SCAI 2026 Treatment and Management of Complex Peripheral Arterial Disease-Is There a Role for Atherectomy in CLTI? Dr. N'Dandu

Is There a Role for Atherectomy in CLTI? Dr. N'Dandu

Video Transcription

Video Summary

The speaker discussed atherectomy in chronic limb-threatening ischemia (CLTI), noting that despite controversy, a large literature exists. A 2014–2024 review found many studies across different atherectomy devices, though the evidence is heterogeneous and often nonrandomized. Overall, atherectomy may improve patency and reduce dissections and bailout stenting, especially in heavily calcified, complex lesions and CLTI patients. However, benefits are modest and data quality is limited, so patient selection is crucial. The speaker concluded atherectomy appears safe and can be useful in CLTI, but should be applied cautiously while awaiting stronger long-term evidence.

Asset Caption

closed captions are computer-generated

Keywords

atherectomy

calcium

laser

orbital

plaque

chronic limb-threatening ischemia

CLTI

calcified lesions

patency