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Early Results with Infrainguinal Cutting Balloon Angioplasty Limits Distal Dissection

  • Papers Presented to the Peripheral Vascular Surgery Society —Winter Meeting
  • Published:
Annals of Vascular Surgery

Abstract

Infrainguinal angioplasty has less initial and long-term success compared with more proximal sites. These suboptimal initial technical results may be related to the heavy calcific burden in the femoral and popliteal arteries and, subsequently, higher incidence of distal dissection. Cutting balloon angioplasty (CBA) is a newer technique that is thought to limit distal dissection in heavily calcified vessels; although CBA has been evaluated in the coronary circulation, there are few reports of its use in peripheral vessels. This study evaluates our initial experience with CBA for the management of femoropopliteal disease. Eleven patients underwent infrainguinal CBA for symptomatic limb ischemia at a community hospital. Ten procedures (91%) were technically successful, with no distal dissections, iatrogenic vessel perforations, or surgical target vessel revascularizations. In eight patients available for follow-up, the limb salvage rate was 100% and of seven and eight CBA sites (88%) were still widely patent (mean follow-up, 3 months; range, 2-12 months). This preliminary study suggests that CBA is safe and feasible for electively performed femoropopliteal chronic occlusive disease with acceptable success rates on short-term follow-up. Long-term results and comparison with other endovascular modalities require evaluation.

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References

  1. B Stanley B Teague S Raptis DJ Taylor M Berce (1996) ArticleTitleEfficacy of balloon angioplasty of the superficial femoral artery and popliteal artery in the relief of leg ischemia J. Vasc. Surg. 23 679–685 Occurrence Handle1:STN:280:BymC1MbptVc%3D

    CAS  Google Scholar 

  2. PJ Matsi HI Manninen RL Vanninen et al. (1994) ArticleTitleFemoropopliteal angioplasty in patients with claudication: primary and secondary patency in 140 limbs with 1 to 3-year follow-up Radiology 191 727–733 Occurrence Handle1:STN:280:ByuB2c%2FivVA%3D Occurrence Handle8184053

    CAS  PubMed  Google Scholar 

  3. R Adar GC Critchfield DM Eddy (1989) ArticleTitleA confidence profile analysis of the results of femoropopliteal percutaneous transluminal angioplasty in the treatment of lower-extremity ischemia J. Vasc. Surg. 10 57–67 Occurrence Handle10.1067/mva.1989.vs0100057 Occurrence Handle1:STN:280:BiaA3M7ns1w%3D Occurrence Handle2526233

    Article  CAS  PubMed  Google Scholar 

  4. K Mizuno A Jurita N Imazeki (1984) ArticleTitlePathologic finding after percutaneous transluminal angioplasty Br. Heart J. 18 476–484

    Google Scholar 

  5. GE Austin NB Ratliff J Hollman S Tabie DF Philips (1985) ArticleTitleIntimal proliferation of smooth muscle cells as an explanation for recurrent coronary artery stenosis after percutaneous transluminal angioplasty J. Am. Coll. Cardiol. 6 369–375 Occurrence Handle1:STN:280:BiqB283js1E%3D Occurrence Handle3160756

    CAS  PubMed  Google Scholar 

  6. BF Walker (1989) ArticleTitle“Crackers, breakers, stretchers, drillers, scrapers, shavers, burners, welders and melters” — the future treatment of atherosclerotic coronary artery disease? A clinical morphologic assessment J. Am. Coll. Cardiol. 13 969–987

    Google Scholar 

  7. N Zorger C Manke M Lenhart et al. (2002) ArticleTitlePeripheral arterial balloon angioplasty: effect of short versus long balloon inflation times on the morphologic results J. Vasc. Interv. Radiol. 13 355–359

    Google Scholar 

  8. M Izumi E Tsuchikane M Funamoto et al. (2001) ArticleTitleFinal results of the CAPAS trial Am. Heart J. 142 782–789 Occurrence Handle10.1067/mhj.2001.119129 Occurrence Handle1:STN:280:DC%2BD3MngvFKntQ%3D%3D Occurrence Handle11685163

    Article  CAS  PubMed  Google Scholar 

  9. AS Kurbaan RA Foale U Sigwart (2000) ArticleTitleCutting balloon angioplasty for in-stent restenosis Cathet. Cardiovasc. Intervent. 50 480–483 Occurrence Handle10.1002/1522-726X(200008)50:4<480::AID-CCD24>3.0.CO;2-2 Occurrence Handle1:STN:280:DC%2BD3cvjsFSmsg%3D%3D

