PMID: 8606264Mar 1, 1996Paper

Do excimer laser angioplasty and rotational atherectomy facilitate balloon angioplasty? Implications for lesion-specific coronary intervention

Journal of the American College of Cardiology
R D SafianW W O'Neill

Abstract

This study sought to determine whether adjunctive balloon angioplasty after rotational atherectomy and excimer laser angioplasty provides better lumen enlargement ("facilitated angioplasty") than angioplasty alone. Adjunctive angioplasty is often used immediately after atherectomy and laser angioplasty to further enlarge lumen dimensions, but it is not known whether this practice is superior to angioplasty alone. Balloon angioplasty was performed in 1,266 native coronary lesions alone (n = 541) or after extraction atherectomy (n = 277), rotational atherectomy (Rotablator) (n = 211) or excimer laser angioplasty (n = 237). Quantitative angiographic analysis included final lumen diameter, final diameter stenosis and efficiency of balloon-mediated lumen enlargement. Compared with angioplasty alone (33 +/- 12% [mean +/- SD]), final diameter stenosis was higher for adjunctive angioplasty after extraction atherectomy (37 +/- 16%, p < 0.001) and excimer laser angioplasty (37 +/- 16%, p < 0.001) and lower after rotational atherectomy (27 +/- 15%, p < 0.001). However, there was significant undersizing of balloons after all three devices. To correct for differences in balloon size, the efficiency index (final lumen diameter/balloon diamet...Continue Reading

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Citations

Sep 1, 1997·Catheterization and Cardiovascular Diagnosis·J WebbA Dodek
Feb 24, 1998·Catheterization and Cardiovascular Diagnosis·J LindsayA D Pichard
Aug 26, 1998·Catheterization and Cardiovascular Diagnosis·R J Lederman, M Moscucci
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Jun 2, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·R D SafianW W O'Neill
May 1, 1997·The American Journal of Cardiology·E Garcia-CantuF Baget
May 28, 2003·Journal of the American College of Cardiology·Costantino O CostantiniMartin B Leon
Nov 7, 2001·Cardiology in Review·M Y Salame, J S Douglas
Sep 12, 2009·Seminars in Dialysis·Alexander S Yevzlin, Aris Urbanes
Apr 1, 1997·Journal of Cardiothoracic and Vascular Anesthesia·C E ChambersI C Gilchrist
Jun 2, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Stanley J Chetcuti, Mauro Moscucci
May 22, 2010·Journal of Cardiovascular Medicine·Sahmin LeeHyo-Soo Kim
Jan 20, 2004·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Ralf KösterThomas Meinertz
Feb 17, 1998·Hospital Practice·T E Feldman
Nov 8, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Rayji S TsutsuiRishi Puri
Jun 26, 2021·Circulation. Cardiovascular Interventions·Marc SintekJasvindar Singh

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