Atherectomy With Angioplasty Vs. Angioplasty alone for Critical Limb Threatening Ischemia with Isolated Tibial Disease

Retrospective cohort study of collected data using TriNetX Data Network Key Findings: Atherectomy with angioplasty was associated with reduced risk of minor amputations compared to angioplasty alone at 3 months to 5 years.(OR 0.74; 95% CI, 0.57-0.96).Major amputations were lower in the atherectomy group at 5 years (14.6% vs. 18.4%;OR 0.75; 95% CI, 0.57-0.99)Take Home Message: There may be limited clinical benefit to using atherectomy for first-time revascularization in patients with critical limb ischemia and isolated tibial disease. Table of Contents Summary:Using a retrospective cohort study of 1,498 CLTI patients with isolated tibial disease, Atherectomy with Angioplasty was associated with reduced risk of minor amputations compared to Angioplasty alone at 3 months and 5 years.There might be limited clinical benefit to using atherectomy for first-time revascularization in these patients.