Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case report
Abstract Background The use of drug-coated balloons (DCBs) with anti-proliferative agents in treating femoropopliteal lesions was approved in Japan in 2017. A better limb salvage rate or amputation-free rate of DCBs relative to plain old balloon angioplasty (POBA) has been reported; however, there i...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-12-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-019-0764-9 |
| _version_ | 1818611663284207616 |
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| author | Sohei Matsuura Kota Yamamoto Takafumi Akai Toshihiko Isaji Toshio Takayama Katsuyuki Hoshina |
| author_facet | Sohei Matsuura Kota Yamamoto Takafumi Akai Toshihiko Isaji Toshio Takayama Katsuyuki Hoshina |
| author_sort | Sohei Matsuura |
| collection | DOAJ |
| description | Abstract Background The use of drug-coated balloons (DCBs) with anti-proliferative agents in treating femoropopliteal lesions was approved in Japan in 2017. A better limb salvage rate or amputation-free rate of DCBs relative to plain old balloon angioplasty (POBA) has been reported; however, there is little evidence of the direct effect on intimal hyperplasia (IH). Case presentation A 70-year-old man with chronic limb-threatening ischemia and foot gangrene had undergone bypass surgery from the left common femoral artery to the dorsalis pedis artery 2 years earlier. We evaluated the bypass graft using ultrasonography and found stenosis around the proximal anastomotic site, presumably due to IH. POBA was performed every 3 months due to the repeated re-stenosis of the lesion. Since using the DCB, no restenosis has been detected to date (10 months). Conclusion DCB might be an effective tool for treating re-stenosis due to IH or vein grafts that do not respond to POBA. |
| first_indexed | 2024-12-16T15:33:54Z |
| format | Article |
| id | doaj.art-6c1e15c10dcc4f28b6afd198b6274904 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-16T15:33:54Z |
| publishDate | 2019-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-6c1e15c10dcc4f28b6afd198b62749042022-12-21T22:26:15ZengSpringerOpenSurgical Case Reports2198-77932019-12-01511410.1186/s40792-019-0764-9Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case reportSohei Matsuura0Kota Yamamoto1Takafumi Akai2Toshihiko Isaji3Toshio Takayama4Katsuyuki Hoshina5Division of Vascular Surgery, Department of Surgery, The University of TokyoDivision of Vascular Surgery, Department of Surgery, The University of TokyoDivision of Vascular Surgery, Department of Surgery, The University of TokyoDivision of Vascular Surgery, Department of Surgery, The University of TokyoDivision of Vascular Surgery, Department of Surgery, The University of TokyoDivision of Vascular Surgery, Department of Surgery, The University of TokyoAbstract Background The use of drug-coated balloons (DCBs) with anti-proliferative agents in treating femoropopliteal lesions was approved in Japan in 2017. A better limb salvage rate or amputation-free rate of DCBs relative to plain old balloon angioplasty (POBA) has been reported; however, there is little evidence of the direct effect on intimal hyperplasia (IH). Case presentation A 70-year-old man with chronic limb-threatening ischemia and foot gangrene had undergone bypass surgery from the left common femoral artery to the dorsalis pedis artery 2 years earlier. We evaluated the bypass graft using ultrasonography and found stenosis around the proximal anastomotic site, presumably due to IH. POBA was performed every 3 months due to the repeated re-stenosis of the lesion. Since using the DCB, no restenosis has been detected to date (10 months). Conclusion DCB might be an effective tool for treating re-stenosis due to IH or vein grafts that do not respond to POBA.https://doi.org/10.1186/s40792-019-0764-9Drug-coated balloonVein bypass graftRestenosisPlain old balloon angioplastyIntimal hyperplasia |
| spellingShingle | Sohei Matsuura Kota Yamamoto Takafumi Akai Toshihiko Isaji Toshio Takayama Katsuyuki Hoshina Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case report Surgical Case Reports Drug-coated balloon Vein bypass graft Restenosis Plain old balloon angioplasty Intimal hyperplasia |
| title | Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case report |
| title_full | Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case report |
| title_fullStr | Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case report |
| title_full_unstemmed | Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case report |
| title_short | Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case report |
| title_sort | effect of drug coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty a case report |
| topic | Drug-coated balloon Vein bypass graft Restenosis Plain old balloon angioplasty Intimal hyperplasia |
| url | https://doi.org/10.1186/s40792-019-0764-9 |
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