Dr Michael Lichtenberg (Vascular Centre Clinic Arnsberg, Arnsberg, DE) talks about femoropopliteal dissection repair using the Tack Endovascular System® following plain balloon angioplasty (POBA) or Lutonix® drug-coated balloon angioplasty.

Dr Lichtenberg details the findings from a retrospective analysis conducted by his team using the Tack® Device.
 
Filmed on location at the Leipzig Interventional Course 2020. 

Interviewer: William Cadden
Videographer: Natascha Wienand

Transcript Below : 

What we learned recently in studies, especially made with TACK devices, is that dissections matter after angioplasty. Lesions with remaining dissections are on a high risk for a low patency. Based on this data we already have, it makes sense to do something with dissections after POBA or DCB. The TACK device is definitely a helpful tool to treat the solid dissections, not implanting long stents, because what we want to see is that the natural behaviour of a Fem-Pop artery behaves. We're stalling the natural behaviour, putting long stents in there. We are definitely creating more problems. The TACK devices, which are only six millimetre long, are very good tool to treat this dissection and the remaining problems after POBA angioplasty and DCB angioplasty. We performed a retrospective analysis of our first 50 included patients, how this device, the TACK device, behaves, and to learn about the technique a little bit. What we interestingly found out, that we could solve every problem, meaning dissection, remaining restenosis after POBA or DCB with the TACK device. I was very surprised to see the success of the TACK device, because we did not use a Stenostent. Every remaining problem could be solved just by tacking.