Comparison of atherectomy, drug-eluting balloon, and combined treatment efficiency by near infrared spectroscopy Comparacion del aterectomía, balón liberador de fármacos y del tratamiento combinado por espectroscopía de infrarrojo cercano

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Onur-Beyaz M., Demir İ., Ozer-Ulukan M.

Cirugia y Cirujanos (English Edition), vol.89, no.3, pp.342-346, 2021 (SCI-Expanded, Scopus)

  • Publication Type: Article / Article
  • Volume: 89 Issue: 3
  • Publication Date: 2021
  • Doi Number: 10.24875/ciru.20000353
  • Journal Name: Cirugia y Cirujanos (English Edition)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
  • Page Numbers: pp.342-346
  • Keywords: Atherectomy, Drug-eluting balloon, Near-infrared spectroscopy, Peripheral arterial disease
  • Open Archive Collection: AVESIS Open Access Collection
  • Hatay Mustafa Kemal University Affiliated: Yes

Abstract

Atherosclerosis is a systemic pathology involving the entire vascular system. Smoking, hyperlipidemia, diabetes mellitus, advanced age, and hypertension are known risk factors for the development of atherosclerosis. Surgical treatment in peripheral arterial disease (PAD) has been replaced by endovascular treatment options in recent years due to mortality and morbidity. In our study, we aimed to present the effectiveness of atherectomy, drug-eluting balloon, and combined therapy with values determined by near-infrared spectroscopy (NIRS) in patients they have atherosclerotic PAD. Materials and methods: Patients with intermittent claudication or critical leg ischemia (Rutherford class 3 or more) have been viewed in the study. There were 30 male and 9 female patients. Patients were followed up before, at the 1st h after and at the 3rd month after the procedure, with simultaneous ankle-brachial pressure index (ABPI), walking distance measurements, and measurement of tissue oxygenation by NIRS method. Results: When patients with similar post-operative ABPI measurements were evaluated with NIRS, venous oxygenation was observed higher in patients used treatment methods combined with atherectomy. According to these results, we thought that treatment methods combined with atherectomy have increased microcirculation and collateral circulation more than other methods.