Faculty Opinions recommendation of Follow-up results of Cutting Balloon angioplasty used to relieve stenoses in small pulmonary arteries.

Abstract Background Spontaneous coronary artery dissection (SCAD) is a unique cause of myocardial infarction, and optimal treatment should be selected according to the ischaemic condition. Patients with ongoing ischaemia or haemodynamic instability may require revascularization. Cutting balloon angioplasty has been acknowledged as an option for revascularization. However, few observations of the coronary artery conditions after cutting balloon angioplasty in SCAD patients have been reported. Here, we demonstrate two cases in which we evaluated the angiographic morphology of targeted coronary arteries in the chronic phase after cutting balloon angioplasty. Case summary Patient 1 was a 46-year-old woman who presented at our hospital with chest pain. Electrocardiography suggested acute coronary syndrome and coronary angiography was performed. The coronary angiography and intravascular ultrasound (IVUS) examinations revealed SCAD in the left anterior descending artery (LAD). Revascularization with cutting balloon angioplasty was successful. Follow-up coronary angiography 15 months after the angioplasty showed no visible stenosis in the LAD. Accordingly, the patient no longer needed to antiplatelet therapy. Patient 2 was a 50-year-old woman who was transported to our hospital for ventricular tachycardia. Coronary angiography and IVUS revealed SCAD in the right coronary artery. Coronary flow was restored by cutting balloon angioplasty. Follow-up contrast-enhanced computed tomography angiography 36 months after angioplasty showed a healed appearance. Thus, she was able to discontinue antiplatelet therapy. Conclusion Cutting balloon angioplasty may be a possible method to treat SCAD.

Download Full-text

Follow-up results of cutting balloon angioplasty for pulmonary artery stenosis in children

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(03)82671-2 ◽

2003 ◽

Vol 41 (6) ◽

pp. 489

Author(s):

Lisa Bergersen ◽

Audrey C. Marshall ◽

Peter Lang ◽

Stanton B. Perry ◽

James E. Lock

Keyword(s):

Pulmonary Artery ◽

Balloon Angioplasty ◽

Artery Stenosis ◽

Pulmonary Artery Stenosis ◽

Cutting Balloon ◽

Cutting Balloon Angioplasty

Download Full-text

Immediate and 3-Month Follow-Up Outcome After Cutting Balloon Angioplasty for Bifurcation Lesions

Journal of Interventional Cardiology ◽

10.1111/j.1540-8183.2004.00246.x ◽

2004 ◽

Vol 17 (1) ◽

pp. 1-7 ◽

Cited By ~ 14

Author(s):

HIDEO TAKEBAYASHI ◽

SEIICHI HARUTA ◽

HIROKI KOHNO ◽

HIROYUKI ICHINOSE ◽

MANABU TANIGUCHI ◽

...

Keyword(s):

Balloon Angioplasty ◽

Cutting Balloon ◽

Cutting Balloon Angioplasty ◽

Bifurcation Lesions

Download Full-text

Carotid In-Stent Stenosis: Cutting Balloon Angioplasty: 2-Dimensional Operative Video

Operative Neurosurgery ◽

10.1093/ons/opab194 ◽

2021 ◽

Author(s):

Ricardo A Domingo ◽

Krishnan Ravindran ◽

Rabih G Tawk ◽

Adam Arthur ◽

Mark Bain ◽

...

Keyword(s):

Balloon Angioplasty ◽

Treatment Options ◽

Carotid Stenting ◽

Cutting Balloon ◽

Luminal Diameter ◽

Ct Angiogram ◽

Increased Risk ◽

Cutting Balloon Angioplasty ◽

Stent Stenosis

Abstract In-stent stenosis has a reported prevalence of 14% to 19% at 1-yr follow-up after carotid stenting and is associated with an increased risk of acute ischemic stroke.1,2 Risk factors include female sex, diabetes, and dyslipidemia. Cutting balloon angioplasty is a safe and effective treatment modality for the treatment of carotid in-stent stenosis, and alternative treatment options include observation with medical management and placement of another stent.3,4 The authors present the case of a 61-yr-old man with carotid in-stent restenosis and progressive worsening on serial imaging with ultrasound. The patient had a history of carotid stenting for symptomatic stenosis 6 mo prior and was maintained on aspirin and clopidogrel. In light of the progressive worsening, the in-stent stenosis was confirmed on computed tomography (CT) angiogram. The options were discussed with the patient and he consented for treatment with cutting balloon angioplasty. Final angiogram showed improvement of the luminal diameter with a residual stenosis of 15%. The patient tolerated the procedure well and was discharged home on postoperative day 1. Follow-up ultrasound demonstrated moderate improvement in peak systolic velocities, and the plan is to continue observation with a clinical follow-up and repeat carotid Dopplers at 3 mo.

Download Full-text