nach oben

European Radiology

Erschienen in:

01.08.2006 | Vascular-Interventional

Cutting balloons for the treatment of vascular stenoses

verfasst von: Dimitrios Tsetis, Robert Morgan, Anna-Maria Belli

Erschienen in: European Radiology | Ausgabe 8/2006

Einloggen, um Zugang zu erhalten

Abstract

The aim of this article is to review the mechanism, technical characteristics, biological response and clinical applications of cutting balloon angioplasty in peripheral vessels. The cutting balloon is a non-compliant, balloon catheter equipped with three-to-four microtome-sharp atherotomes. When used appropriately, it is safe and easy to use, with a high immediate success rate and few complications, provided oversizing is avoided. There is some evidence that pre-dilation with a standard or high-pressure balloon may also predispose to vascular rupture. The cutting balloon has proved to be beneficial in treating difficult complex lesions in the coronary arteries. Early experience in non-coronary vessels shows that cutting balloon angioplasty can be used to treat peripheral bypass anastomotic and haemodialysis fistula stenoses that are resistant to conventional high-inflation pressures. Its application in de novo peripheral arterial lesions and non-coronary in-stent restenosis is still under discussion. Theoretically, this device induces a smaller degree of vessel wall injury localised to the area of incisions and sparing the interincisional segments; however, this postulated reduction in restenosis rates has not been confirmed in clinical practice.

Jeans WD, Armstrong S, Cole SE, Horrocks M, Baird RN (1990) Fate of patients undergoing transluminal angioplasty for lower-limb ischemia. Radiology 177:559–564PubMed

Capek P, McLean GK, Berkowitz HD (1991) Femoropopliteal angioplasty. Factors influencing long-term success. Circulation 83 [2 Suppl]:I70–I80PubMed

Johnston KW (1992) Femoral and popliteal arteries: reanalysis of results of balloon angioplasty. Radiology 183:767–771PubMed

Matsi PJ, Manninen HI, Vanninen RL, Suhonen MT, Oksala I, Laakso M, Hakkarainen T, Soimakallio S (1994) Femoropopliteal angioplasty in patients with claudication: primary and secondary patency in 140 limbs with 1–3-year follow-up. Radiology 191:727–733PubMed

Di Mario C, Marsico F, Adamian M, Karvouni E, Albiero R, Colombo A (2000) New recipes for in-stent restenosis: cut, grate, roast, or sandwich the neointima? Heart 84:471–475CrossRefPubMed

Hoksbergen AW, Legemate DA, Reekers JA, Ubbink DT, Jacobs MJ (1999) Percutaneous transluminal angioplasty of peripheral bypass stenoses. Cardiovasc Intervent Radiol 22:282–286CrossRefPubMed

Cormier F, Korso F, Fichelle JM, Gautier C, Cormier JM (2001) Post-irradiation axillo-subclavian arteriopathy: surgical revascularization. J Mal Vasc 26:45–49PubMed

Barath P, Fishbein MC, Vari S, Forrester JS (1991) Cutting balloon: a novel approach to percutaneous angioplasty. Am J Cardiol 68:1249–1252CrossRefPubMed

Barath P (1996) Microsurgical dilatation concept: animal data. J Invasive Cardiol 8 [Suppl A]:2A–5APubMed

10.

Hara H, Nakamura M, Asahara T, Nishida T, Yamaguchi T (2002) Intravascular ultrasonic comparisons of mechanisms of vasodilatation of cutting balloon angioplasty versus conventional balloon angioplasty. Am J Cardiol 89:1253–1256CrossRefPubMed

11.

Kawaguchi K, Kondo T, Shumiya T, Uchikawa T, Suzuki T, Awaji Y, Mochizuki M (2002) Reduction of early elastic recoil by cutting balloon angioplasty as compared to conventional balloon angioplasty. J Invasive Cardiol 14:515–951PubMed

12.

Liao CK, Bonneau HN, Yock PG, Fitzgerald PJ (2002) Arterial response during cutting balloon angioplasty: a volumetric intravascular ultrasound study. J Formos Med Assoc 101:756–761PubMed

13.

