Abstract: Novel apparatus and related methods are disclosed by which plaque is connected to the head of a removal instrument for removal of a unitary segment of plaque from an artery intact to increase blood flow through the artery.
Abstract: A catheter atherotome and method for its use for performing partial atherectomy in an artery and blood flow through the artery. Several blades are mounted at a distal end of a catheter, in a helical basket configuration and spaced angularly apart from one another about the associated ends of two concentric sheaths in such a way that longitudinal and rotary relative movement of the sheaths selectively bows the blades arcuately outwardly into a cutting position or draws the blades flat into alignment with the sheaths. The blades have sharpened cutting edges extending helically and directed toward the cathether's proximal end when the blades are bowed. Partial removal of an atheroma is effected by manually pulling the basket knife past an atheroma with the basket blades in their outwardly bowed cutting positions, with the speed, force, and amount of expansion of the blades determined by the operator.