Helical stent (SUPERA ™) and drug-coated balloon (Passeo-18 Lux™) for recurrent cephalic arch stenosis: Rationale and design of arch V SUPERA-LUX Study.
CONCLUSION: The Arch V SUPERA-LUX study is the first trial to evaluate whether SUPERA stent implantation and drug-coated balloon use can provide superior protection against restenosis compared to traditional angioplasty, bare metal stents and stent grafts in recurrent cephalic arch stenosis. Initial pilot results are encouraging but longer follow-up is required to truly test this technique. TRIAL REGISTRATION: This study is registered on ClinicalTrials.gov NCT03891693. PMID: 31621477 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 19, 2019 Category: Surgery Tags: J Vasc Access Source Type: research
Arteriovenous fistula of the peroneal artery complicating a retrograde access: successful endovascular treatment with covered stent implantation.
An 80-year-old woman developed a recurrent critical limb-threatening ischemia (CLTI) of the right lower limb after a popliteal artery (PA) recanalization with retrograde puncture of the peroneal artery (PR). The angiography showed the PA restenosis and an arteriovenous fistula (AVF) at the previous peroneal retrograde access site. After the PA angioplasty, the AVF was identified through selective contrast injections in multiple projections. A coronary balloon-expandable covered stent was deployed at the AVF site with complete resolution of the AVF. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 19, 2019 Category: Surgery Authors: Gabriele Testi, Grotti Simone, Tanja Ceccacci, Fabio Tarantino, Giorgio Ubaldo Turicchia Tags: Case Report Source Type: research
Midterm outcomes of drug coated balloon angioplasty in femoropopliteal lesions in a daily practice cohort
This study was performed to evaluate the midterm outcomes of DCB angioplasty in femoropopliteal artery disease and to identify risk factors for restenosis. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 18, 2019 Category: Surgery Authors: Michael Nugteren, Alexander Sern é, Bart Verhoeven, Olivier Koning, Ronald van den Haak, Vincent Scholtes, Jan-Willem Hinnen Tags: Clinical Research, Basic Science Source Type: research
Real-world use of intravascular ultrasound in Japan: a report from contemporary multicenter PCI registry
AbstractClinical trial data suggest that intravascular ultrasound (IVUS) may improve clinical outcomes after PCI. The aim of this study was to investigate the safety of IVUS in its broader use for percutaneous coronary intervention (PCI). A total of 11,570 consecutive patients undergoing PCI between 2008 and 2014 in Japan were analyzed. Associations between IVUS use, PCI-related complications were assessed with logistic regression and propensity score matching analyses. Subgroup analysis was performed in elective PCI patients. IVUS was used in 84.8% of patients (N = 9814; IVUS group); its use was almost unive...
Source: Heart and Vessels - October 15, 2019 Category: Cardiology Source Type: research
Cyclophilin A as a biomarker for the therapeutic effect of balloon angioplasty in chronic thromboembolic pulmonary hypertension.
Abstract BACKGROUND: Although cardiac troponin and natriuretic peptide have been shown to decrease after balloon pulmonary angioplasty (BPA) with improved right ventricular afterload in chronic thromboembolic pulmonary hypertension (CTEPH), biomarkers to evaluate the effects of BPA independently of heart failure status remain to be developed. METHODS: In 39 consecutive CTEPH patients including 31 who underwent BPA, we measured plasma levels of cyclophilin A (CyPA), which we demonstrated is secreted from pulmonary vascular smooth muscle cells in response to mechanical stretch and hypoxia. RESULTS: CyPA le...
Source: Journal of Cardiology - October 12, 2019 Category: Cardiology Authors: Kozu K, Satoh K, Aoki T, Tatebe S, Miura M, Yamamoto S, Yaoita N, Suzuki H, Shimizu T, Sato H, Konno R, Terui Y, Nochioka K, Kikuchi N, Satoh T, Sugimura K, Miyata S, Shimokawa H Tags: J Cardiol Source Type: research
Comparison of drug-coated balloon angioplasty versus conventional angioplasty for arteriovenous fistula stenosis: Systematic review and meta-analysis.
