Cutting Balloon Angioplasty in Percutaneous Carotid Interventions

Purpose: To report a prospective feasibility study of Cutting Balloon angioplasty (CBA) applied in the predilation phase of carotid artery stenting (CAS) in highly calcified lesions. Methods: From January 2003 to February 2007, 178 consecutive patients (109 men; mean age 73.1±7.3 years) with highly...

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Bibliographic Details
Published in:Journal of endovascular therapy 2008-12, Vol.15 (6), p.655-662
Main Authors: Castriota, Fausto, de Campos Martins, Estêvão Carvalho, Setacci, Carlo, Manetti, Raffaella, Khamis, Hazem, Spagnolo, Barbara, Furgieri, Alessandro, Gieowarsingh, Shane, Parizi, Sepideh Torabi, Bianchi, Paolo, Setacci, Francesco, de Donato, Gianmarco, Cremonesi, Alberto
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Angioplasty
Angioplasty, Balloon - adverse effects
Angioplasty, Balloon - instrumentation
Angioplasty, Balloon - methods
Angioplasty, Balloon - mortality
Blood clots
Calcinosis - diagnostic imaging
Calcinosis - mortality
Calcinosis - therapy
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - mortality
Carotid Artery Diseases - therapy
Catheters
Clinical outcomes
Feasibility Studies
Female
Humans
Inflation
Italy
Male
Medical imaging
Middle Aged
Myocardial Infarction - etiology
Myocardial Infarction - mortality
Patients
Pilot Projects
Prospective Studies
Prosthesis Design
Radiography
Risk Assessment
Stents
Stroke - etiology
Stroke - mortality
Success
Time Factors
Tomography
Treatment Outcome
Veins & arteries
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Summary:Purpose: To report a prospective feasibility study of Cutting Balloon angioplasty (CBA) applied in the predilation phase of carotid artery stenting (CAS) in highly calcified lesions. Methods: From January 2003 to February 2007, 178 consecutive patients (109 men; mean age 73.1±7.3 years) with highly calcified carotid lesions underwent CAS with CBA applied as a pre-specified strategy in the predilation phase of the procedure. All steps in the procedure were performed under cerebral filter protection. The cutting balloon ranged in diameter from 3 to 4 mm and was inflated at nominal pressures in the target lesion. Pre-CBA dilation with a low-profile coronary balloon was performed only when the Cutting Balloon was not able to cross the lesion. Selection of the filters and stents was at the operator's discretion. Primary endpoints were the all stroke and death rates at 30 days and 6 months. Secondary endpoints included Cutting Balloon success (positioning and full balloon inflation), CAS technical success (residual angiographic stenosis
ISSN:1526-6028
1545-1550
DOI:10.1583/08-2408.1