Albiero R, Silber S, Di Mario C, Cernigliaro C, Battaglia S, Reimers B, Frasheri A, Klauss V, Auge JM, Rubartelli P, Morice MC, Cremonesi A, Schofer J, Bortone A, Colombo A (2004) RESCUT investigators. Cutting balloon versus conventional balloon angioplasty for the treatment of in-stent restenosis: results of the restenosis cutting balloon evaluation trial (RESCUT). J Am Coll Cardiol 43:943–949CrossRefPubMed

14.

Kornowski R, Hong KC, Tio FO, Bramwell O, Wu H, Leon MB (1998) In-stent restenosis: contributions of inflammatory responses and arterial injury to neointima hyperplasia. J Am Coll Cardiol 31:224–230CrossRefPubMed

15.

Barth KH, Virmani R, Froelich J, Takeda T, Lossef SV, Newsome J, Jones R, Lindisch D (1996) Paired comparison of vascular wall reactions to Palmaz stents, Strecker tantalum stents, and Wall stents in canine iliac and femoral arteries. Circulation 93:2161–2169PubMed

16.

Kearney M, Pieczek A, Haley L, Losordo DW, Andres V, Schainfeld R, Rosenfield K, Isner JM (1997) Histopathology of in-stent restenosis in patients with peripheral artery disease. Circulation 95:1998–2002PubMed

17.

Schillinger M, Exner M, Mlekusch W, Haumer M, Ahmadi R, Rumpold H, Wagner O, Minar E (2002) Inflammatory response to stent implantation: differences in femoropopliteal, iliac, and carotid arteries. Radiology 224:529–535PubMedCrossRef

18.

Lary BG (1980) Coronary artery incision and dilation. Arch Surg 115:1478–1480PubMed

19.

Inoue T, Sakai Y, Hoshi K, Yaguchi I, Fujito T, Morooka S (1998) Lower expression of neutrophil adhesion molecule indicates less vessel wall injury and might explain lower restenosis rate after cutting balloon angioplasty. Circulation 97:2511–2518PubMed

20.

Newmann FJ, Ott I, Gawaz M, Puchner G, Schomig A (1996) Neutrophil and platelet activation at balloon-injured coronary artery plaque in patients undergoing angioplasty. J Am Coll Cardiol 27:819–824CrossRefPubMed

21.

Namiki A, Toma H, Nakamura M, Matsuda K, Hara H, Asahara T, Soumitsu Y, Kobayashi N, Yamaguchi T (2004) Hemostatic and fibrinolytic activation is less following cutting balloon angioplasty of the coronary arteries. Jpn Heart J 45:409–417CrossRefPubMed

22.

Ajani AE, Kim HS, Castagna M, Satler LF, Kent KM, Pichard AD, Waksman R (2001) Clinical utility of the cutting balloon. J Invasive Cardiol 13:554–557PubMed

23.

Ergene O, Seyithanoglu BY, Tastan A, Ergene U, Kozan O, Belgi A, Kaya D (1998) Comparison of angiographic and clinical outcome after cutting balloon and conventional balloon angioplasty in vessels smaller than 3 mm in diameter: a randomized trial. J Invasive Cardiol 10:70–75PubMed

24.

Izumi M, Nakaoka Y, Otsuji S (1999) Predictors of restenosis after cutting balloon angioplasty and plain old balloon angioplasty in small coronary arteries: results of the CAPAS study. Circulation 100:1305PubMed

25.

Orford JL, Fasseas P, Denktas AE, Hammes L, Garratt KN, Berger PB, Holmes DR, Barsness GW (2002) Safety and efficacy of cutting balloon angioplasty: the Mayo Clinic experience. J Invasive Cardiol 14:720–724PubMed

26.

Ansel GM, Sample NS, Botti III CF Jr, Tracy AJ, Silver MJ, Marshall BJ, George BS (2004). Cutting balloon angioplasty of the popliteal and infrapopliteal vessels for symptomatic limb ischemia. Catheter Cardiovasc Interv 61:1–4CrossRefPubMed

27.

