{"ok":true,"api":{"name":"SAIMSARA Evidence Object Discovery API","version":"v1"},"mode":"doc_key","editorial_verification":{"status":"human_reviewed","trust_label":"machine_generated_human_reviewed","method":"World ID proof-of-human editorial account","scope":["clinical_integrity","reference_quality","scientific_coherence"],"verification_note":"This Evidence Object is machine-generated and human-reviewed. World ID is used to verify that editorial oversight was submitted by a unique human account.","does_not_mean":"World ID verifies proof-of-human editorial oversight; it does not independently certify the scientific truth of every claim."},"object":{"object_type":"saimsara_evidence_object_metadata","doc_key":"vascular::ENDOVASCULAR_ATHERECTOMY_PM","issue_slug":"vascular","doc_id":"ENDOVASCULAR_ATHERECTOMY_PM","title":"Endovascular Atherectomy in Peripheral Artery Disease, Coronary Artery Disease, and Non-Atherosclerotic Vascular Conditions","doi":"10.62487/saimsara99fa2e74","doi_url":"https://doi.org/10.62487/saimsara99fa2e74","version":"2026-06-05","source_name":"PubMed","article_url":"https://saimsara.com/sessions/endovascular-atherectomy-20260605-051520-99fa2e74/","image_url":"","topic_tags":"endovascular atherectomy,peripheral artery disease,femoropopliteal lesions,drug-coated balloon,target lesion revascularization,major adverse limb events,rotational atherectomy,in-stent restenosis,chronic limb-threatening ischemia,below-the-knee intervention","keywords":["endovascular atherectomy","peripheral artery disease","femoropopliteal lesions","drug-coated balloon","target lesion revascularization","major adverse limb events","rotational atherectomy","in-stent restenosis","chronic limb-threatening ischemia","below-the-knee intervention"],"metrics":{"included_all":448,"included_original":302,"reference_index":172,"total_participants":1732527},"discover_url":"https://saimsara.com/api/v1/discover.php?doc_key=vascular%3A%3AENDOVASCULAR_ATHERECTOMY_PM","paid_evidence_url":"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3AENDOVASCULAR_ATHERECTOMY_PM","price":{"amount":"7.00","currency":"USD","units":7,"unit_amount":"1.00"},"payment_methods":["api_key","stripe_checkout","object_grant","x402"],"text_length":32179,"preview":"Results Key finding aligned to the query: The most central and recurrent signal across the evidence base is a persistent equipoise between the theoretical advantages of atherectomy—enhanced acute technical success in complex lesions—and its inconsistent translation into superior long-term clinical outcomes compared to standard endovascular modalities. For femoropopliteal disease, multiple large registry studies demonstrate that atherectomy is not associated with a reduction in long-term death or amputation compared to percutaneous transluminal angioplasty (PTA) or stenting, with adjusted hazard ratios for composite safety endpoints showing no significant difference (aHR 0.99, 95% CI 0.97-1.0…","trust_label":"machine_generated_human_reviewed","editorial_verification":{"status":"human_reviewed","trust_label":"machine_generated_human_reviewed","method":"World ID proof-of-human editorial account","scope":["clinical_integrity","reference_quality","scientific_coherence"],"verification_note":"This Evidence Object is machine-generated and human-reviewed. World ID is used to verify that editorial oversight was submitted by a unique human account.","does_not_mean":"World ID verifies proof-of-human editorial oversight; it does not independently certify the scientific truth of every claim."},"checkout":{"method":"POST","url":"https://saimsara.com/create_checkout_session.php","content_type":"application/x-www-form-urlencoded","params":{"plan":"evidence_object","doc_key":"vascular::ENDOVASCULAR_ATHERECTOMY_PM"},"optional_params":{"customer_email":"user@example.com"},"price":{"amount":"7.00","currency":"USD","units":7,"unit_amount":"1.00"},"curl_example":"curl -X POST https://saimsara.com/create_checkout_session.php -d \"plan=evidence_object\" -d \"doc_key=vascular::ENDOVASCULAR_ATHERECTOMY_PM\" -d \"customer_email=user@example.com\""},"access_after_payment":{"header":"X-SAIMSARA-Payment-Proof","endpoint":"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3AENDOVASCULAR_ATHERECTOMY_PM","curl_example":"curl -H \"X-SAIMSARA-Payment-Proof: YOUR_PAYMENT_PROOF_TOKEN\" \"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3AENDOVASCULAR_ATHERECTOMY_PM\""}}}