Document Detail

Preliminary experience with cutting balloon angioplasty for iliac artery in-stent restenosis.
MedLine Citation:
PMID:  18426263     Owner:  NLM     Status:  MEDLINE    
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.
Dimitrios Tsetis; Anna Maria Belli; Robert Morgan; Antonio Basile; Theodoros Kostas; Eirini Manousaki; Asterios Katsamouris; Nicholas Gourtsoyiannis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2008-04-22     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  193-202     Citation Subset:  IM    
Department of Radiology, University Hospital of Heraklion, Crete, Greece.
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MeSH Terms
Angioplasty, Balloon / methods*
Arterial Occlusive Diseases / pathology,  radiography,  therapy*
Graft Occlusion, Vascular / pathology,  radiography,  therapy*
Iliac Artery*
Middle Aged
Retrospective Studies
Risk Factors
Treatment Outcome
Tunica Intima / pathology
Vascular Patency

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

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