Bakal CW, Sprayregen S, Scheinbaum K, Cynamon J, Veith FJ (1990) Percutaneous transluminal angioplasty of the infrapopliteal arteries: results in 53 patients. AJR Am J Roentgenol 154:171–174PubMed

28.

Atar E, Siegel Y, Avrahami R, Bartal G, Bachar GN, Belenky A (2005) Balloon angioplasty of popliteal and crural arteries in elderly with critical chronic limb ischemia. Eur J Radiol 53:287–292CrossRefPubMed

29.

Lofberg AM, Karacagil S, Ljungman C, Westman B, Bostrom A, Hellberg A, Ostholm G (2001) Percutaneous transluminal angioplasty of the femoropopliteal arteries in limbs with chronic critical lower limb ischemia. J Vasc Surg 34:114–121CrossRefPubMed

30.

Trocciola SM, Chaer R, Dayal R, Lin SC, Kumar N, Rhee J, Pierce M, Ryer EJ, McKinsey J, Morrissey NJ, Bush HL, Kent KC, Faries PL (2005) Comparison of results in endovascular interventions for infrainguinal lesions: claudication versus critical limb ischemia. Am Surg 71:474–479, discussion 479–480PubMed

31.

Varty K, Bolia A, Naylor AR, Bell PRF, London NJM (1995) Infrapopliteal percutaneous transluminal angioplasty: a safe and successful procedure. Eur J Vasc Endovasc Surg 9:341–345CrossRefPubMed

32.

Soder HK, Manninen HI, Jaakkola P, Matsi PJ, Rasanen HT, Kaukanen E, Loponen P, Soimakallio S (2000) Prospective trial of infrapopliteal artery balloon angioplasty for critical limb ischemia: angiographic and clinical results. J Vasc Interv Radiol 11:1021–1031PubMedCrossRef

33.

London NJ, Varty K, Sayers RD, Thompson MM, Bell PR, Bolia A (1995) Percutaneous transluminal angioplasty for lower-limb critical ischaemia. Br J Surg 82:1232–1235PubMedCrossRef

34.

Rabbi JF, Kiran RP, Gersten G, Dudrick SJ, Dardik A (2004) Early results with infrainguinal cutting balloon angioplasty limits distal dissection. Ann Vasc Surg 18:640–643CrossRefPubMed

35.

Ahmed JM, Mintz GS, Castagna M, Weissman NJ, Pichard AD, Satler LF, Kent KM (2001) Intravascular ultrasound assessment of the mechanism of lumen enlargement during cutting balloon angioplasty treatment of in-stent restenosis. Am J Cardiol 88:1032–1034CrossRefPubMed

36.

Muramatsu T, Tsukahara R, Ho M, Ito Y, Hirano K, Ishimori H, Matushita M, Nakano M (2001) Efficacy of cutting balloon angioplasty for in-stent restenosis: an intravascular ultrasound evaluation. J Invasive Cardiol 13:439–444PubMed

37.

Montorsi P, Galli S, Fabbiocchi F, Loaldi A, Trabattoni D, Grancini L, Cozzi S, Ravagnani P, Parodi O, Bartorelli AL (2002) Mechanism of cutting balloon angioplasty for in-stent restenosis: an intravascular ultrasound study. Catheter Cardiovasc Interv 56:166–173CrossRefPubMed

38.

Adamian M, Colombo A, Briguori C, Nishida T, Marsico F, Di Mario C, Albiero R, Moussa I, Moses JW (2001) Cutting balloon angioplasty for the treatment of in-stent restenosis: a matched comparison with rotational atherectomy, additional stent implantation and balloon angioplasty. J Am Coll Cardiol 38:672–679CrossRefPubMed

39.

Fasseas P, Orford JL, Lennon R, O’Neill J, Denktas AE, Panetta CJ, Berger PB, Holmes DR (2004) Cutting balloon angioplasty vs conventional balloon angioplasty in patients receiving intracoronary brachytherapy for the treatment of in-stent restenosis. Catheter Cardiovasc Interv 63:152–157CrossRefPubMed

40.

