A journal article was submitted detailing a review focused on the following three technologies aimed at challenging, high-risk lesions: intravascular lithotripsy, atherectomy, and drug-coated devices.The highest quality of available data for each device was selected for review, with priority given to randomized controlled trials (rcts), but often relying on single-arm prospective cohorts or registries.The review identifies medtronic¿s silverhawk, turbohawk, and hawkone directional atherectomy devices.The article identified 3 major clinical trials in which the silverhawk and/or turbohawk devices were used.Two of the trials identified were the definitive le and definitive ar trials which were sponsored by medtronic endovascular.The remaining study related to the silverhawk device involving a population of intermittent claudication (ic) and critical limb threatening ischemia (clti) (rutherford 1 to 5), sfa to tibial, de novo lesions.At least one vessel runoff and severe calcification were excluded.Target limb reintervention (tlr) reported for this study at 12 months: 11.1% for da (directional atherectomy) + pba (plain balloon angioplasty) v 16.7% for pba alone.Adverse events reported include embolization: 64.7% in da + pba v 0% in pba alone when a filter was used.Stent rate: 27.6% in da + pba v 62% in pba alone.Related to drug-coated devices, medtronic¿s inpact admiral and in.Pact amphirion drug-coated balloons are identified.The article identified 2 major clinical trials in which the inpact admiral and in.Pact amphirion drug-coated balloons were used; in.Pact sfa, and in.Pact deep respectively both of which were sponsored by medtronic endovascular.
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