Document Detail


Indications and results with cryoplasty in the treatment of infrainguinal arterial occlusive disease.
MedLine Citation:
PMID:  17038299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous transluminal angioplasty of the superficial femoral and popliteal arteries has been an accepted therapy for short focal stenosis. Elastic recoil and flow-limiting dissection have limited the durability of angioplasty, especially in long lesions and total occlusions. Cryoplasty couples cold therapy with angioplasty to induce mechanical and biologic effects to reduce elastic recoil and potentially to reduce restenosis. The mechanical and biologic mechanisms of this therapy are discussed. The results of cryoplasty for femoropopliteal lesions from a single-center series and a multicenter registry are reviewed. Cryoplasty appears to improve patency over conventional angioplasty and to reduce the need for bailout stenting in femoropopliteal stenoses and occlusions < 10 cm in length. Cryoplasty appears to be promising to treat critical limb ischemia in patients with tibial disease.
Authors:
Sean P Lyden
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Vascular     Volume:  14     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-10-13     Completed Date:  2007-03-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  290-6     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA.Lydens@ccf.org
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / instrumentation,  methods*
Arterial Occlusive Diseases / therapy*
Cryotherapy / instrumentation,  methods*
Equipment Design
Femoral Artery
Humans
Popliteal Artery
Treatment Outcome
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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