Value of Cutting Balloon Angioplasty for Limb Salvage in Patients with Obstruction of Popliteal and Distal Arteries

Cardon, Jean-Marie; Jan, François; Vasseur, Michèle; Ferdani, M; Rind, Alain; François, Fabrice; Cardon, Alain

doi:10.1016/j.avsg.2008.02.002

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…101 Cutting and scoring balloons may improve the outcomes of angioplasty compared with standard BA. 102 Cardon et al 102 investigated 48 elderly patients with CLTI and reported an 81% 1-year limb salvage rate. Moreover, a multicenter registry studying the effectiveness of scoring balloons at the infrapopliteal segment demonstrated that limb salvage was achieved for all patients initially scheduled for amputation.…”

Section: Residual Stenosismentioning

confidence: 99%

Balloon Angioplasty of Infrapopliteal Arteries: A Systematic Review and Proposed Algorithm for Optimal Endovascular Therapy

et al. 2020

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Endovascular revascularization has been increasingly utilized to treat patients with chronic limb-threatening ischemia (CLTI), particularly atherosclerotic disease in the infrapopliteal arteries. Lesions of the infrapopliteal arteries are the result of 2 different etiologies: medial calcification and intimal atheromatous plaque. Although several devices are available for endovascular treatment of infrapopliteal lesions, balloon angioplasty still comprises the mainstay of therapy due to a lack of purpose-built devices. The mechanism of balloon angioplasty consists of adventitial stretching, medial necrosis, and dissection or plaque fracture. In many cases, the diffuse nature of infrapopliteal disease and plaque complexity may lead to dissection, recoil, and early restenosis. Optimal balloon angioplasty requires careful attention to assessment of vessel calcification, appropriate vessel sizing, and the use of long balloons with prolonged inflation times, as outlined in a treatment algorithm based on this systematic review. Further development of specific devices for this arterial segment are warranted, including devices for preventing recoil (eg, dedicated atherectomy devices), treating dissections (eg, tacks, stents), and preventing neointimal hyperplasia (eg, novel drug delivery techniques and drug-eluting stents). Further understanding of infrapopliteal disease, along with the development of new technologies, will help optimize the durability of endovascular interventions and ultimately improve the limb-related outcomes of patients with CLTI.

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Section: Residual Stenosismentioning

confidence: 99%

Balloon Angioplasty of Infrapopliteal Arteries: A Systematic Review and Proposed Algorithm for Optimal Endovascular Therapy

et al. 2020

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“…The authors concluded that cutting balloon angioplasty was safe and effective and can be used as a primary therapy for CLI patients with BTK disease. 12 The AngioSculpt 1 Scoring Balloon (Angioscore, Inc., Fremont, CA) is a semicompliant balloon with a flexible nitinol scoring element that scores the target lesion with the intended effect of a more uniform and precise outcome. It is a 0.014-inch/0.018-inch over-thewire system with 5-French/6-French sheath compatibility.…”

Section: Ptamentioning

confidence: 99%

Tibial Intervention for Critical Limb Ischemia

Wiechmann¹

2009

Semin intervent Radiol

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Diagnosis and treatment of critical limb ischemia (CLI) is increasingly important as the average age of the world population and the incidence of diabetes and metabolic syndrome increases. Fortunately, most patients will not progress to this stage of peripheral arterial disease, yet if left untreated, there is a high risk of future cardiovascular events. At the point of ischemic rest pain or tissue loss, there are significant implications for morbidity and mortality. There is a high prevalence of multisegment occlusive disease in the CLI patient with the infrapopliteal vessels frequently involved. Revascularization of the affected limb is of utmost importance as the prospects of wound healing and relief of ischemic rest pain are poor without reestablishing continuous flow to the distal extremity. With the advent of endovascular devices designed to treat this vexing problem, the ability to successfully treat this difficult patient population with less procedural morbidity has been greatly enhanced.

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Basic Data Related to Endovascular Management of Peripheral Arterial Disease in Critical Limb Ischemia

Venkatachalam¹,

Shishehbor²,

Gray³

2012

Annals of Vascular Surgery

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Value of Cutting Balloon Angioplasty for Limb Salvage in Patients with Obstruction of Popliteal and Distal Arteries

Cited by 4 publications

References 23 publications

Balloon Angioplasty of Infrapopliteal Arteries: A Systematic Review and Proposed Algorithm for Optimal Endovascular Therapy

Balloon Angioplasty of Infrapopliteal Arteries: A Systematic Review and Proposed Algorithm for Optimal Endovascular Therapy

Tibial Intervention for Critical Limb Ischemia

Basic Data Related to Endovascular Management of Peripheral Arterial Disease in Critical Limb Ischemia

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