Rotablator: a forgotten tool in limb ischemia?

The treatment of critical limb ischemia remains until now, and more and more, a very challenging topic for vascular surgeons. Among the tools available, the rotational atherectomy appears a useful alternative to surgical revascularisation, especially for the worst cases of infrainguinal arterial occlusive disease. The authors remind the basic principle of the atherectomy device, its history and how to work with it. The review of the literature and analysis of their results underscore on the usefulness of the rotational atherectomy for limb threatening arterial occlusive disease.