| Cutting balloons for the treatment of vascular stenoses. | |
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MedLine Citation:
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PMID: 16609863 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this article is to review the mechanism, technical characteristics, biological response and clinical applications of cutting balloon angioplasty in peripheral vessels. The cutting balloon is a non-compliant, balloon catheter equipped with three-to-four microtome-sharp atherotomes. When used appropriately, it is safe and easy to use, with a high immediate success rate and few complications, provided oversizing is avoided. There is some evidence that pre-dilation with a standard or high-pressure balloon may also predispose to vascular rupture. The cutting balloon has proved to be beneficial in treating difficult complex lesions in the coronary arteries. Early experience in non-coronary vessels shows that cutting balloon angioplasty can be used to treat peripheral bypass anastomotic and haemodialysis fistula stenoses that are resistant to conventional high-inflation pressures. Its application in de novo peripheral arterial lesions and non-coronary in-stent restenosis is still under discussion. Theoretically, this device induces a smaller degree of vessel wall injury localised to the area of incisions and sparing the interincisional segments; however, this postulated reduction in restenosis rates has not been confirmed in clinical practice. |
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Authors:
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Dimitrios Tsetis; Robert Morgan; Anna-Maria Belli |
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Publication Detail:
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Type: Journal Article; Review Date: 2006-04-12 |
Journal Detail:
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Title: European radiology Volume: 16 ISSN: 0938-7994 ISO Abbreviation: Eur Radiol Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-07-10 Completed Date: 2006-11-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 1675-83 Citation Subset: IM |
Affiliation:
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Department of Radiology, Medical School of Crete, University Hospital of Heraklion, Heraklion, Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angiography Angioplasty, Balloon / instrumentation* Arterial Occlusive Diseases / therapy* Graft Occlusion, Vascular / therapy* Humans Peripheral Vascular Diseases / therapy* Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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