Synergistic Strategy of Laser Atherectomy and Drug Eluting Balloon Angioplasty for Treatment of In-Stent Restenosis in the Superficial Femoral Artery

2015 ◽  
pp. 181-190
Author(s):  
Roberto Gandini ◽  
Costantino Del Giudice
Keyword(s):  
Femoral Artery ◽  
Balloon Angioplasty ◽  
Superficial Femoral Artery ◽  
Stent Restenosis ◽  
Drug Eluting ◽  
Drug Eluting Balloon ◽  
Laser Atherectomy ◽  
In Stent Restenosis

scholarly journals Drug-Eluting Balloon for Treatment of Superficial Femoral Artery In-Stent Restenosis

2012 ◽  
Vol 60 (18) ◽  
pp. 1739-1742 ◽  
Author(s):  
Eugenio Stabile ◽  
Vittorio Virga ◽  
Luigi Salemme ◽  
Angelo Cioppa ◽  
Vittorio Ambrosini ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Stent Restenosis ◽  
Drug Eluting ◽  
Drug Eluting Balloon ◽  
In Stent Restenosis

scholarly journals TCT-533 Drug-Eluting Balloon for treatment of superficial femoral artery in-stent restenosis. Two years results from an Italian registry.

2013 ◽  
Vol 62 (18) ◽  
pp. B161
Author(s):  
Vittorio Virga ◽  
Eugenio Stabile ◽  
Luigi Salemme ◽  
Angelo Cioppa ◽  
Giuseppe Giugliano ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Stent Restenosis ◽  
Drug Eluting ◽  
Drug Eluting Balloon ◽  
In Stent Restenosis

Drug-Eluting Balloon Angioplasty for Carotid In-Stent Restenosis

2012 ◽  
Vol 19 (6) ◽  
pp. 729-733 ◽  
Author(s):  
Francesco Liistro ◽  
Italo Porto ◽  
Simone Grotti ◽  
Giorgio Ventoruzzo ◽  
Rocco Vergallo ◽  
...  
Keyword(s):  
Balloon Angioplasty ◽  
Stent Restenosis ◽  
Drug Eluting ◽  
Drug Eluting Balloon ◽  
In Stent Restenosis

Abstract 17459: Drug Eluting Balloon Angioplasty is a Safe Treatment Option for In-stent Restenosis: Meta-analysis of Current Evidence

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Sainath Gaddam ◽  
Bhavi Pandya ◽  
Mustafain Meghani ◽  
Vratika Agarwal ◽  
Armaghan Soomro ◽  
...  
Keyword(s):  
Balloon Angioplasty ◽  
Target Lesion ◽  
Target Lesion Revascularization ◽  
Current Evidence ◽  
Stent Restenosis ◽  
Number Of Patients ◽  
Drug Eluting ◽  
Drug Eluting Balloon ◽  
Plain Old Balloon Angioplasty ◽  
In Stent Restenosis

Introduction: Drug eluting balloons (DEB) were recently approved by FDA for peripheral artery interventions only. For coronary in-stent restenosis (ISR), the ACC/AHA/SCAI 2011 PCI guidelines have no recommendations on role for DEB. While ESC/EACTS 2010 PCI guidelines, have level IIa recommendation for DEB for ISR after a bare metal stent. The drug delivery kinetics with DEB allows shorter duration of dual anti-platelet therapy and has a potential role in ballooning side branches of a bifurcating lesion after stenting. Aim: To compare safety and efficacy of DEB angioplasty vs. plain old balloon angioplasty (BA) or drug eluting stent (DES) for treating coronary ISR. Methods and Results: A thorough search was performed on Pubmed, Embace and Google scholar databases for randomized control trials (RCT) comparing DEB vs. BA or DES for ISR. We compared target lesion revascularization (TLR) and MACE events for these groups. We also pooled data from registries and observation studies on DEB for outcome analysis. Total number of patients with DEB’s in our study was 3465, with 693 DEB’s in 8 RCT’s. Mean follow up period was 11 months. Pooled analysis showed significant benefit for DEB compared to plain old BA, for events of target lesion revascularization (OR= 0.25, p<0.0001), and death (OR=0.31, p<0.0001). Comparing DEB to DES, there was no statistical difference in outcomes comparing TLR (OR=1.4, p=0.14), MI or death (OR=0.65, p=0.39). Cumulative incidence of target lesion revascularization (TLR) with DEB was 6.7%. Conclusions: For coronary ISR, drug eluting balloon angioplasty is superior to plain old balloon angioplasty in terms of safety and outcomes. However, comparing drug eluting balloons vs. drug eluting stents in ISR, the outcomes are comparable and will need larger studies powered to make definitive recommendation.

Drug-eluting balloon angioplasty for in-stent restenosis: a systematic review and meta-analysis of randomised controlled trials

Heart ◽  
2013 ◽  
Vol 99 (5) ◽  
pp. 327-333 ◽  
Author(s):  
Andreas Indermuehle ◽  
Rahul Bahl ◽  
Alexandra J Lansky ◽  
Georg M Froehlich ◽  
Guido Knapp ◽  
...  
Keyword(s):  
Systematic Review ◽  
Balloon Angioplasty ◽  
Randomised Controlled Trials ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Stent Restenosis ◽  
Drug Eluting ◽  
Drug Eluting Balloon ◽  
Randomised Controlled ◽  
In Stent Restenosis
Sign in / Sign up

Export Citation Format

Share Document