Mongiardo A, Curcio A, Spaccarotella C, Parise S, Indolfi C (2004) Molecular mechanisms of restenosis after percutaneous peripheral angioplasty and approach to endovascular therapy. Curr Drug Targets Cardiovasc Haematol Disord 4:275–287CrossRefPubMed

41.

Munneke GJ, Engelke C, Morgan RA, Belli AM (2002) Cutting balloon angioplasty for resistant renal artery in-stent restenosis. J Vasc Interv Radiol 13:327–331PubMedCrossRef

42.

Otah KE, Alhaddad IA (2004) Intravascular ultrasound-guided cutting balloon angioplasty for renal artery stent restenosis. Clin Cardiol 27:581–583PubMedCrossRef

43.

Aslam MS, Balasubramanian J, Greenspahn BR (2003) Brachytherapy for renal artery in-stent restenosis. Catheter Cardiovasc Interv 58:151–154CrossRefPubMed

44.

Bendok BR, Roubin GS, Katzen BT, Boulos AS, Levy EI, Limpijankit T, Qureshi AI, Guterman LR, Hopkins LN (2003) Cutting balloon to treat carotid in-stent stenosis: technical note. J Invasive Cardiol 15:227–232PubMed

45.

Setacci C, de Donato G, Setacci F, Pieraccini M, Cappelli A, Trovato RA, Benevento D (2005) In-stent restenosis after carotid angioplasty and stenting: a challenge for the vascular surgeon. Eur J Vasc Endovasc Surg 29:601–607CrossRefPubMed

46.

Tamperella MR, Yadav JS, Bajzer CT, Bhatt DL, Abou-Chebl A (2004) Cutting balloon angioplasty to treat carotid in-stent restenosis. J Invasive Cardiol 16:133–135PubMed

47.

Engelke C, Sandhu C, Morgan RA, Belli AM (2002) Using 6-mm cutting balloon angioplasty in patients with resistant peripheral artery stenosis: preliminary results. AJR Am J Roentgenol 179:619–623PubMed

48.

Dolmatch BL, Gray RJ, Horton KM, Rundback JH, Kline ME (1995) Treatment of anastomotic bypass graft stenosis with directional atherectomy: short-term and intermediate-term results. J Vasc Interv Radiol 6:105–113PubMedCrossRef

49.

Engelke C, Morgan RA, Belli AM (2002) Cutting balloon percutaneous transluminal angioplasty for salvage of lower limb arterial bypass grafts: feasibility. Radiology 223:106–114PubMedCrossRef

50.

Perler BA, Osterman FA, Mitchell SE, Burdick JF, Williams GM (1990) Balloon dilatation versus surgical revision of infra-inguinal autogenous vein graft stenoses: long-term follow-up. J Cardiovasc Surg (Torino) 31:656–661

51.

Kasirajan K, Schneider PA (2004) Early outcome of “cutting” balloon angioplasty for infrainguinal vein graft stenosis. J Vasc Surg 39:702–708CrossRefPubMed

52.

Prabhudesai V, Orme R, Fox AD (2004) Cutting balloon-assisted angioplasty of an anastomotic carotid–brachial bypass graft stenosis. Cardiovasc Intervent Radiol 27:394–396CrossRefPubMed

53.

Kanterman RY, Vesely TM, Pilgram TK, Guy BW, Windus DW, Picus D (1995) Dialysis access grafts: anatomic location of venous stenosis and results of angioplasty. Radiology 195:135–139PubMed

54.

Trerotola SO, Stavropoulos SW, Shlansky-Goldberg R, Tuite CM, Kobrin S, Rudnick MR (2004) Hemodialysis-related venous stenosis: treatment with ultrahigh-pressure angioplasty balloons. Radiology 231:259–262PubMedCrossRef

55.

Indolfi C, Esposito G, Di Lorenzo E, Rapacciuolo A, Feliciello A, Porcellini A, Avvedimento VE, Condorelli M, Chiariello M (1995) Smooth muscle cell proliferation is proportional to the degree of balloon injury in a rat model of angioplasty. Circulation 92:1230–1235PubMed

56.

Vorwerk D, Adam G, Muller-Leisse C, Guenther RW (1996) Hemodialysis fistulas and grafts: use of cutting balloons to dilate venous stenoses. Radiology 201:864–867PubMed

57.

