Had the great pleasure to use the #Auryon laser atherectomy device for the first time with Dr Terrence Teo at Mount Elizabeth Novena CVL last week on a 68 year-old suffering from left sided short distance intermittent claudication affecting her #qol. The aim was to get a lasting effect, which plain angioplasty alone does not achieve.
She had a long left #SFA occlusion from near the origin to P1. We performed a SAFARI technique to cross mostly true lumen all the way. The lesion proximally was quite soft but distally very hard which required a retrograde crossing. With 2 passes of the #Auryon 2.0mm laser catheter we managed to create a decent channel and at the same time aspirate any clots from the proximal part of the vessel. After using high pressure non compliant balloon angioplasty using the #OrbusNeich #Jade balloon platform, we successfully lined the artery with sirolimus eluting balloons and obtained fast flow and excellent vessel expansion with minimal recoil, on the final angiography runs. She was walking the next day without any pain.
Auryon is a medical device used for laser atherectomy, a minimally invasive procedure to remove plaque and other blockages from arteries. Here’s a brief overview:
What is Auryon?
Auryon is a laser atherectomy system developed by Philips, a medical technology company. It uses excimer laser technology to break up and remove plaque, calcium, and thrombus (blood clots) in arteries.
How does it work?
During the procedure, a thin catheter is inserted through an artery in the leg or arm and guided to the blocked area. The Auryon system emits high-energy pulses of ultraviolet light, which vaporize the blockage, allowing for removal and restoring blood flow.
Indications
Auryon is used to treat:
- Peripheral Artery Disease (PAD)
- Critical Limb Ischemia (CLI)
- In-stent restenosis (blockages within previously placed stents)
- Thrombus (blood clots)
Benefits
The Auryon laser atherectomy system offers several benefits, including:
- Minimally invasive
- High success rate
- Quick recovery time
- Reduced risk of complications
Pre sfa run
Pre distal sfa and popliteal run showing a calcified occlusion
Post sfa run after Auryon laser atherectomy, jade ballooning and sirolimus elution
