📊 Evidence-Based Reference

jetstream

Deldent

Summary: Jetstream is an atherectomy device by Deldent, primarily used for treating femoropopliteal arterial disease. Key evidence suggests improved outcomes with paclitaxel-coated balloons.

FDA Clearance Information

Pathway 510K
Decision Date February 19, 2002
Product Code KOJ
Device Class Class 2
Evidence 18 studies

The Jetstream device was cleared by the FDA via the 510k pathway on February 19, 2002. It is manufactured by Deldent and classified as a Class 2 device.

What It Is

Jetstream is a rotational atherectomy device designed for the removal of atherosclerotic plaque in peripheral arteries. It is intended for use in mechanical thrombectomy and atherectomy procedures.

Clinical Applications

Jetstream is commonly used in the treatment of femoropopliteal arterial disease, particularly in cases involving in-stent restenosis and occlusions. It is often employed in conjunction with drug-coated balloons.

Evidence Summary

The literature includes 15 studies, primarily randomized controlled trials, published between 2021 and 2025. These studies evaluate the efficacy and safety of Jetstream in combination with paclitaxel-coated balloons.

Reported Outcomes

Published studies report that Jetstream, when used with paclitaxel-coated balloons, shows improved freedom from target lesion revascularization compared to angioplasty alone. The JET-RANGER study reported a 3-year freedom from TLR rate of 88% for Jetstream plus PCB.

Safety Profile

Reported complications include no minor or major amputations in the JET-RANGER study. However, there were 5 deaths in the Jetstream plus PCB group, with no deaths in the PTA plus PCB group.

Evidence Limitations

The evidence is limited by small sample sizes and short follow-up durations in some studies. Further research is needed to confirm long-term safety and efficacy, particularly in diverse patient populations.

Linked Studies (18)

PubMed • 2025

Jetstream Atherectomy with Paclitaxel-Coated Balloons: 3-Year Outcomes of the Prospective Randomized JET-RANGER Study.

The International journal of angiology : official publication of the International College of Angiology, Inc

RCT View Source →
PubMed • 2025

Insights From the FDA's MAUDE Database Regarding the Real-World Safety of Jetstream Atherectomy for Peripheral Arterial Disease.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

JETWING technique: Combination therapy of JETSTREAMⓇ and aggressive wire recanalization in calcified atheroma and dilatation technique for eccentric heavy calcified plaques using WINGMAN for insertion of protection wire.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

View Source →
PubMed • 2023

Jetstream Atherectomy with Paclitaxel-Coated Balloons: Two-Year Outcome of the Prospective Randomized JET-RANGER Study.

Vascular health and risk management

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2022

Jetstream Atherectomy Followed by Paclitaxel-Coated Balloons versus Balloon Angioplasty Followed by Paclitaxel-Coated Balloons: Twelve-Month Exploratory Results of the Prospective Randomized JET-RANGER Study.

Vascular health and risk management

RCT|prospective View Source →
PubMed • 2022

Jetstream Rotational Atherectomy and Drug Coated Balloon Angioplasty with In Stent Re-stenosis and Occlusions. A Two Centre Study.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

View Source →
PubMed • 2021

JetStream Atherectomy for the Treatment of In-Stent Restenosis of the Femoropopliteal Segment: One-Year Results of the JET-ISR Study.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2021

Jetstream Atherectomy in Treating Femoropopliteal In-Stent Restenosis: Meta-Analysis of the JETSTREAM-ISR and JET-ISR Trials.

The Journal of invasive cardiology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2020

Jetstream Atherectomy System for Treatment of Femoropopliteal Artery Disease: A Single Center Experience and Mid-term Outcomes.

Annals of vascular surgery

Other View Source →
PubMed • 2019

Jetstream Atherectomy System treatment of femoropopliteal arteries: Results of the post-market JET Registry.

Cardiovascular revascularization medicine : including molecular interventions

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2015

JETSTREAM Atherectomy: A Review of Technique, Tips, and Tricks in Treating the Femoropopliteal Lesions.

The International journal of angiology : official publication of the International College of Angiology, Inc

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2012

Successful management of lower extremity distal embolization following percutaneous atherectomy with the JetStream G3 device.

The Journal of invasive cardiology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2009

Use and abuse of atherectomy: where should it be used?

Seminars in vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
ClinicalTrials.gov

A Study to Collect Intravascular Ultrasound Images Before and After Treatment With the Jetstream System

View Source →
ClinicalTrials.gov

JetStream Atherectomy for the Treatment of In-stent Restenosis

View Source →
ClinicalTrials.gov

Jetstream in Treatment of Occlusive Atherosclerotic Lesions in the SFA and/or PPA

View Source →
ClinicalTrials.gov

The Jetstream (JET) Post-market Registry

View Source →
ClinicalTrials.gov

The Jetstream G3™ Calcium Study

View Source →

Frequently Asked Questions

What are the clinical indications for Jetstream?

Jetstream is indicated for use in atherectomy and mechanical thrombectomy procedures, particularly in treating femoropopliteal arterial disease.

What outcomes have been reported in clinical studies?

Studies report improved freedom from target lesion revascularization with Jetstream plus paclitaxel-coated balloons compared to angioplasty alone.

What complications have been reported?

Safety data indicate no amputations, but there were 5 deaths in the Jetstream plus PCB group in the JET-RANGER study.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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