Impact of Chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug-coated balloon angioplasty for femoropopliteal lesion
Abstract Purpose To compare the impact of Chocolate and conventional balloons on vessel preparation in percutaneous transluminal angioplasty. Materials and methods This single-center retrospective study included 111 endovascular therapy consecutive cases of femoropopliteal lesions using drug-coated...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-09-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42155-022-00324-z |
| _version_ | 1811274802785157120 |
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| author | Shigemitsu Shirai Shinsuke Mori Kohei Yamaguchi Masafumi Mizusawa Toshiki Chishiki Kenji Makino Yohsuke Honda Masakazu Tsutsumi Mana Hiraishi Norihiro Kobayashi Masahiro Yamawaki Yoshiaki Ito |
| author_facet | Shigemitsu Shirai Shinsuke Mori Kohei Yamaguchi Masafumi Mizusawa Toshiki Chishiki Kenji Makino Yohsuke Honda Masakazu Tsutsumi Mana Hiraishi Norihiro Kobayashi Masahiro Yamawaki Yoshiaki Ito |
| author_sort | Shigemitsu Shirai |
| collection | DOAJ |
| description | Abstract Purpose To compare the impact of Chocolate and conventional balloons on vessel preparation in percutaneous transluminal angioplasty. Materials and methods This single-center retrospective study included 111 endovascular therapy consecutive cases of femoropopliteal lesions using drug-coated balloon strategy with a 1:1 pre-dilation balloon diameter between February 2020 and August 2021, divided into the Chocolate percutaneous transluminal angioplasty (n = 48) and conventional (n = 63) groups. Before the availability of Chocolate balloons in Japan (December 2020), a standard semi-compliant or non-compliant balloon was used for vessel preparation. The primary endpoint was rate of severe dissection after pre-dilatation. Secondary endpoints were angiographic percent diameter stenosis, bailout stent rate, primary patency rate, and freedom from target-lesion-revascularization rate at six months. Results There was no significant difference in patient and lesion characteristics. The procedural characteristics comprised balloon length 90 ± 37 and 149 ± 95 mm (P = 0.004) and inflation pressure 11 ± 3 and 16 ± 7 atm (P < 0.001) in the Chocolate and conventional groups, respectively. Regarding primary endpoint, rates of severe dissection were 4.2% and 25% (P = 0.003); regarding secondary endpoints, percent diameter stenosis was 18 ± 15% and 20 ± 17% (P = 0.409), and the rate of bailout stenting was 2.1% and 15.9% (P = 0.016) in the Chocolate and conventional groups, respectively. The primary patency rates at six months were 89.1% and 85.2% (P = 0.670), and freedom from target-lesion-revascularization rate at six months was 100% and 92.8% (P = 0.691) in the Chocolate and conventional groups, respectively. Conclusion Chocolate percutaneous transluminal angioplasty balloons reduce the rate of severe dissection while maintaining a sufficient dilatation effect during drug-coated balloon vessel preparation. |
| first_indexed | 2024-04-12T23:26:43Z |
| format | Article |
| id | doaj.art-13917c8cfbeb4bf3ac03a6f853918d7e |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-04-12T23:26:43Z |
| publishDate | 2022-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-13917c8cfbeb4bf3ac03a6f853918d7e2022-12-22T03:12:24ZengSpringerOpenCVIR Endovascular2520-89342022-09-01511910.1186/s42155-022-00324-zImpact of Chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug-coated balloon angioplasty for femoropopliteal lesionShigemitsu Shirai0Shinsuke Mori1Kohei Yamaguchi2Masafumi Mizusawa3Toshiki Chishiki4Kenji Makino5Yohsuke Honda6Masakazu Tsutsumi7Mana Hiraishi8Norihiro Kobayashi9Masahiro Yamawaki10Yoshiaki Ito11Department of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalDepartment of Cardiovascular Medicine, Department of Cardiology, Saiseikai Yokohamashi Tobu HospitalAbstract Purpose To compare the impact of Chocolate and conventional balloons on vessel preparation in percutaneous transluminal angioplasty. Materials and methods This single-center retrospective study included 111 endovascular therapy consecutive cases of femoropopliteal lesions using drug-coated balloon strategy with a 1:1 pre-dilation balloon diameter between February 2020 and August 2021, divided into the Chocolate percutaneous transluminal angioplasty (n = 48) and conventional (n = 63) groups. Before the availability of Chocolate balloons in Japan (December 2020), a standard semi-compliant or non-compliant balloon was used for vessel preparation. The primary endpoint was rate of severe dissection after pre-dilatation. Secondary endpoints were angiographic percent diameter stenosis, bailout stent rate, primary patency rate, and freedom from target-lesion-revascularization rate at six months. Results There was no significant difference in patient and lesion characteristics. The procedural characteristics comprised balloon length 90 ± 37 and 149 ± 95 mm (P = 0.004) and inflation pressure 11 ± 3 and 16 ± 7 atm (P < 0.001) in the Chocolate and conventional groups, respectively. Regarding primary endpoint, rates of severe dissection were 4.2% and 25% (P = 0.003); regarding secondary endpoints, percent diameter stenosis was 18 ± 15% and 20 ± 17% (P = 0.409), and the rate of bailout stenting was 2.1% and 15.9% (P = 0.016) in the Chocolate and conventional groups, respectively. The primary patency rates at six months were 89.1% and 85.2% (P = 0.670), and freedom from target-lesion-revascularization rate at six months was 100% and 92.8% (P = 0.691) in the Chocolate and conventional groups, respectively. Conclusion Chocolate percutaneous transluminal angioplasty balloons reduce the rate of severe dissection while maintaining a sufficient dilatation effect during drug-coated balloon vessel preparation.https://doi.org/10.1186/s42155-022-00324-zPeripheral artery diseaseEndovascular proceduresFemoral arteryPopliteal arteryDrug-coated balloon |
| spellingShingle | Shigemitsu Shirai Shinsuke Mori Kohei Yamaguchi Masafumi Mizusawa Toshiki Chishiki Kenji Makino Yohsuke Honda Masakazu Tsutsumi Mana Hiraishi Norihiro Kobayashi Masahiro Yamawaki Yoshiaki Ito Impact of Chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug-coated balloon angioplasty for femoropopliteal lesion CVIR Endovascular Peripheral artery disease Endovascular procedures Femoral artery Popliteal artery Drug-coated balloon |
| title | Impact of Chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug-coated balloon angioplasty for femoropopliteal lesion |
| title_full | Impact of Chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug-coated balloon angioplasty for femoropopliteal lesion |
| title_fullStr | Impact of Chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug-coated balloon angioplasty for femoropopliteal lesion |
| title_full_unstemmed | Impact of Chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug-coated balloon angioplasty for femoropopliteal lesion |
| title_short | Impact of Chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug-coated balloon angioplasty for femoropopliteal lesion |
| title_sort | impact of chocolate percutaneous transluminal angioplasty balloon on vessel preparation in drug coated balloon angioplasty for femoropopliteal lesion |
| topic | Peripheral artery disease Endovascular procedures Femoral artery Popliteal artery Drug-coated balloon |
| url | https://doi.org/10.1186/s42155-022-00324-z |
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