    Article  CAS  Google Scholar 

  10. D Martinez J Goicolea F Alfonzo et al. (1996) ArticleTitleIntravascular ultrasound findings after cutting balloon angioplasty [abstract] Eur. Heart J. 17 IssueIDSuppl 188

    Google Scholar 

  11. O Ergene BY Seyithanoglu A Tastan et al. (1998) ArticleTitleComparison of angiographic and clinical outcome after cutting balloon and conventional balloon angioplasty in vessels smaller than 3 mm in diameter: a randomized trial J. Invasive Cardiol. 10 70–75 Occurrence Handle10762769

    PubMed  Google Scholar 

  12. T Kondo K Kawaguchi Y Awaji M Mochizuki (1997) ArticleTitleImmediate and chronic results of cutting balloon angioplasty: a matched comparison with conventional angioplasty Clin. Cardiol. 20 459–463 Occurrence Handle1:STN:280:ByiB2sbptVA%3D Occurrence Handle9134278

    CAS  PubMed  Google Scholar 

  13. C Engelke C Sandhu RA Morgan AM Belli (2002) ArticleTitleUsing 6-mm cutting balloon angioplasty in patients with resistant peripheral artery stenosis: preliminary results A.J.R. Am. J. Roentgenol. 179 619–623

    Google Scholar 

  14. C Engelke RA Morgan AM Belli (2002) ArticleTitleCutting balloon percutaneous transluminal angioplasty for salvage of lower limb arterial bypass grafts: feasibility Radiology 223 106–114 Occurrence Handle11930054

    PubMed  Google Scholar 

  15. KM Kasirajan PA Schneider (2004) ArticleTitleEarly outcome of “cutting” balloon angioplasty for infrainguinal vein graft stenosis J. Vasc. Surg. 39 702–708 Occurrence Handle10.1016/j.jvs.2003.10.046 Occurrence Handle15071429

    Article  PubMed  Google Scholar 

  16. GM Ansel NS Sample III CF Botti SuffixJr AJ Tracy MJ Silver BJ Marshall BS George (2004) ArticleTitleCutting balloon angioplasty of the popliteal and infrapopliteal vessels for symptomatic limb ischemia Cathet. Cardiovasc. Interv. 64 1–4

    Google Scholar 

  17. OF Bertrand R Mongrain L Soualmi et al. (1998) ArticleTitleDevelopment of coronary aneurysm after cutting balloon angioplasty: assessment by intracoronary ultrasound Cathet. Cardiovasc. Diagn. 44 449–452 Occurrence Handle10.1002/(SICI)1097-0304(199808)44:4<449::AID-CCD20>3.3.CO;2-8 Occurrence Handle1:STN:280:DyaK1czotVSksQ%3D%3D Occurrence Handle9716216

    Article  CAS  PubMed  Google Scholar 

  18. L Mauri R Bonan BH Weiner et al. (2002) ArticleTitleCutting balloon angioplasty for the prevention of restenosis: results of the Cutting Balloon Global Randomized Trial Am. J. Cardiol. 90 1079–1083 Occurrence Handle10.1016/S0002-9149(02)02773-X Occurrence Handle12423707

    Article  PubMed  Google Scholar 

  19. AE Ajani HS Kim M Castagna et al. (2001) ArticleTitleClinical utility of the cutting balloon J. Invasive Cardiol. 13 554–557 Occurrence Handle1:STN:280:DC%2BD3MznvFWktA%3D%3D Occurrence Handle11435645

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, St. Mary’s Hospital, Waterbury, CT, USA

    Gregory Gersten MD

  2. Department of Surgery, St. Mary’s Hospital, Waterbury, CT, USA

    Jamal F. Rabbi MD, Ravi P. Kiran MD, Stanley J. Dudrick MD & Alan Dardik MD, PhD

Authors
  1. Jamal F. Rabbi MD
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  2. Ravi P. Kiran MD
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  3. Gregory Gersten MD
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  4. Stanley J. Dudrick MD
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  5. Alan Dardik MD, PhD
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Corresponding author

Correspondence to Alan Dardik MD, PhD.

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Rabbi, J.F., Kiran, R.P., Gersten, G. et al. Early Results with Infrainguinal Cutting Balloon Angioplasty Limits Distal Dissection. Ann Vasc Surg 18, 640–643 (2004). https://doi.org/10.1007/s10016-004-0103-9

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  • DOI: https://doi.org/10.1007/s10016-004-0103-9

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