Ryan JM, Dumbleton SA, Smith TP (2003) Technical innovation. Using a cutting balloon to treat resistant high-grade dialysis graft stenosis. AJR Am J Roentgenol 180:1072–1074PubMed

58.

Singer-Jordan J, Papura S (2005) Cutting balloon angioplasty for primary treatment of hemodialysis fistula venous stenoses: preliminary results. J Vasc Interv Radiol 16:25–29PubMed

59.

Bittl JA, Feldman RL (2003) Cutting balloon angioplasty for undilatable venous stenoses causing dialysis graft failure. Catheter Cardiovasc Interv 58:524–526CrossRefPubMed

60.

Sreenarasimhaiah VP, Margassery SK, Martin KJ, Bander SJ (2004) Cutting balloon angioplasty for resistant venous anastomotic stenoses. Semin Dial 17:523–527CrossRefPubMed

61.

Bergersen LJ, Perry SB, Lock JE (2003) Effect of cutting balloon angioplasty on resistant pulmonary artery stenosis. Am J Cardiol 91:185–189CrossRefPubMed

62.

Haas NA, Ocker V, Knirsch W, Holder M, Lochbuehler H, Lewin MA, Uhlemann F (2002) Successful management of a resistant renal artery stenosis in a child using a 4 mm cutting balloon catheter. Catheter Cardiovasc Interv 56:227–231CrossRefPubMed

63.

Joseph G, Pati PK, Mathews P (2003) Multivessel cutting balloon angioplasty in a patient with type III nonspecific aortoarteritis. Indian Heart J 55:175–177PubMed

64.

Rath PC, Lakshmi G, Henry M (2004) Percutaneous transluminal angioplasty using a cutting balloon for stenosis of the arch vessels in aortoarteritis. Indian Heart J 56:54–57PubMed

65.

McWilliams RG, Murphy M, Hartley D, Lawrence-Brown MM, Harris PL (2004) In situ stent-graft fenestration to preserve the left subclavian artery. J Endovasc Ther 11:170–174CrossRefPubMed

66.

Song HH, Kim KT, Chung SK, Kim YO, Yoon SA (2004) Cutting balloon angioplasty for resistant venous stenoses of Brescia–Cimino fistulas. J Vasc Interv Radiol 15:1463–1467PubMed

67.

Chakraverty S, Meier MA, Aarts JC, Ross RA, Griffiths GD (2005) Cutting-balloon-associated vascular rupture after failed standard balloon angioplasty. Cardiovasc Intervent Radiol 28:661–664CrossRefPubMed

68.

Oguzkurt L, Tercan F, Gulcan O, Turkoz R (2005) Rupture of the renal artery after cutting balloon angioplasty in a young woman with fibromuscular dysplasia. Cardiovasc Intervent Radiol 28:360–363CrossRefPubMed

69.

Maruo T, Yasuda S, Miyazaki S (2002) Delayed appearance of coronary artery perforation following cutting balloon angioplasty. Catheter Cardiovasc Interv 57:529–531CrossRefPubMed

Titel: Cutting balloons for the treatment of vascular stenoses
verfasst von: Dimitrios Tsetis
Robert Morgan
Anna-Maria Belli
Publikationsdatum: 01.08.2006
Verlag: Springer-Verlag
Erschienen in: European Radiology / Ausgabe 8/2006
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-006-0181-x

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Cutting balloons for the treatment of vascular stenoses

Abstract

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2006

Short TE Quantitative Proton Magnetic Resonance Spectroscopy in Variant Creutzfeldt-Jakob Disease

Dynamic contrast-enhanced MRI for evaluation of cardiac tumors

Laser ablation of lung metastases: results according to diameter and location

Fusion of the midplane with the left intersectional plane: a liver anatomical variation revisited with multidetector-row CT

Value of virtual tracheobronchoscopy and bronchography from 16-slice multidetector-row spiral computed tomography for assessment of suspected tracheobronchial stenosis in children

Evaluation of imaging-guided fine-needle percutaneous biopsy of renal masses

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie