Evidence map›Paper›PMID 39969193›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2025

INtravaScular OptIcal Frequency Domain ImaGing EvaluaTion of the Femoropopliteal Lesion With JETSTREAM Atherectomy (INSIGHT JETSTREAM).

Koji Kuroda, Amane Kozuki, Kenzo Uzu, Takafumi Todoroki, Masamichi Iwasaki, Junichi Imanishi, Souichiro Yamashita, Wataru Fujimoto, Makoto Takemoto, Mayuka Masuda and 1 more

Abstract read
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Atherectomy With Multimodal Embolic Protection for Severely Calcified Femoropopliteal Lesions.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Koji KurodaDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.ORCID 0000-0002-0440-4454
Amane KozukiDivision of Cardiovascular Medicine, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.
Kenzo UzuDepartment of Cardiology, Konan Medical Center, Kobe, Japan.
Takafumi TodorokiDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.
Masamichi IwasakiDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.
Junichi ImanishiDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.
Souichiro YamashitaDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.
Wataru FujimotoDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.
Makoto TakemotoDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.
Mayuka MasudaDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.ORCID 0000-0003-4346-8095
Masanori OkudaDepartment of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundThere have been no prior reports of detailed evaluations using intravascular imaging during Jetstream treatment.

aimsThis study, therefore, aimed to investigate the effects of calcification characteristics and wire bias on lumen gain in Jetstream atherectomy using optical frequency domain imaging (OFDI).

methodsThis study enrolled consecutive patients who underwent OFDI-guided Jetstream atherectomy with 1.85 mm, 2.4 mm blade down (BD), and 2.4 mm blade up (BU). Cross-sections were categorized into three groups based on OFDI findings before Jetstream atherectomy: fibrous plaques (FPs), calcified protrusions (CPs), and eruptive calcified nodules (ECNs).

resultsTwenty-seven patients (36 limbs) were enrolled, and 1502 cross-sections were serially analyzed. There were 186 FPs, 753 CPs, and 563 ECNs. The acquired lumen gain after all atherectomy steps was significantly larger in the ECNs group than in the CPs and FPs groups. ECNs had the strongest effect on the variability in the lumen gain. In the effect of wire bias on the degree of debulking, a significant correlation was observed between wire distance and lumen gain in 1.85- and 2.4-mm BD atherectomy procedures. However, in the 2.4-mm BU procedure, no significant correlation was recorded.

conclusionsJetstream atherectomy for ECNs can result in greater lumen gain. In the 1.85- and 2.4-mm BD atherectomy procedures, wire bias may be involved in lumen gain, whereas in the 2.4-mm BU procedure, lumen gain is obtained regardless of wire bias. In Jetstream atherectomy procedures, a detailed assessment using OFDI may contribute to predicting the degree of debulking.

trial registrationUMIN ID: UMIN000054588. https://center6.umin.ac.jp/cgi-bin/ctr/ctr_view_reg.cgi?recptno=R000061997.

Indexed as

AtherectomyFemoral ArteryPeripheral Arterial DiseasePopliteal ArteryTomography, Optical CoherenceVascular CalcificationAgedAged, 80 and overEquipment DesignFemaleFibrosisHumansMaleMiddle AgedPlaque, AtheroscleroticPredictive Value of Testsatherectomyclinical researchendovascular therapyoptical frequency domain

Identifiers

PMID39969193
PMCPMC12057308

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.