AngioSculpt<sup>®</sup>scoring balloon catheter: an atherotomy device for coronary and peripheral interventions

Singh, Harsimran; Kirtane, Ajay J.; Moses, Jeffrey W.

doi:10.2217/ica.10.51

Cited by 13 publications

(5 citation statements)

References 43 publications

(24 reference statements)

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“…[41,42] In a feasibility trial, the AngioSculpt balloon was used for the treatment of de novo lesions prior to BMS implantation and showed very high procedural success and a target lesion revascularisation rate of 10% at 6 months. [43]…”

Section: Percutaneous Coronary Intervention Of Complex Calcified Coromentioning

confidence: 99%

Contemporary Approach to Heavily Calcified Coronary Lesions

et al. 2019

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Percutaneous treatment of heavily calcified coronary lesions still represents a challenge for interventional cardiology, with higher risk of immediate complications, late failure due to stent underexpansion and malapposition, and consequently poor clinical outcome. Good characterisation of calcium distribution with multimodal imaging is important to improve the successful treatment of these lesions. The use of traditional or new dedicated devices for the treatment of calcified lesions allows better lesion preparation; therefore, it is important that we know the different mechanisms and technical features of these devices.

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Section: Percutaneous Coronary Intervention Of Complex Calcified Coromentioning

confidence: 99%

Contemporary Approach to Heavily Calcified Coronary Lesions

et al. 2019

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“…In addition, they reduce elastic recoil, prevent uncontrolled stripping, and are used in stented lesions that restenosis after dilatation 65 , 66 . The largest published registry study showed that the largest registry experience of Angio-Sculpt for the treatment of 745 lesions with at least moderate calcification reported a 30-day major adverse cardiac event (MACE) of 2.9% and a procedure success rate of 97.9% 67 . Their use is limited to lesions with severe calcification and those that cannot be traversed by a standard pre-dilated balloon.…”

Section: Interventional Treatmentmentioning

confidence: 99%

“…ELCA consists of a 0.9-mm-diameter catheter passed through a 0.014-inch guidewire, with the wire placed distal to the lesion, and then the laser is moved until it is in direct contact with the lesion, and, for maximal effect, the laser is advanced at a rate of 1 mm/s. ECLA is indicated in cases where a balloon cannot be dilated lesions, as well as insufficient stent dilation and proximal chronic total occlusion lesions 67 . Saline is less able to absorb energy than blood or contrast media.…”

Section: Interventional Treatmentmentioning

confidence: 99%

“…Saline is less able to absorb energy than blood or contrast media and has, therefore, become standard practice to reduce the risk of entrapment and perforation. Infusion of saline is less able to absorb energy than blood or contrast media and has therefore become standard practice to reduce the risk of dissection and perforation 67 , 70 . However, saline has limited efficacy in severely calcified lesions.…”

Section: Interventional Treatmentmentioning

confidence: 99%

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Coronary artery calcification: Concepts and Clinical applications

Ji,

Liu

2024

Annals of Medicine &Amp; Surgery

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Vascular calcification is an important hallmark of atherosclerosis. Coronary artery calcification (CAC) implies the presence of coronary artery disease (CAD) irrespective of risk factors or symptoms, is concomitant with the development of advanced atherosclerosis. Coronary thrombosis is the most common clinical end event leading to acute coronary syndrome (ACS). The least common type of pathology associated with thrombosis is the calcified nodule (CN). It usually occurs in elderly patients with severely calcified and tortuous arteries. The prevalence of calcified nodules in patients with ACS may be underestimated due to the lack of easily recognizable diagnostic methods. In this review, we will focus on the classification, clinical significance, pathogenesis, and diagnostic evaluation and treatment of CAC to further explore the clinical significance of CN.

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“…It is available also in a drug-coated version (AngioSculpt X) [ 57 , 58 ]. A very high procedural success and target lesion revascularisation rate of 10% at 6 months was shown in a feasibility trial to treat de novo lesions prior to bare-metal stent implantation [ 59 ]. In an observational study, these results were confirmed in 37 patients who had been treated with AngioSculpt prior to the implantation of a stent against 145 patients receiving direct stenting and 117 patients having traditional plain old balloon angioplasty before a stent was implanted.…”

Section: Scoring Balloonsmentioning

confidence: 99%

Coronary calcifications, the Achilles heel in coronary interventions

Dawood,

Elwany,

Abdelgawad

et al. 2024

pwki

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Percutaneous coronary intervention in severely calcified coronaries has been associated with higher rates of procedural complications, including myocardial infarction and death in addition to increased frequency of coronary revascularization on an intermediate and long-term basis. The SYNTAX score, which is designed to assess the complexity of coronary artery disease and aids in choosing a revascularization method, allocates two points per lesion when there is heavy calcification present on fluoroscopy. With the advent of novel multimodality imaging technologies, the detection and evaluation of coronary calcifications improved significantly over the last decade. Several tools are now available for modifying calcified lesions including different types of dedicated balloons and atherectomy devices, which may create some degree of confusion regarding the suitable application of each instrument. The aim of this review is to cover this vital topic from different aspects. First, we tried to provide an overview on the pathophysiology and types of coronary calcification and its risk factors. Then, we outlined the available imaging modalities for the evaluation of calcified coronary lesions, highlighting the points of strength and weakness of each of them. A comprehensive discussion of calcium-modifying techniques was elaborated, summarizing their mechanism of action, pros and cons, and possible complications. Finally, an integrated algorithm was proposed for the best management of calcified coronary lesions.

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AngioSculpt^®scoring balloon catheter: an atherotomy device for coronary and peripheral interventions

Cited by 13 publications

References 43 publications

Contemporary Approach to Heavily Calcified Coronary Lesions

Contemporary Approach to Heavily Calcified Coronary Lesions

Coronary artery calcification: Concepts and Clinical applications

Coronary calcifications, the Achilles heel in coronary interventions

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AngioSculpt®scoring balloon catheter: an atherotomy device for coronary and peripheral interventions

Cited by 13 publications

References 43 publications

Contemporary Approach to Heavily Calcified Coronary Lesions

Contemporary Approach to Heavily Calcified Coronary Lesions

Coronary artery calcification: Concepts and Clinical applications

Coronary calcifications, the Achilles heel in coronary interventions

Contact Info

Product

Resources

About

AngioSculpt^®scoring balloon catheter: an atherotomy device for coronary and peripheral interventions