new generation devices for the femoro popliteal district l.
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New generation devices for the femoro-popliteal district

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  1. New generation devicesfor the femoro-poplitealdistrict Giuseppe Biondi Zoccai University of Modena and Reggio Emilia gbiondizoccai@gmail.com

  2. LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices

  3. LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices

  4. SCOPE OF THE PROBLEM: SUCCESS Sangiorgi et al, submitted

  5. SCOPE OF THE PROBLEM: PATENCY Schillinger et al, New Engl J Med 2006

  6. WHEN MORE IS LESS? Rogers et al, Circulation 2007

  7. LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices

  8. DEVICES TO INCREASE SUCCESS • Outback • Pioneer • Frontrunner • Crosser • Scoring/cutting balloons • Directional atherectomy • Laser

  9. OUTBACK

  10. PIONEER

  11. FRONTRUNNER

  12. CROSSER

  13. VASCUTRAK

  14. TURBOHAWK ATHERECTOMY

  15. PATHWAY ATHERECTOMY

  16. TURBO BOOSTER LASER

  17. LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices

  18. DEVICES TO INCREASE PATENCY • Bare-metal stents • Stent-grafts • Cryoplasty • Drug-coated balloons • Drug-eluting stents

  19. SUPERA STENT SUPERA SUPERA SMART

  20. STENT GRAFT

  21. CRYOPLASTY

  22. DRUG-COATED BALLOON Werk et al, Circulation 2008

  23. ZILVER PTX STENT

  24. LEARNING GOALS • Scope of the problem • Devices to increase success • Devices to increase patency • Other devices

  25. CARDIATIS MULTILAYER STENT

  26. TAKE HOME MESSAGES

  27. 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

  28. For these and further slides on these topics please feel free to visit the metcardio.org website:http://www.metcardio.org/slides.html