CONCLUSION: Paclitaxel-coated balloon showed no statistically significant improvement over conventional balloons in decreasing fistula stenosis in randomized controlled trial but were significant for cohort studies. PMID: 31595799 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 11, 2019 Category: Surgery Tags: J Vasc Access Source Type: research
A randomized controlled trial of drug-coated balloon angioplasty in venous anastomotic stenosis of dialysis arteriovenous grafts
Paclitaxel-coated balloons are used to reduce neointimal hyperplasia in native arteriovenous (AV) fistulas. However, no study specifically evaluated their effect on venous anastomotic stenosis of dialysis grafts. We aimed to compare the efficacy of angioplasty with drug-coated balloons (DCBs) and angioplasty with conventional balloons (CBs) for venous anastomotic stenosis in dysfunctional AV grafts. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 11, 2019 Category: Surgery Authors: Min-Tsun Liao, Cheng-Pin Lee, Ting-Tse Lin, Chien-Boon Jong, Tsung-Yan Chen, Lin Lin, Mu-Yang Hsieh, Mao-Shin Lin, Wei-Chu Chie, Chih-Cheng Wu Source Type: research
Instantaneous wave-free ratio-guided paclitaxel-coated balloon treatment for de novo coronary lesions
AbstractPaclitaxel-coated balloon (PCB) treatment guided by fractional flow reserve (FFR) is safe and effective for de novo coronary lesions. It is unknown whether the instantaneous wave-free ratio (iFR), an alternative measure that does not require the administration of adenosine, will offer benefits similar to those of FFR in de novo lesion treatment with PCB. Baseline, post-balloon and 9-month angiographical parameters were obtained from 116 lesions of 104 patients. The cutoff value of iFR after balloon angioplasty used to define functionally nonsignificant residual stenotic lesions was 0.86 and they were subdivided int...
Source: The International Journal of Cardiovascular Imaging - October 9, 2019 Category: Radiology Source Type: research
Drug coated balloon supported Supera stent versus Supera stent in intermediate and long-segment lesions of the superficial femoral artery: 2-year results of the RAPID trial.
Abstract BACKGROUND: Endovascular treatment of occlusive disease of the superficial femoral artery (SFA) has evolved from plain old balloon angioplasty (POBA) through primary stenting strategy to drug eluting technology-based approach. The RAPID trial investigates the added value of drug coated balloons (DCB, Legflow) in a primary stenting strategy (Supera stent) for intermediate (5-15 cm) and long segment (>15 cm) SFA lesions. METHODS: In this multicenter, patient-blinded trial, 160 patients with intermittent claudication, ischemic rest pain, or tissue loss due to intermediate or long SFA lesions were ran...
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: de Boer SW, de Vries JP, Werson DA, Fioole B, Vroegindeweij D, Vos JA, van den Heuvel D, RAPID trial investigators Tags: J Cardiovasc Surg (Torino) Source Type: research
Intracranial mechanical thrombectomy without extracranial revascularization for a tandem occlusion with robust Circle of Willis: case report
Publication date: Available online 4 October 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Mateja de Leonni Stanonik, Christopher Sy, Cameron McDougall, Lee Birnbaum, Justin MascitelliAbstractA 59-year-old male presented with a severe left middle cerebral artery (MCA) syndrome, a National Institutes of Health Stroke Scale (NIHSS) of 17, and was last known well 26 hours prior. Computed tomography angiography (CTA) of the head demonstrated a tandem extracranial ICA and intracranial ICA/MCA occlusion. Computed tomography perfusion (CTP) demonstrated a large mismatch. The patient underwent a mechanical thrombectomy usin...
Source: Interdisciplinary Neurosurgery - October 4, 2019 Category: Neurosurgery Source Type: research
Newly approved devices for endovascular treatment of femoropopliteal disease: a review of clinical evidence.
Authors: Giannopoulos S, Armstrong EJ Abstract Introduction: Femoropopliteal lesions account for a significant proportion of endovascular interventions for peripheral artery disease. In this manuscript we review the literature on the application of newly approved devices in the treatment of atherosclerotic lesions at this segment. Areas covered: New drug-coating technologies provide sustained drug-eluting over time and better scaffolds are more resistant to the increased biomechanical stress at the femoropopliteal segment. Thus, the newer drug-eluting stents (i.e.Eluvia®), nitinol interwoven stents (i.e.Supera&...
Source: Expert Review of Cardiovascular Therapy - October 4, 2019 Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research
The Randomized Freeway Stent Study: Drug-Eluting Balloons Outperform Standard Balloon Angioplasty for Postdilatation of Nitinol Stents in the SFA and PI Segment
ConclusionThe Freeway Stent Study shows that the usage of DEB as a restenosis prophylaxis seems to be safe and feasible. The 12-month follow-up results give a clear sign in favor of the DEB group. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - October 2, 2019 Category: Radiology Source Type: research
Randomized controlled trial of orchid drug-coated balloon versus standard percutaneous transluminal angioplasty for treatment of femoropopliteal artery in-stent restenosis.
CONCLUSIONS: Results from the study showed superior treatment effect with Orchid DCB versus PTA for the treatment of FP ISR, and without an apparent difference in safety. PMID: 31566320 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - October 2, 2019 Category: Cardiology Tags: Int Angiol Source Type: research
Etiology of Exercise-Induced Pulmonary Hypertension Can Be Differentiated by Echocardiography - Insight From Patients With Chronic Pulmonary Thromboembolism With Normal Resting Hemodynamics by Balloon Pulmonary Angioplasty.
Etiology of Exercise-Induced Pulmonary Hypertension Can Be Differentiated by Echocardiography - Insight From Patients With Chronic Pulmonary Thromboembolism With Normal Resting Hemodynamics by Balloon Pulmonary Angioplasty. Circ J. 2019 Oct 02;: Authors: Goda A, Takeuchi K, Kikuchi H, Finger M, Inami T, Sakata K, Soejima K, Satoh T Abstract BACKGROUND: Exercise-induced pulmonary hypertension (PH) is often seen in chronic thromboembolic PH (CTEPH) patients with normalized resting hemodynamics, but it is difficult to differentiate precapillary PH as pulmonary vascular dysfunction and post-capillary PH...
Source: Circulation Journal - October 2, 2019 Category: Cardiology Authors: Goda A, Takeuchi K, Kikuchi H, Finger M, Inami T, Sakata K, Soejima K, Satoh T Tags: Circ J Source Type: research
Impact of target lesion location on procedural and angiographic outcomes of rotational atherectomy versus modified balloon angioplasty prior to drug-eluting stent implantation in severely calcified coronary lesions:a subgroup analysis of the PREPARE-CALC randomized trial.
Authors: Rheude T, Toelg R, Byrne RA, Allali A, Wiebe J, Sulimov D, Voll F, Cassese S, Richardt G, Kastrati A, Abdel-Wahab M PMID: 31566573 [PubMed - as supplied by publisher] (Source: EuroIntervention)
Source: EuroIntervention - October 1, 2019 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research
Mortality Assessment of Paclitaxel-Coated Balloons: Patient-Level Meta-Analysis of the ILLUMENATE Clinical Program at 3 Years.
Abstract BACKGROUND: A recent summary-level meta-analysis comprising randomized, controlled trials (RCTs) of femoropopliteal paclitaxel-coated balloon and stent intervention identified excess late mortality in the paclitaxel-treated patients. METHODS: We evaluated the safety of the Stellarex drug-coated balloon (DCB) for femoropopliteal artery disease with an independently performed meta-analysis of patient-level data from all patients in the Stellarex femoropopliteal clinical program. To compare mortality after DCB or uncoated percutaneous transluminal angioplasty (PTA), we aggregated data from 2 RCTs compri...
Source: Circulation - October 1, 2019 Category: Cardiology Authors: Gray WA, Jaff MR, Parikh SA, Ansel GM, Brodmann M, Krishnan P, Razavi MK, Vermassen F, Zeller T, White R, Ouriel K, Adelman MA, Lyden SP Tags: Circulation Source Type: research
ST-Elevation Myocardial Infarction due to Stent Underexpansion Managed with Coronary Lithoplasty.
CONCLUSION: Our case demonstrates the usefulness and safety of the lithoplasty system in the context of ST elevation myocardial infarction. PMID: 31560293 [PubMed - as supplied by publisher] (Source: Reviews on Recent Clinical Trials)
Source: Reviews on Recent Clinical Trials - September 27, 2019 Category: Cancer & Oncology Authors: Tripolino C, Tassone EJ, Morabito G, Grillo P, Missiroli B Tags: Rev Recent Clin Trials Source Type: research
[Common femoral artery bailout stenting with covered stent graft due to TAVR vascular complication: Clinical long term follow-up].
CONCLUSION: In our study, the implantation of a covered stent graft in the common femoral artery was an efficient and safe strategy for the management of transcatheter aortic valve replacement related vascular complications. PMID: 31570157 [PubMed - as supplied by publisher] (Source: Annales de Cardiologie et d'Angeiologie)
Source: Annales de Cardiologie et d'Angeiologie - September 27, 2019 Category: Cardiology Authors: Drouelle E, De Poli F, Couppie P, Uhry S, Heyer H, Morel O, Ohlmann P, Hess S, Kibler M, Leddet P Tags: Ann Cardiol Angeiol (Paris) Source Type: research
Treprostinil for the treatment of chronic thromboembolic pulmonary hypertension.
Authors: Sadushi-Kolici R, Lang IM Abstract Introduction: Parenteral treprostinil for patients with pulmonary arterial hypertension has resulted in improvement of exercise capacity, functional class, hemodynamics, and survival. Recently, a first randomized trial performed in patients with chronic thromboembolic pulmonary hypertension confirmed the efficacy of subcutaneous treprostinil in this subset of pulmonary hypertension. Areas covered: Treprostinil sodium is a prostacyclin analog produced synthetically. Drug characteristics include potent systemic and pulmonary vasodilatory effects. Local side-effects of subcu...
Source: Expert Review of Respiratory Medicine - September 24, 2019 Category: Respiratory Medicine Tags: Expert Rev Respir Med Source Type: research
Total IN.PACT drug-coated balloon initiative reporting pooled imaging and propensity-matched cohorts
Randomized controlled trials have shown that drug-coated balloons (DCBs) provide superior results compared with percutaneous transluminal angioplasty (PTA) for the treatment of femoropopliteal artery disease. However, these trials have generally included short lesions, few occlusions, and small sample sizes. The present study was an individual-level pooled analysis of duplex ultrasonography (DUS) core laboratory-adjudicated and clinical events committee-adjudicated IN.PACT Admiral DCB subjects across two randomized controlled trials and two single-arm prospective studies to characterize the safety and effectiveness of DCB ...
Source: Journal of Vascular Surgery - September 19, 2019 Category: Surgery Authors: Mehdi H. Shishehbor, Peter A. Schneider, Thomas Zeller, Mahmood K. Razavi, John R. Laird, Hong Wang, Christopher Tiech é, Sahil A. Parikh, Osamu Iida, Michael R. Jaff Tags: Clinical research study Source Type: research
[An independent observatory in Vend ée on ST-elevated acute myocardial infarction (the OVISCA Register). A Departmental evaluation of demographic trends, mortality and delays before treatment].
[An independent observatory in Vendée on ST-elevated acute myocardial infarction (the OVISCA Register). A Departmental evaluation of demographic trends, mortality and delays before treatment]. Ann Cardiol Angeiol (Paris). 2019 Sep 18;: Authors: Boiffard E, Dimet J, Baron O, Billon O, Boivineau C, Charvet M, Doizon T, Federspiel C, Flori M, Georges JL, Haddad G, Lipp D, Nguyen JO, Mouhoub D, Pernollet P, Philippot M, Pouliquen H, Roy N, Trebouet E, Turlotte G, Zeninari B, Orion L Abstract AIM: Mortality from acute myocardial infarction has been falling during the past 30 years. The aim of the st...
Source: Annales de Cardiologie et d'Angeiologie - September 18, 2019 Category: Cardiology Authors: Boiffard E, Dimet J, Baron O, Billon O, Boivineau C, Charvet M, Doizon T, Federspiel C, Flori M, Georges JL, Haddad G, Lipp D, Nguyen JO, Mouhoub D, Pernollet P, Philippot M, Pouliquen H, Roy N, Trebouet E, Turlotte G, Zeninari B, Orion L Tags: Ann Cardiol Angeiol (Paris) Source Type: research
Angioplasty or bare metal stent versus drug-eluting endovascular treatment in femoropopliteal artery disease: a systematic review and meta-analysis.
Abstract INTRODUCTION: Endovascular treatment represents nowadays the preferred therapeutic approach for disabling femoro-popliteal arterial occlusive disease in fit patients. In the latest years, in order to improve short- and long-term outcomes, drug eluting devices have been developed. Drug coated balloons (DCB) and drug eluting stents (DES) are today employed in clinical practice, and several studies has been completed to assess their performance in different clinical scenarios. Objective of the present review and meta-analysis is to compare clinical results of different endovascular treatment modalities in th...
Source: The Journal of Cardiovascular Surgery - September 13, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Varetto G, Gibello L, Boero M, Frola E, Peretti T, Spalla F, Verzini F, Rispoli P Tags: J Cardiovasc Surg (Torino) Source Type: research
TSPO ligands prevent the proliferation of vascular smooth muscle cells and attenuate neointima formation through AMPK activation.
In this study we investigated the role of endogenous TSPO in neointima formation after angioplasty in vitro and in vivo. We established a vascular injury model in vitro by using platelet-derived growth factor-BB (PDGF-BB) to stimulate rat thoracic aortic smooth muscle cells (A10 cells). We found that treatment with PDGF-BB (1-20 ng/mL) dose-dependently increased TSPO expression in A10 cells, which was blocked in the presence of PKC inhibitor or MAPK inhibitor. Overexpression of TSPO significantly promoted the proliferation and migration in A10 cells, whereas downregulation of TSPO expression by siRNA or treatment wi...
Source: Acta Pharmacologica Sinica - September 12, 2019 Category: Drugs & Pharmacology Authors: Wu LP, Gong ZF, Wang H, Zhou ZS, Zhang MM, Liu C, Ren HM, Yang J, Han Y, Zeng CY Tags: Acta Pharmacol Sin Source Type: research
Paclitaxel-Based Devices for the Treatment of PAD: Balancing Clinical Efficacy with Possible Risk
AbstractPurpose of reviewPaclitaxel-based endovascular devices have become the standard of care in symptomatic, medication-refractory peripheral artery disease (PAD) and in critical limb ischemia (CLI). This review examines the data on the efficacy and safety of these devices relative to standard balloon angioplasty (PTA) and bare metal stents (BMS).Recent findingsRandomized controlled trials (RCTs) have found that peripheral devices coated with paclitaxel result in superior patency rates and decreased target lesion revascularization (TLR) compared with non-drug-coated devices. Recently, a meta-analysis of randomized contr...
Source: Current Treatment Options in Cardiovascular Medicine - September 7, 2019 Category: Cardiology Source Type: research
Analysis of Oxygenation in Chronic Thromboembolic Pulmonary Hypertension Using Dead Space Ratio and Intrapulmonary Shunt Ratio.
Authors: Minatsuki S, Hatano M, Maki H, Takimoto E, Morita H, Komuro I Abstract Current therapeutic methods for chronic thromboembolic pulmonary hypertension (CTEPH) can improve hemodynamic status and are expected to improve prognoses. However, some patients experience dyspnea during effort and continue supplemental oxygenation despite their hemodynamic status being fully improved. Considering the pathogenesis of CTEPH, the dead space and intrapulmonary shunt are assumed to be responsible for hypoxia in CTEPH, but their contributions are unclear. It is also unclear whether they are improved after treatment. The aim...
Source: International Heart Journal - September 6, 2019 Category: Cardiology Tags: Int Heart J Source Type: research
Endovascular Treatment of No-Stent Zones … Quo Vadis?
This article describes less-invasive endovascular alternatives, such as atherectomy, drug-coated balloons and stenting, and their results. The popliteal artery is also difficult to treat in an endovascular manner due to biomechanical forces during bending and stretching of the knee or leg. Thus, we also describe currently available minimally invasive treatment options for the popliteal artery. PMID: 31476793 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 4, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research
Endovascular treatment of acute intracranial vertebrobasilar artery occlusion: a multicenter retrospective observational study
ConclusionIndividualized endovascular treatment strategy for selected patients with acute VBAO could achieve satisfactory reperfusion rate and favorable prognosis. (Source: Neuroradiology)
Source: Neuroradiology - September 4, 2019 Category: Radiology Source Type: research
Improving intrarenal microcirculation prior to balloon angioplasty: new chances for the treatment of atherosclerotic renal artery stenosis?
No abstract available (Source: Journal of Hypertension)
Source: Journal of Hypertension - August 31, 2019 Category: Cardiology Tags: EDITORIAL COMMENTARIES Source Type: research
Drug-Coated Balloon Angioplasty of Infrapopliteal Lesions in Patients with Critical Limb Ischaemia: 1-Year Results of the APOLLO Trial
This study intended to assess effectiveness and safety of the drug-coated balloon (DCB) angioplasty of infrapopliteal atherosclerotic lesions in patients with critical limb ischaemia (CLI) in a real-world setting.MethodsConsecutive patients with critical limb ischaemia who underwent infrapopliteal drug-coated balloon angioplasty with the ELUTAX SV DCB were enrolled into the prospective, multicentre, single-arm observational registry. Primary outcome was clinical improvement at 6 and 12 months. Secondary outcomes were change in quality of life, primary patency, freedom from repeat revascularisation, and amputation-fre...
Source: CardioVascular and Interventional Radiology - August 30, 2019 Category: Radiology Source Type: research
Inferior Vena Cava Rupture Caused by Balloon Angioplasty During the Treatment of Budd –Chiari Syndrome
ConclusionIVC rupture is a rare complication of PTA treatment of BCS and most commonly located at the intra-hepatic IVC caused by oversized balloons which does not require additional treatment. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - August 30, 2019 Category: Radiology Source Type: research
Directional Atherectomy with Antirestenotic Therapy for Femoropopliteal Artery Disease: A Systematic Review and Meta-Analysis
Publication date: Available online 27 August 2019Source: Journal of Vascular and Interventional RadiologyAuthor(s): Yanhua Zhen, Zhihui Chang, Chuanzhuo Wang, Zhaoyu Liu, Jiahe ZhengAbstractSystematic literature searches using Embase, PubMed, and Cochrane Library for directional atherectomy with antirestenotic therapy (DAART) in femoropopliteal artery disease (FPAD) from January 2003 to February 2018 were conducted to evaluate clinical safety and effectiveness. A meta-analysis was conducted using Stata software for the event rate of technical success, bailout stent placement, primary patency, and target lesion revasculariz...
Source: Journal of Vascular and Interventional Radiology - August 29, 2019 Category: Radiology Source Type: research
Fast-track thrombolysis protocol: A single-session approach for acute iliofemoral deep venous thrombosis
ConclusionsFTTP, as presented herein, appears to be a safe, effective, and cost-effective technique in the resolution of acute IFDVT. (Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders)
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - August 28, 2019 Category: Surgery Source Type: research
Evolving strategies for the management of venous thoracic outlet syndrome
We report our evolving experience with the treatment of acute VTOS.MethodsWe reviewed our prospectively maintained database to identify patients treated for VTOS. Our strategy includes CDT with pharmacomechanical thrombectomy, IC first rib resection during the same hospitalization, and subclavian vein angioplasty immediately after rib resection. Postoperatively, a sequential compression device was applied to the affected arm and low-dose heparin given through the ipsilateral venous sheath. Antiplatelet therapy was given for 6 weeks and anticoagulation for 6 months. Our strategy evolved from a PC to an IC approach...
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - August 28, 2019 Category: Surgery Source Type: research
Retrieval strategy for ruptured balloon with circumferential tear during angioplasty for arteriovenous fistula in hemodialysis patients.
CONCLUSION: Our technique of retrieval may be suitable for cases of balloon rupture with a circumferential tear during percutaneous transluminal angioplasty. The technique enables less invasive retrieval and continuation of the percutaneous transluminal angioplasty thereafter. PMID: 31434523 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 23, 2019 Category: Surgery Tags: J Vasc Access Source Type: research
Drug-Coated balloon angioplasty in clinical practice for below the knee, popliteal and crural artery lesions causing critical limb ischaemia: One-year results from the Spanish Luminor Registry
Luminor is a new drug-coated angioplasty balloon, European Conformity (EC)-market approved. The aim of the present study is to analyse the one-year results, in terms of effectiveness and safety, of the Luminor 14/14M and 35 Drug-Coated Balloons (DCBs) in a special cohort of critical limb ischaemia (CLI) of the Luminor Registry. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - August 23, 2019 Category: Surgery Authors: V. Riambau, F. Ac ín, M. de Blas, M. Alonso, A. Giménez-Gaibar, LUMINOR Collaborators Tags: Clinical Research, Basic Science Source Type: research
Midterm Outcome of Directional Atherectomy Combined with Drug-Coated Balloon Angioplasty versus Drug-Coated Balloon Angioplasty Alone for Femoropopliteal Arteriosclerosis Obliterans.
Compare the therapeutic effects of directional atherectomy combined with drug-coated balloon angioplasty with drug-coated balloon angioplasty alone in the treatment of femoropopliteal arteriosclerosis obliterans. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - August 23, 2019 Category: Surgery Authors: Zhiwen Cai, Lianrui Guo, Lixing Qi, Shijun Cui, Zhu Tong, Jianming Guo, Zhonggao Wang, Yongquan Gu Tags: Clinical Research, Basic Science Source Type: research
Drug-Coated Balloon Angioplasty in Clinical Practice for Below-the-Knee, Popliteal, and Crural Artery Lesions Causing Critical Limb Ischemia: 1-Year Results from the Spanish Luminor Registry
Luminor is a new drug-coated angioplasty balloon, which is approved by the European Conformity market. The aim of the present study is to analyze the 1-year results, in terms of effectiveness and safety, of the Luminor ® 14/14M and 35 drug-coated balloons (iVascular, Sant Vicenç dels Horts, Barcelona, Spain) in a special cohort of critical limb ischemia (CLI) of the Luminor registry. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - August 23, 2019 Category: Surgery Authors: Vicente Riambau, Francisco Ac ín, Mariano Juan de Blas, Manuel Alonso, Antonio Giménez-Gaibar, Luminor Collaborators Tags: Clinical Research Source Type: research
A systematic review and meta-analysis of drug-coated balloon versus conventional balloon angioplasty for dialysis access stenosis
Arteriovenous fistulas for patients undergoing hemodialysis (HD) are at high risk of stenosis. Despite conventional balloon angioplasty (CBA), restenosis rates are high. The use of a drug-coated balloon (DCB) may offer an alternative to reduce restenosis. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Ian Jun Yan Wee, Hao Yun Yap, Luke Tay Hsien Ts'ung, Shaun Lee Qingwei, Chieh Suai Tan, Tjun Yip Tang, Tze Tec Chong Tags: Review article Source Type: research
Drug-coated balloon angioplasty superior to conventional balloon angioplasty for stenotic arteriovenous fistula lesions: With caution
The key finding of this study is that stenotic peripheral arteriovenous fistulas (AVF) lesions treated with drug-coated balloon angioplasty (DCB) had a significant improvement in the 6-month and 12-month primary patency rates when compared with those lesions treated with conventional balloon angioplasty.1 Treatment of central venous stenosis was also significantly improved with DCB, although this is more controversial because there are no large diameter drug-coated balloons (10-14 mm) that are approved in the United States. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Richard J. Fowl Tags: Invited commentary Source Type: research
Assessing the Validity of Published Data on Percutaneous Transluminal Angioplasty as a Benchmark for Infrainguinal Endovascular Procedures
Percutaneous transluminal angioplasty (PTA) of the infrainguinal arteries was the first endovascular technique for improving lower extremity circulation. The procedure involves the inflation of a balloon-tipped catheter in stenotic or occluded vessels to improve perfusion and to increase downstream blood flow. New techniques are frequently compared with the results of PTA, making valid and robust PTA data essential. Our objective was to identify papers that present PTA outcomes and to perform a systematic review. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Phillip Key, Mekala Neelakantan, Krishna Jain, Mireya Diaz, Elizabeth Lorbeer Tags: Abstract from the 2019 Midwestern Vascular Surgical Society Annual Meeting Source Type: research
The Randomized Freeway Stent Study: Drug-Eluting Balloons Outperform Standard Balloon Angioplasty for Postdilatation of Nitinol Stents in the SFA and PI Segment.
CONCLUSION: The Freeway Stent Study shows that the usage of DEB as a restenosis prophylaxis seems to be safe and feasible. The 12-month follow-up results give a clear sign in favor of the DEB group. PMID: 31432220 [PubMed - as supplied by publisher] (Source: Nuklearmedizin)
Source: Nuklearmedizin - August 20, 2019 Category: Radiology Authors: Tacke J, Müller-Hülsbeck S, Schröder H, Lammer J, Schürmann K, Gross-Fengels W, Fischbach R, Textor J, Boguth L, Loewe C, Häuser H, Gschwendtner M, Tepe G, von Strandmann RP, Stahnke S, Dambach J, Hausegger K Tags: Cardiovasc Intervent Radiol Source Type: research
Allergic Acute Coronary Artery Stent Thrombosis After the Administration of Sugammadex in a Patient Undergoing General Anesthesia: A Case Report
In addition to cutaneous, gastrointestinal, hemodynamic, and respiratory symptoms, allergic reactions can induce an acute coronary syndrome in normal or atheromatous coronary arteries and can cause coronary stent thrombosis. Here, we report a case of coronary stent thrombosis due to allergic acute coronary syndrome during anaphylaxis induced by sugammadex in a female patient undergoing general anesthesia. She was emergently treated with percutaneous transluminal coronary balloon angioplasty with catecholamine, vasodilator, and intraaortic balloon support. Knowledge of perioperative allergy-triggered acute coronary syndrome...
Source: A&A Case Reports - August 15, 2019 Category: Anesthesiology Tags: Case Reports Source Type: research
Distal Balloon Angioplasty of Cerebral Vasospasm Decreases the Risk of Delayed Cerebral Infarction [INTERVENTIONAL]
BACKGROUND AND PURPOSE: Conventional angioplasty of cerebral vasospasm combines proximal balloon angioplasty (up to the first segment of cerebral arteries) with chemical angioplasty for distal arteries. Distal balloon angioplasty (up to the second segment of cerebral arteries) has been used in our center instead of chemical angioplasty since January 2015. We aimed to assess the effect of this new approach in patients with aneurysmal SAH. MATERIALS AND METHODS: The occurrence, date, territory, and cause of any cerebral infarction were retrospectively determined and correlated to angioplasty procedures. Delayed cerebral inf...
Source: American Journal of Neuroradiology - August 14, 2019 Category: Radiology Authors: Labeyrie, M.- A., Gaugain, S., Boulouis, G., Zetchi, A., Brami, J., Saint-Maurice, J.- P., Civelli, V., Froelich, S., Houdart, E. Tags: INTERVENTIONAL Source Type: research
Haemoptysis and bronchial congestion due to pulmonary vein stenosis after maze procedure
Pulmonary vein stenosis (PVS) is a rare congenital or acquired disease. Here, we describe the diagnosis and treatment strategy for the first case of acquired PVS with haemoptysis due to the maze procedure. Pulmonary vein stenosis (PVS) is a rare disease that can cause haemoptysis. Acquired PVS is indicated as a complication associated with cardiac catheter intervention; however, the maze procedure has not been reported to induce PVS. Here, we describe the diagnosis and treatment strategy for the first case of PVS with haemoptysis due to the maze procedure. A 56 ‐year‐old man who underwent the maze procedure seven&thins...
