Jetstream atherectomy: A cutting-edge solution for arterial blockages

At Northern Heart Hospital, we are committed to offering world-class cardiovascular care with the latest medical advancements. One such breakthrough in the treatment of arterial disease is Jetstream atherectomy—a highly effective, minimally invasive procedure designed to remove plaque build-up in the arteries, ensuring better blood flow and reducing the risk of complications such as heart attacks and strokes.

Understanding Jetstream atherectomy

Jetstream atherectomy is an advanced endovascular procedure that removes atherosclerotic plaque from the arteries, restoring optimal circulation. This technique is particularly useful for treating peripheral artery disease (PAD), a condition where arteries in the legs or arms become narrowed or blocked due to plaque accumulation. The Jetstream system uses a small, catheter-based device equipped with rotating blades to break down and remove plaque while simultaneously suctioning the debris, preventing blockages from shifting elsewhere in the bloodstream.

This innovative system is particularly beneficial for individuals who have Chronic Limb-Threatening Ischaemia (CLTI) or those who have experienced failed angioplasty procedures in the past. By effectively removing both hard and soft plaque, Jetstream atherectomy provides an option for patients who may not be suitable candidates for traditional treatments.

How does Jetstream atherectomy work?

1. Insertion of the catheter: A small incision is made, usually in the groin or leg, through which a thin catheter is guided into the affected artery.
2. Plaque removal: The catheter’s blades rotate at high speeds, breaking up hard and soft plaque deposits while a built-in aspiration system removes the debris.
3. Restoration of blood flow: Once the blockage is cleared, blood can flow freely through the artery, reducing symptoms like pain, cramping, and reduced mobility.

At Northern Heart Hospital, our skilled interventional cardiologists and vascular specialists use state-of-the-art imaging technology to guide the Jetstream catheter precisely to the blockage, ensuring safety and efficacy in every procedure.

Benefits of Jetstream atherectomy

This revolutionary procedure offers multiple advantages over traditional treatments such as angioplasty or bypass surgery:

1. Minimally invasive with faster recovery
   Unlike traditional open surgeries, Jetstream atherectomy is performed using a small incision, resulting in less pain, minimal scarring, and shorter hospital stays. Most patients can return home on the same day or within 24 hours, with a quicker recovery period compared to more invasive treatments.
2. Effective for hard and soft plaque
   One of the unique features of the Jetstream system is its ability to remove both calcified and soft plaque, making it a versatile choice for treating complex blockages that might not respond well to other methods.
3. Reduced need for stents
   By effectively clearing blockages, Jetstream atherectomy reduces the likelihood of requiring a stent—an implanted mesh tube used to keep arteries open. This is particularly beneficial for patients who want to avoid long-term reliance on foreign implants in their bodies.
4. Improved blood flow and symptom relief
   Many patients experience immediate relief from PAD symptoms, such as leg pain, cramping, or fatigue, allowing them to regain mobility and quality of life. This can also lead to improved wound healing in patients suffering from ulcers or sores due to poor circulation.
5. Lower risk of future blockages
   The procedure not only removes existing plaque but also helps prevent further build-up by restoring healthy circulation, potentially reducing the need for repeat interventions.

At Northern Heart Hospital, we specialise in comprehensive vascular care, ensuring that each patient receives a tailored treatment plan designed for long-term health and well-being.

Preparing for Jetstream atherectomy

At Northern Heart Hospital, patient safety and comfort are our top priorities. If you are scheduled for a Jetstream atherectomy, here’s what you can expect:

Pre-procedure preparations

• Initial consultation: Our expert vascular surgeon will assess your condition through imaging tests such as ultrasound, angiography, or CT scans to determine the severity of arterial blockages.
• Medication review: Patients may need to adjust their blood-thinning medications before the procedure.
• Fasting: You may be advised to avoid eating or drinking for a few hours before the procedure.
• Pre-procedure instructions: Our medical team will provide specific guidelines on what to expect and how to prepare, ensuring a seamless experience.

The procedure day

• The procedure is typically performed under local anaesthesia with mild sedation to keep you comfortable.
• Using real-time imaging, our specialists navigate the catheter to the affected artery, ensuring precision and efficiency.
• The process usually takes between 30 to 90 minutes, depending on the severity of the blockage.
• Patients are closely monitored for a few hours post-procedure before being discharged.

Post-procedure care

• Minimal downtime: Most patients resume light activities within a day and return to normal routines within a week.
• Follow-up appointments: Regular check-ups ensure the artery remains clear and that no further intervention is needed.
• Lifestyle changes: Our team provides guidance on diet, exercise, and smoking cessation to maintain long-term vascular health.

Why choose Northern Heart Hospital for Jetstream atherectomy?

As a leader in cardiovascular care, Northern Heart Hospital offers a world-class environment, cutting-edge technology, and a team of highly experienced specialists dedicated to delivering personalised patient care. Here’s what sets us apart: