Cutting Balloon Angioplasty for a Restenosis Lesion at the Distal Anastomosis of a Saphenous Vein Graft

Inoue, Teruo; Hoshi, Kazuhiro; Mizoguchi, Keiichi; Shimizu, Mitsuru; Sakai, Yoshihiko; Morooka, Shigenori

doi:10.1111/j.1540-8183.1997.tb00019.x

Cited by 1 publication

(1 citation statement)

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“…The mechanism of angioplasty appears to be the creation of regular incisions of the intima and media [15,17,19,35], which may allow for a more controlled widening of the vessel compared with the tearing seen after standard balloon angioplasty. In patients with arteriosclerotic lesions, severe fibrotic tissue involvement of the stenotic artery following inflammation, or postsurgical stenosis (PRT), this additional cutting effect may offer additional beneficial effects with regards to dilatation results [16,17,36].…”

Section: Discussionmentioning

confidence: 99%

Successful management of a resistant renal artery stenosis in a child using a 4 mm cutting balloon catheter

Haas¹,

Ocker²,

Knirsch³

et al. 2002

Cathet Cardio Intervent

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Percutaneous transluminal renal angioplasty (PTRA) is a well-established method to treat renal artery stenosis (RAS) in children and adults. However, a significant number of stenoses might not be treated by interventional techniques due to the inability to dilate the RAS. Conventional balloon angioplasty with a high-pressure coronary angioplasty balloon at 20 atm was unable to dilate a significant RAS in a 12-year-old child with severe renovascular hypertension (RR 195/125 mm Hg). After using a 4 mm cutting balloon, we achieved wide patency of the renal artery and an instant normalization of blood pressure without further need of antihypertensive therapy. PTRA using the cutting balloon technique may offer an additional therapeutic option for selected patients in whom conventional balloon angioplasty was not able to dilate RAS.

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