Source: Respirology Case Reports - August 13, 2019 Category: Respiratory Medicine Authors: Takayuki Nakaizumi, Kei Nakamura, Kentaro Nakamura, Masanobu Ishigaki, Haruki Taniguchi, Koichiro Kajiura Tags: Case Report Source Type: research
Interventional techniques to increase implantation success of transvenous phrenic nerve stimulation for central sleep apnea treatment
ConclusionTransvenous PNS lead placement for CSA treatment can be difficult and challenging. However, interventional intravascular techniques markedly increase implantation success and thereby allow application of this therapy for effective CSA treatment in most patients without additional complications. (Source: Sleep and Breathing)
Source: Sleep and Breathing - August 12, 2019 Category: Respiratory Medicine Source Type: research
Interventional techniques to increase implantation success of transvenous phrenic nerve stimulation for central sleep apnea treatment.
CONCLUSION: Transvenous PNS lead placement for CSA treatment can be difficult and challenging. However, interventional intravascular techniques markedly increase implantation success and thereby allow application of this therapy for effective CSA treatment in most patients without additional complications. PMID: 31407159 [PubMed - as supplied by publisher] (Source: Sleep and Breathing)
Source: Sleep and Breathing - August 12, 2019 Category: Sleep Medicine Authors: Gutleben KJ, Fox H, Sommer P, Rudolph V, Nölker G Tags: Sleep Breath Source Type: research
Bilateral transradial aortic valvuloplasty with double balloon angioplasty: our first experience
Publication date: Available online 9 August 2019Source: Revista Española de Cardiología (English Edition)Author(s): Fernando Gómez-Peña, Xoan Sanmartín-Pena, Nicolás López-Canoa, Leyre Álvarez-Rodríguez, Amparo Martínez-Monzonis, José Ramón González-Juanatey (Source: Revista Espanola de Cardiologia)
Source: Revista Espanola de Cardiologia - August 11, 2019 Category: Cardiology Source Type: research
Green formulation of curcumin loaded lipid-based nanoparticles as a novel carrier for inhibition of post-angioplasty restenosis
Publication date: December 2019Source: Materials Science and Engineering: C, Volume 105Author(s): Sarah Akhlaghi, Shahram Rabbani, Sonia Alavi, Azadeh Alinaghi, Fatemeh Radfar, Simin Dadashzadeh, Azadeh HaeriAbstractRestenosis is one of the major complications affecting outcomes of percutaneous coronary interventions. The aims of this study were to formulate curcumin (CUR) nanoparticles by using only lipidic ingredients in the absence of any organic solvent and to determine key formulation parameters using 2-level factorial design. CUR nanoparticles were prepared using triglyceride and egg phosphatidylcholine (EPC) by high...
Source: Materials Science and Engineering: C - August 8, 2019 Category: Materials Science Source Type: research
Exercise Capacity in Asymptomatic Adult Patients Treated for Coarctation of the Aorta
This study sought to assess exercise capacity and blood pressure response in asymptomatic patients long-term after CoA repair in relation to left ventricular and vascular function. Twenty-two CoA patients (age 30 ± 10.6 years) with successful surgical repair (n = 12) or balloon angioplasty (n = 10) between 3 months and 16 years of age with a follow-up of > 10 years underwent cardiopulmonary exercise testing at a mean follow-up of 23.9 years. Exercise capacity (peak oxygen uptake; VO2peak) and blood pressure response were compared t...
Source: Mammalian Genome - August 7, 2019 Category: Genetics & Stem Cells Source Type: research
Clinical outcome of drug-coated balloon angioplasty in patients with femoropopliteal disease: A real-world single-center experience
Several multicenter industry-sponsored clinical trials reported satisfactory results in the use of drug-coated balloons (DCBs) for treatment of femoropopliteal occlusive disease. However, few single-center studies have been published to verify the outcome from real-world experience. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - August 7, 2019 Category: Surgery Authors: Ali F. AbuRahma, Zachary T. AbuRahma, Grant Scott, Elliot Adams, Matthew Beasley, Meghan Davis, L. Scott Dean, Elaine Davis Source Type: research