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Durability depends on lesion length, calcification, vessel location, diabetes, smoking, and adherence to antiplatelet therapy.","revision_rate_pct":{"min":15,"max":30,"unit":"percent","qualifier":"Clinically driven target lesion reintervention within 12 months; varies with lesion length and calcification"},"scars":"No surgical incision; only a tiny puncture site at the groin, arm or foot/ankle access, usually without a visible scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Typically one procedure for a single lesion; staged treatment is possible in multilevel disease."},"stages":[{"code":"atherectomy_procedure","label":"Percutaneous peripheral atherectomy, often with adjunct balloon angioplasty","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session"}}],"qualifier":"Peripheral lower-limb protocol."},"success":{"metric":"Technical success (residual stenosis under 30%)","value":90,"unit":"percent","horizon":"At end of procedure","population":"Adults with symptomatic lower-limb peripheral arterial disease, calcified femoropopliteal lesions","evidence_status":"limited"},"techniques":[{"name":"Directional atherectomy","suits_whom":"Patients with focal, eccentric plaque in larger peripheral arteries.","recovery":"Same-day discharge usually; recovery in days."},{"name":"Rotational or orbital atherectomy (peripheral)","suits_whom":"Patients with heavily calcified femoropopliteal or below-the-knee lesions.","recovery":"Similar to other peripheral endovascular procedures; recovery in days."},{"name":"Laser atherectomy","suits_whom":"Patients with in-stent restenosis or long occlusions, in select cases.","recovery":"Similar short recovery."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single peripheral (lower-limb) atherectomy procedure, often with adjunct angioplasty; complex multilevel disease may take longer."},"initial_assessment_documents":["Lower-limb CT or MR angiography report and images","Arterial duplex ultrasound report","Ankle-brachial index results","Previous angiography or vascular procedure reports","List of blood thinners and antiplatelets","Recent creatinine or kidney function result"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single endovascular session with same-day or overnight discharge; stay 3-7 days covers access-site check before flying home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=aterektomia/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-05T16:09:12.000Z","activeCountries":["ES","TR","MX","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}