Cutting balloon angioplasty of the popliteal and infrapopliteal vessels for symptomatic limb ischemia

Options for lower limb percutaneous revascularization are limited especially for complex vessel obstruction. Cutting balloon angioplasty (CBA) has been described in the coronary literature as effective for complex disease. We analyzed our peripheral vascular database and report procedural outcomes a...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2004-01, Vol.61 (1), p.1-4
Main Authors: Ansel, Gary M., Sample, Nancy S., Botti III, Jr, Charles F., Tracy, Amy J., Silver, Mitchell J., Marshall, Brian J., George, Barry S.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Angioplasty, Balloon - methods
Arterial Occlusive Diseases - therapy
Arteries
Female
Humans
Ischemia - therapy
Lower Extremity - blood supply
Male
Middle Aged
percutaneous
peripheral vascular
Popliteal Artery
Retrospective Studies
stent
tibial artery
Treatment Outcome
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Summary:Options for lower limb percutaneous revascularization are limited especially for complex vessel obstruction. Cutting balloon angioplasty (CBA) has been described in the coronary literature as effective for complex disease. We analyzed our peripheral vascular database and report procedural outcomes along with the clinical success at a mean of 1‐year follow‐up in 73 patients with symptomatic lower limb ischemia undergoing CBA. CBA was successfully completed in all 73 patients (93 vessels; 100%) with predilation necessary in 4% of vessels. Severe intimal dissection or inadequate hemodynamic result necessitated in adjunctive stenting in 20%. There were no incidents of vessel perforation or surgical target vessel revascularization. One patient (1.5%) died during the periprocedural period due to renal failure. After mean follow‐up of 1 year (6–21 months), 89.5% of threatened limbs were salvaged. CBA is a safe and feasible option for the treatment of popliteal and infrapopliteal vessels. Catheter Cardiovasc Interv 2004;61:1–4. © 2004 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.10731