novel techniques for peripheral diseases

Cesar Fuquen Leal
Latin Agency for News of Medicine and Public Health

The Journal of Medicine and Public Health (MSP) broadcast live on its facebook page an atherectomy surgery through the Jetstream system in the San Lucas Hospital in two patients with vascular abnormalities.

This novel surgery brings hundreds of benefits to patients who undergo them because the Jetstream G2 can repair abnormalities in patients suffering from peripheral arterial disease (PAD), including hard and soft plaque, calcium, fibrotic lesions, and thrombi.

In addition, this method has multiple benefits such as: minimally invasive treatment with consistent results, faster recovery, and decreased systemic complications. MSP interviewed Dr. Osvaldo Santiago, specialist in peripheral vascular surgery and expert in performing these procedures.

Symptoms of patients

“In the first patient, the Jetstream boston atherectomy system was used on the right peroneal artery and the right posterior tibial artery and a metal support, similar to a stent or mesh, was inserted. (…) The first patient had an ulcer that did not heal on the right leg in the calf area for more than a year and since it did not heal, they did the relevant treatment, then an arteriogram was done and that was when we found the obstruction of the artery and the atherectomy was performed with the insertion of the mesh “explained Dr. Santiago.

The Jetstream G2 is a product of Pathway Medical Technologies (Kirkland, WA, USA), and has been cleared by the US Food and Drug Administration (FDA). Which means that it has all the quality standards to guarantee the safety of patients.

“The second patient had pain at rest, that means that he had pain all the time, it does not matter if he is lying down or walking, a study is done and it is found that they have a complete occlusion of the right tibial artery,

You are hospitalized, your artery is cauterized, you have a balloon angioplasty, and then a metal support such as sten mesh is insertedt ”, determined the doctor.

Check out the full procedure below.

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What is the device?

According to HospiMedica.com, the device consists of a sterile single-use catheter and control sheath and a compact, reusable console that mounts to a standard intravenous (IV) stand. The catheter has an expandable cutting tip and a highly efficient aspiration port, located proximal to the cutting blades that continuously draw removed tissue and thrombi from the treatment site into a collection bag located on a console.

“This procedure avoids the possibility of amputation, the ulcer must heal in the first patient and the patient who has pain at rest will go away completely,” said the surgeon.

As previously described, this procedure significantly reduces the risk of patients staying in hospitals and as it is less invasive, it avoids future risks.

“These patients are discharged the next day after surgery, they are walking, the patient with the ulcer is going to be seen in the wound center of the San Lucas Hospital and the second patient I checked in my office”, concluded the Dr. Osvaldo Santiago.

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