Short and Medium-Term Results of Aspirational Atherectomy in Occulative Peripheral Artery Diseases

BACKGROUND/AIMS: In this prospective cross-sectional study, the short and mid-term results of aspirational atherectomy in lower extremity occlusive peripheral arterial diseases (PADs) were evaluated. MATERIALS AND METHODS: The research was conducted between May 2017 and September 2018 at the Cardiovascular Surgery Clinic of a university hospital. A total of 34 patients who had lower extremity occlusive PAD and underwent aspirational atherectomy were included in the study. During the follow-up visits at the 24th hour, 1st month, 6th month, and 1st year, the patients' physical examinations, complaints, Rutherford and Fontaine clinical staging, and Transatlantic Intersocietal Consensus II (TASC II) classifications of the lesions before the procedure were obtained. Demographically, gender, age, smoking, peripheral procedure history, and chronic diseases were evaluated. RESULTS: The frequency of Fontaine 3 or less, which was 47.1% before the operation, increased to 79.4% in the 6th month (p<0.05). The frequency of Rutherford scores of 2 or lower increased from 47.1% before the operation to 79.4% at 6 months (p<0.05). The rate of those with a Fontaine score of 3 or less was 85.3% in the first month after the operation, and it decreased to 79.4% in the sixth month (p>0.05). Similarly, while the rate of those with a Rutherford score of 2 or less was 85.3% in the first month, it decreased to 79.4% in the sixth month (p>0.05). The proportion of patients with Fontaine 3 and below and Rutherford 2 and below decreased from 79.4% in the 6th month to 76.5% in the 12th month. There was no significant difference between both Fontaine and Rutherford scores at 6 and 12 months after the operation (p<0.05) CONCLUSION: Amputation rates may be further reduced by shortening the follow-up intervals and applying a multidisciplinary approach in diabetic patients with TASC II D lesions.