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
References
Dec 1, 1992·Circulation·R E KuntzD S Baim
Mar 1, 1992·Catheterization and Cardiovascular Diagnosis·W R HermansP W Serruys
Jun 1, 1992·Journal of the American College of Cardiology·R E KuntzD S Baim
Aug 11, 1992·Journal of the American College of Cardiology·J P CarrozzaR D Safian
Aug 1, 1991·Circulation·S L CookF Litvack
Jan 3, 1991·The New England Journal of Medicine·P W SerruysL Kappenberger
Feb 15, 1991·The American Journal of Cardiology·W F PennyD S Baim
Jun 1, 1991·Catheterization and Cardiovascular Diagnosis·J F BrymerP L Kraft
Jul 1, 1990·British Heart Journal·A D Timmis
Nov 15, 1990·The American Journal of Cardiology·H D TheronC J Pepine
Jul 1, 1990·Circulation·R D SafianD S Baim
Oct 1, 1990·Circulation·S G EllisT M Bulle
Sep 1, 1989·Progress in Cardiovascular Diseases·D R HolmesR E Vlietstra
Feb 1, 1988·Circulation·P W SerruysP G Hugenholtz
Sep 1, 1988·Journal of the American College of Cardiology·M NobuyoshiH Ohishi
Sep 1, 1988·Circulation·G S RoubinA R Gruentzig
Feb 1, 1987·Circulation·G B ManciniR A Vogel
Mar 1, 1984·The American Journal of Cardiology·D P ScoblionkoH T Dodge
Feb 1, 1995·Journal of the American College of Cardiology·S StrikwerdaP W Serruys
Mar 15, 1995·Journal of the American College of Cardiology·R D SafianW W O'Neill
Jul 1, 1994·Catheterization and Cardiovascular Diagnosis·J HonyeJ M Tobis
Apr 1, 1994·The American Journal of Cardiology·R D SafianW W O'Neill
Oct 18, 1993·The American Journal of Cardiology·P C GordonD S Baim
Nov 15, 1993·Journal of the American College of Cardiology·R D SafianW W O'Neill
Feb 1, 1994·Journal of the American College of Cardiology·K YamashitaK Ohtomo
Jul 22, 1993·The New England Journal of Medicine·E J TopolD O Williams
Jul 22, 1993·The New England Journal of Medicine·A G AdelmanB N Corbett
Sep 1, 1993·Circulation·R D SafianC L Grines
Oct 1, 1993·Journal of the American College of Cardiology·J A KovachM B Leon
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
May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·I D CohenT Feldman
Jun 2, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·R D SafianW W O'Neill
Sep 24, 1999·Clinical Cardiology·J LindsayA D Pichard
Sep 1, 2011·Cardiovascular Intervention and Therapeutics·H NiiJ Yamazaki
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
Mar 12, 1999·The American Journal of Cardiology·E C KeeleyR D Safian
Dec 31, 1997·The American Journal of Cardiology·T RobertsonK M Detre
Jun 2, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Stanley J Chetcuti, Mauro Moscucci
Aug 19, 2007·Journal of Cardiovascular Medicine·Babu KunadianMark A de Belder
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