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Advances in Therapy

, Volume 36, Issue 11, pp 3147–3153 | Cite as

Comparison of Lacrosse Non-Slip Elements and Cutting Balloons in Treating Calcified Coronary Lesions: a Retrospective, Single-Blind Randomized Controlled Study

  • Xin-Yong ZhangEmail author
  • Zhe Tang
  • Ya-Ping Zeng
  • Shao-Ping Nie
Original Research

Abstract

Introduction

The present study aimed to compare Lacrosse non-slip elements (NSE) and cutting balloons in treating calcified coronary lesions.

Methods

A retrospective analysis was performed in 79 patients, who were diagnosed with moderate to severe calcified coronary lesions by coronary angiography, and underwent interventional therapy from January to December 2017. Lacrosse NSEs were used in 41 patients, while cutting balloons were used in 38 patients. The basic clinical characteristics, angiographic images, perioperative parameters, operation durations, interventional complications and incidence of major adverse cardiovascular events were compared.

Results

There was no significant difference in age, gender and risk factors between the two groups (P > 0.05). Furthermore, there was no significant difference in operation duration, and perioperative and postoperative complications between the two groups (P > 0.05).

Conclusion

Compared with cutting balloons, the Lacrosse NSE has a similar effect in treating moderate to severe calcified coronary lesions.

Keywords

Cardiology Coronary calcification Cutting balloon angioplasty Lacrosse NSE balloon angioplasty 

Notes

Acknowledgements

We thank the participants of the study.

Funding

No funding or sponsorship was received for this study or publication of this article. The Rapid Service Fee was funded by the authors.

Authorship

All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work as a whole, and have given their approval for this version to be published.

Disclosures

Xin-Yong Zhang, Zhe Tang, Ya-Ping Zeng and Shao-Ping Nie have nothing to disclose.

Compliance with Ethics Guidelines

This study was conducted in accordance with the 1964 declaration of Helsinki and its later amendments and was approved by Ethics Committee of Beijing Anzhen Hospital, Capital Medical University. Written informed consent was obtained from all participants.

