Effective plaque removal with a new 8 French‐compatible atherectomy catheter

Takagi, Toshio; Mario, Carlo Di; Stanković, Goran; Reimers, Bernhard; Alberti, Alessandro; Liïstro, Francesco; Kovalenko, Oksana; Sgura, Fabio; Albiero, Remo; Ribichini, Flavio; Pugno, Alessandro; Colombo, Antonio

doi:10.1002/ccd.10196

Cited by 7 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1) Several devices such as those used in directional coronary atherectomy, 6) RA, [7][8][9][10][11] and cutting balloon [10][11][12] for calcified lesions have been proposed to achieve optimal dilation prior to stent implantation. However, it is occasionally difficult to achieve dilation because of the presence of a heavy calcified plaque even after RA.…”

Section: Discussionmentioning

confidence: 99%

Prolonged Inflation Technique Using a Scoring Balloon for Severe Calcified Lesion

et al. 2017

View full text Add to dashboard Cite

SummaryPercutaneous coronary intervention for the treatment of a severe calcified lesion is still one of the most technically challenging areas of interventional cardiology. Calcified lesions are a cause of stent underexpansion, which significantly increases the subsequent risks of in-stent restenosis and thrombosis, even when drug-eluting stents are used. In this report, we describe the usefulness of prolonged inflations using a scoring balloon catheter (Scoreflex) for severe calcified lesions. Prolonged inflation using a scoring balloon enables an adequate dilation for treatment of a severe calcified plaque that was unresponsive to conventional technique with or without rotational atherectomy.(Int Heart J 2017; 58: 982-987) Key words: Calcified plaque and indentation, Scoreflex T he use of drug-eluting stents (DESs) reduces the risks of repeat revascularization without an increase in death and myocardial infarction compared with the standard bare-metal stents. However, the risk of in-stent restenosis and stent thrombosis (ST) after DES implantation still remains.Percutaneous coronary intervention (PCI) for the treatment of a severe calcified lesion is still one of the most technically challenging areas of interventional cardiology.

show abstract

Section: Discussionmentioning

confidence: 99%

Prolonged Inflation Technique Using a Scoring Balloon for Severe Calcified Lesion

et al. 2017

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4] In these kinds of lesions, the removal of plaque potentially enhances the immediate procedural success by reducing plaque shift, which is responsible for side branch closure or vessel compromise. 5 In patient 1 we regarded plaque excision as the preferred treatment because both balloon angioplasty and stenting presented a very high risk of jeopardising the ostium of the left anterior descending artery, the mid left circumflex, or both. The bifurcation lesion of the crux obviously could have been treated with elective stent implantation.…”

Section: Discussionmentioning

confidence: 99%

Treatment of an ostial and a bifurcation lesion with a new directional atherectomy device

Favero

Simpson²,

Reimers³

2004

Heart

View full text Add to dashboard Cite

“…One of the new designs is compatible with six French delivery systems 3 . Plaque removal can also reduce plaque shift and improve outcome, as indicated by a consecutive series with directional coronary atherectomy often using eight French compatible devices 35 . Still the role of this technique in the drug eluting stents era is questionable.…”

mentioning

confidence: 99%

Treatment of Bifurcation Coronary Lesions:

Melikian¹,

Mario²

2003

J Interven Cardiology

View full text Add to dashboard Cite

Percutaneous treatment of coronary bifurcation lesions, pose a number of technical challenges to the interventional cardiologist. Each lesion has to be approached with its own, targeted solution in the context of the clinical picture, anatomy, and pathology. To achieve acceptable clinical outcomes a number of established techniques are available. The exact anatomy of the lesion determines the technique used. The most common approach is to stent the main vessel across the ostium of the side branch. The side branch can be additionally treated with a second stent or balloon angioplasty depending on the severity of the ostial lesion and/or evidence of active ischemia. Other techniques involve stenting the main branch up to the carina but sparing the side branches, multiple 'kissing stent' approaches ('Y','T', and 'V') or the 'culottes' technique. Follow-up data demonstrates a high (over 90%) technical success rate. Clinical outcome is variable but with conventional stents restenosis rates higher than 30% have been reported in most studies and there is no added advantage in routine stenting of both main vessel and side branch. Recent introduction of drug-eluting stents has resulted in a lower event rate and reduction of main vessel restenosis in comparison with historical controls. Side branch ostial restenosis remains a problem, which may require the development of novel 'bifurcate' stent designs to allow complete coverage with a single stent.

show abstract

Effective plaque removal with a new 8 French‐compatible atherectomy catheter

Cited by 7 publications

References 19 publications

Prolonged Inflation Technique Using a Scoring Balloon for Severe Calcified Lesion

Prolonged Inflation Technique Using a Scoring Balloon for Severe Calcified Lesion

Treatment of an ostial and a bifurcation lesion with a new directional atherectomy device

Treatment of Bifurcation Coronary Lesions:

Contact Info

Product

Resources

About