Remote Endarterectomy

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Remote Endarterectomy: The Third Pathway for Arterial Revascularization

Case Presentation - February 2013

W. Michael Park, MD


Options

As patients with longstanding peripheral vascular disease are living longer with their disease, we are referred patients who are at the end of the line regarding further bypass operations and endovascular procedures, usually as a result of a lack of bypass conduit and failed interventions, and are facing limb loss or worse.

There are a finite number of ways of dealing with an occluded artery. One is to bypass it using either the patient’s own veins or to use tubes of artificial graft materials, or as a last resort, donor arteries and veins. The second option is to open the arteries by pushing aside the occlusive plaque with balloons, stents, and more recently stent grafts, which are graft material mated to stents. Even newer therapies include devices to drill through the plaque by pulverizing, cutting, or burning it. All of these treatments have varying degrees of success, durability, and invasiveness, which refers to the amount of cutting, blood loss, and time in the operating room, often under general anesthesia.


Reviewed: 11/13

Non-critical demographic information has been changed to protect the anonymity of the individual and no association with any actual patient is intended or should be inferred.

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