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First and only atherectomy and thrombectomy device indicated to treat in-stent restenosis in U.S.
October 6, 2021
By: Sam Brusco
Associate Editor
BD (Becton, Dickinson and Company) received 510(k) clearance for expanded indications from the U.S. Food and Drug Administration (FDA) for the Rotarex Atherectomy System. The Rotarex Atherectomy System is a rotational excisional device that is built to remove and aspirate varying lesion morphologies including plaque and thrombus in the peripheral arteries. The Rotarex System, already cleared for use in native arterial vessels, now has the expanded indications to treat within peripheral arteries fitted with stents, stent grafts, and native or artificial bypasses. “The Rotarex Atherectomy System is quick and efficient for treating arterial lesions,” said Dr. Prakash Krishnan, a cardiologist from New York. “With ability to use it for both atherectomy and thrombectomy, it is now a great product to be able to treat in-stent restenosis. Rotarex has been a great device for me to have in my practice, and I am excited about these new indications.” The FDA clearance of the Rotarex Atherectomy System’s new expanded indications follows more than 10 years of real-world clinical experience involving the treatment of thousands of patients globally. Now, physicians can use a proven tool to address some of their most challenging peripheral arterial disease (PAD) lesions, including the treatment of in-stent restenosis. “I have had the ability to use the Rotarex Atherectomy System for over 10 years both within and outside the U.S.,” said Dr. Miguel Montero-Baker, a vascular surgeon from Houston. “This indication expansion is exciting and will allow me to utilize a device I trust to care for my complex PAD patients.” PAD is a potentially debilitating disease that can lead to increased risk of cardiovascular complications and limb amputation. A healthy diet, exercise and cessation of smoking can help mitigate the development of PAD, which includes the formation of atherosclerosis and thrombus (blood clots) in arteries in the legs. However, treatment for PAD may be necessary if the arteries are blocked. Atherectomy and thrombectomy are minimally invasive techniques that use a catheter to remove the plaque and blood clot buildup, respectively, to increase blood flow through the diseased areas. The unique mechanism of action of Rotarex Atherectomy Device has enabled the simultaneous treatment of both plaque and thrombus. “The additional indications provide physicians a one-of-a-kind, ideal solution for treating complex lesions associated with peripheral arterial disease and further demonstrates our responsibility as an industry to develop innovative technologies to help with the fight against PAD,” said Paddy O’Brien, worldwide president of Peripheral Intervention for BD.
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