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1 . 2026

Rotational atherectomy in the treatment of acute lower limb ischemia (clinical case reports)

Abstract

Despite significant advances in angiosurgery, the treatment of acute limb ischemia remains a challenging clinical problem. Historically, the mainstay of therapy consisted of open thrombectomy and bypass surgery, later supplemented by selective thrombolysis and percutaneous angioplasty techniques. However, even with these approaches, there remains a high risk of adverse outcomes, including amputations and mortality. A breakthrough in the treatment of occlusive-stenotic lesions in the femoropopliteal segment has been the advent of modern endovascular technologies. Numerous studies confirm their clinical efficacy and promise in acute ischemia. Particular importance has been given to a multidisciplinary approach combining advancements in vascular surgery, interventional radiology, and intensive care. Among innovative methods, rotational atherectomy deserves special attention as a technology demonstrating excellent results in treating acute occlusions of the femoropopliteal zone. The article presents clinical cases of successful treatment of femoral-popliteal lesions in acute ischemia of the lower extremities using rotational atherectomy devices.

Keywords: acute limb ischemia; rotational atherectomy; Jetstream; Rotarex

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study concept and design – Papoyan S.A., Shchegolev A.A., Amirkhanyan D.S.; data collection and processing – Chizhova E.S.; writing of the text – Amirkhanyan D.S.; editing – Papoyan S.A., Shchegolev A.A., Mutaev M.M.

For citation: Papoyan S.A., Shchegolev A.A., Markarov A.E., Mutaev M.M., Amirkhanyan D.S., Chizhova E.S. Rotational atherectomy in the treatment of acute lower limb ischemia (clinical case reports). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2026; 32 (1): 159–66. DOI: https://doi.org/10.33029/1027-6661-2026-32-1-159-166

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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