Cutting Balloon Angioplasty: The Initial Results

Servet ÖZTÜRK, Murat GÜLBARAN, Tevfik GÜRMEN, Muzaffer ÖZTÜRK

İ. Ü. Kardiyoloji Enstitüsü, Kardiyoloji Anabilim Dalı, Haseki

The success of the conventional PTCA is restristed due to acute closure; restenosis and very hard lesions which can not be dilated. With the intention of overwhelm these difficulties we dilated 15 lesions of 14 patients (12 men; within the ages of 36 to 70) with the cutting balloon 3 or 4 longitudinally attached blades on it. The procedure was successful for all cases and the mean stenosis reduced from 83.6±9.3 % to 22.9 ± 12.7 %. The dilation was fround to be insufficient at 5 and these were additionally treated with a conventional balloon angioplasty. At the first month examination all of them were free of symptoms and had negative stress test except one. This patient underwent a CABG operation because of deterioration of several lesions.

Although not common the cutting baloon is it use for its low rate of complications and advantage at hard lesions. In our institute we applied the cutting balloon especially for very hard lesions which could not be dilated with conventional ballons and obtaimed succesful results.

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