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www.metcardio.org New generation devices for the femoro-popliteal district Giuseppe Biondi Zoccai University of Modena and Reggio Emilia gbiondizoccai@gmail.com
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www.metcardio.org LEARNING GOALS Scope of the problem Devices to increase success Devices to increase patency Other devices
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www.metcardio.org LEARNING GOALS Scope of the problem Devices to increase success Devices to increase patency Other devices
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www.metcardio.org SCOPE OF THE PROBLEM: SUCCESS Sangiorgi et al, submitted
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www.metcardio.org SCOPE OF THE PROBLEM: PATENCY Schillinger et al, New Engl J Med 2006
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www.metcardio.org WHEN MORE IS LESS? Rogers et al, Circulation 2007
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www.metcardio.org LEARNING GOALS Scope of the problem Devices to increase success Devices to increase patency Other devices
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www.metcardio.org DEVICES TO INCREASE SUCCESS Outback Pioneer Frontrunner Crosser Scoring/cutting balloons Directional atherectomy Laser
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www.metcardio.org OUTBACK
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www.metcardio.org PIONEER
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www.metcardio.org FRONTRUNNER
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www.metcardio.org CROSSER
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www.metcardio.org VASCUTRAK
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www.metcardio.org TURBOHAWK ATHERECTOMY
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www.metcardio.org PATHWAY ATHERECTOMY
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www.metcardio.org TURBO BOOSTER LASER
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www.metcardio.org LEARNING GOALS Scope of the problem Devices to increase success Devices to increase patency Other devices
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www.metcardio.org DEVICES TO INCREASE PATENCY Bare-metal stents Stent-grafts Cryoplasty Drug-coated balloons Drug-eluting stents
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www.metcardio.org SUPERA STENT SUPERASMART SUPERA
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www.metcardio.org STENT GRAFT
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www.metcardio.org CRYOPLASTY
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www.metcardio.org DRUG-COATED BALLOON Werk et al, Circulation 2008
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www.metcardio.org ZILVER PTX STENT
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www.metcardio.org LEARNING GOALS Scope of the problem Devices to increase success Devices to increase patency Other devices
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www.metcardio.org CARDIATIS MULTILAYER STENT
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www.metcardio.org TAKE HOME MESSAGES
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www.metcardio.org 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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www.metcardio.org For these and further slides on these topics please feel free to visit the metcardio.org website: http://www.metcardio.org/slides.html http://www.metcardio.org/slides.html
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