SUPERA
SUPERA
SMART
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STENT GRAFT
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CRYOPLASTY
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DRUG-COATED BALLOON
Werk et al, Circulation 2008
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ZILVER PTX STENT
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LEARNING GOALS

• Scope of the problem
• Devices to increase success
• Devices to increase patency
• Other devices

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CARDIATIS MULTILAYER STENT
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TAKE HOME MESSAGES
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TAKE HOME MESSAGES

• Several devices are available to increase success
  or patency rates for femoro-popliteal
  interventions
• Most devices are limited by substantial costs and
  limited evidence base
• We recommend to pick a few of these devices (if
  any at all) and develop a specific expertise in
  order to maximize safety and efficacy in niche
  applications

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