| Preliminary experience with cutting balloon angioplasty for iliac artery in-stent restenosis. | |
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MedLine Citation:
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PMID: 18426263 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report our preliminary experience using cutting balloon angioplasty (CBA) in symptomatic iliac artery in-stent restenosis (ISR). METHODS: Fourteen cases of hemodynamically significant iliac artery ISR (4 common and 10 external) were treated in 12 men (mean age 64 years, range 55-75). Of the 14 stents involved, 8 were balloon-expandable models and 6 were self-expanding. All patients had symptomatic deterioration of at least 1 clinical category over an average period of 50.2 months (range 6-120) post stenting. The mean length of ISR was 11.9 mm (range 2-48), and the average stenosis was 75.4% (range 52%-98%). Nine ISR lesions were focal (<10 mm), 4 were diffuse (>10 mm), and 1 extended outside the stent margins. RESULTS: CBA was performed after conventional angioplasty failure in 7 lesions and as a primary treatment method in 7 lesions. Single (9 focal lesions) or multiple overlapping (5 diffuse or proliferative lesions) inflations were performed using 6-x10-mm (1 lesion), 7-x10-mm (3 lesions), and 8-x10-mm (10 lesions) devices. There was 1 contained rupture treated with a covered stent. In the remainder of the cases, the cutting balloons allowed successful treatment without further stent implantation. During a mean follow-up of 23.6 months (range 12-60), no patient showed clinical deterioration, and no recurrent ISR was detected with color duplex. CONCLUSION: CBA shows high immediate technical and midterm clinical success in symptomatic iliac artery ISR. |
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Authors:
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Dimitrios Tsetis; Anna Maria Belli; Robert Morgan; Antonio Basile; Theodoros Kostas; Eirini Manousaki; Asterios Katsamouris; Nicholas Gourtsoyiannis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 15 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-22 Completed Date: 2008-09-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 193-202 Citation Subset: IM |
Affiliation:
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Department of Radiology, University Hospital of Heraklion, Crete, Greece. tsetis@med.uoc.gr |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography Angioplasty, Balloon / methods* Arterial Occlusive Diseases / pathology, radiography, therapy* Female Graft Occlusion, Vascular / pathology, radiography, therapy* Humans Iliac Artery* Male Middle Aged Retrospective Studies Risk Factors Stents Treatment Outcome Tunica Intima / pathology Vascular Patency |
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