Data Availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. 1.
    Lee MS, Gordin JS, Stone GW, Sharma SK, Saito S, Mahmud E, Chambers J, Généreux P, Shlofmitz R. Orbital and rotational atherectomy during percutaneous coronary intervention for coronary artery calcification. Catheter Cardiovasc Interv. 2018;92(1):61–7.CrossRefGoogle Scholar
  2. 2.
    Ali S, Alsancak Y, Sivri S, Ozdemirb E, Bilgeb M. Coronary artery rupture during high-pressure post-dilatation of coronary stent in a heavily calcified lesion of an ectatic right coronary artery. Int J Cardiovasc Acad. 2016;2(2):87–9.CrossRefGoogle Scholar
  3. 3.
    Homes DR Jr, Garrant KN, Toplo EJ. Coronary angioplasty versus excisional atherectomy trial: CAVEAT. J Cardiol. 1992;35:143–4.Google Scholar
  4. 4.
    Mori H, Torii S, Kutyna M, Sakamoto A, Finn AV, Virmani R. Coronary artery calcification and its progression: what does it really mean? JACC Cardiovasc Imaging. 2018;11(1):127–9.CrossRefGoogle Scholar
  5. 5.
    Li WJ, Jia GL, Guo WY, Li CX, Lv AL, Luan RH, Wang XY. Preliminary clinical experience of cutting balloon coronary angioplasty. Chin J Interv Cardiol. 2002;10(4):172–4.Google Scholar
  6. 6.
    Dong SH, Hasin Y. The immediate results from Cutting balloon for stiff and uncompliant coronary artery lesion. Chin J Interv Cardiol. 2004;12(1):15–7.Google Scholar
  7. 7.
    Ashida K, Hayase T, Shinmura T. Efficacy of Lacrosse NSE balloon using the ‘Leopard-Crawl’ technique on severely calcified lesions. J Invasive Cardiol. 2013;25(10):555–64.PubMedGoogle Scholar
  8. 8.
    Dias-Neto M, Matschuck M, Bausback Y, Banning-Eichenseher U, Steiner S, Branzan D, Staab H, Varcoe RL, Scheinert D, Schmidt A. Endovascular treatment of severely calcified femoropopliteal lesions using the “Pave-and-Crack” technique: technical description and 12-month results. J Endovasc Ther. 2018;25(3):334–42.CrossRefGoogle Scholar
  9. 9.
    Miyai N, Oota K, Nakamura R, Sawanishi T, Kinoshita N, Matsumoto K. Efficacy of using non slip element balloon (Lacrosse NSE) to treatment for in-stent restenosis lesion optical coherence tomography analysis. Am J Cardiol. 2013;111(7):84B.CrossRefGoogle Scholar
  10. 10.
    Zhao J, Wu YJ, Qian J, Yu MY, Teng SY, Luo T, Song GY, Sun ZW. Clinical observation of cutting balloon combining single stent cross-over technique for treating the patients with coronary bifurcation lesions. Chin Circu J. 2016;31(6):546–9.Google Scholar
  11. 11.
    Han YL, Zang HY, Jing QM, Wang SL, Wang DM, Wang ZL. Application of cutting balloon angioplasty combined with stenting in eighty nine patients with coronary bifurcation lesions. Chin Heart J. 2003;15(1):20–2.Google Scholar
  12. 12.
    Li XQ, Han ZG, Jin LJ, Du XM. Double-wire balloon (Minirail Balloon) in complicated coronary artery disease. Chin Circu J. 2004;19(s1):121–2.Google Scholar
  13. 13.
    Li Q, He Y, Chen L, Chen M. Intensive plaque modification with rotational atherectomy and cutting balloon before drug-eluting stent implantation for patients with severely calcified coronary lesions: a pilot clinical study. BMC Cardiovasc Disord. 2016;16:112.CrossRefGoogle Scholar
  14. 14.
    Tang Z, Bai J, Su SP, Lee PW, Peng L, Zhang T, Sun T, Nong JG, Li TD, Wang Y. Aggressive plaque modification with rotational atherectomy and cutting balloon for optimal stent expansion in calcified lesions. J Geriatr Cardiol. 2016;13(12):984–91.PubMedPubMedCentralGoogle Scholar
  15. 15.
    Shibutani H, Akita Y, Matsui Y, Yoshinaga M, Karakawa M, Shiojima I. Left bundle branch block during antegrade balloon aortic valvuloplasty caused by stiff-wire loop stress. Cardiovasc Interv Ther. 2019;34(3):275–6.CrossRefGoogle Scholar
  16. 16.
    Alfonso F, Cuesta J. Long-term results of drug-coated balloons for drug-eluting in-stent restenosis: gaining perspective. JACC Cardiovasc Interv. 2015;8(7):885–8.CrossRefGoogle Scholar
  17. 17.
    Krankenberg H, Tübler T, Ingwersen M, Schlüter M, Scheinert D, Blessing E, Sixt S, Kieback A, Beschorner U, Zeller T. Drug-Coated balloon versus standard balloon for superficial femoral artery in-stent restenosis: the randomized femoral artery in-stent restenosis (FAIR) trial. Circulation. 2015;132(23):2230–6.CrossRefGoogle Scholar
  18. 18.
    Liu L, Liu B, Ren J, Hui G, Qi C, Wang J. Comparison of drug-eluting balloon versus drug-eluting stent for treatment of coronary artery disease: a meta-analysis of randomized controlled trials. BMC Cardiovasc Disord. 2018;18(1):46.CrossRefGoogle Scholar
  19. 19.
    Cao LH, Zhang Y, Zhang BH, Han QL, Zhang Q, Liu XK. Effect of balloon of spinous process on immediate curative effect of interventional therapy for moderate and severe coronary artery calcification. J Hebei United Univ. 2018;2:112–7 (Health Sci).Google Scholar
  20. 20.
    Taguchi I, Kageyama M, Kanaya T, Abe S, Node K, Inoue T. Clinical significance of non-slip element balloon angioplasty for patients of coronary artery disease: a preliminary report. J Cardiol. 2014;63(1):19–23.CrossRefGoogle Scholar

Copyright information

© Springer Healthcare Ltd., part of Springer Nature 2019

Authors and Affiliations

  • Xin-Yong Zhang
    • 1
    Email author
  • Zhe Tang
    • 1
  • Ya-Ping Zeng
    • 1
  • Shao-Ping Nie
    • 1
  1. 1.Emergency Critical Care Center, Beijing Anzhen Hospital, Capital Medical UniversityBeijing Institute of Heart, Lung and Blood Vessel DiseasesBeijingChina

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