Impact of Angioscopic Evaluation for Femoropopliteal In-Stent Restenosis Before and After Excimer Laser Atherectomy

被引:5
作者
Idemoto, Akiko [1 ]
Okamoto, Naotaka [1 ]
Tanaka, Akihiro [1 ]
Mori, Naoki [1 ]
Nakamura, Daisuke [1 ]
Yano, Masamichi [1 ]
Makino, Nobuhiko [1 ]
Egami, Yasuyuki [1 ]
Shutta, Ryu [1 ]
Tanouchi, Jun [1 ]
Nishino, Masami [1 ]
机构
[1] Osaka Rosai Hosp, Div Cardiol, 1179-3 Nagasone Cho, Sakai, Osaka 5918025, Japan
关键词
angioscopy; lasers; in-stent restenosis; chronic total occlusion; endovascular therapy; ACUTE MYOCARDIAL-INFARCTION; SUPERFICIAL FEMORAL-ARTERY; SIROLIMUS-ELUTING STENT; THROMBUS FORMATION; IMPLANTATION; ANGIOPLASTY; BALLOON; ISR;
D O I
10.1177/1538574417707900
中图分类号
R61 [外科手术学];
学科分类号
摘要
In-stent restenosis (ISR) is a prevalent problem following stenting of femoropopliteal lesions. A potential novel treatment modality for ISR including excimer laser atherectomy (ELA) has become available. We performed ELA for in-stent chronic total occlusion (CTO) of femoropopliteal lesions and evaluated lesion morphology before and after ELA by angioscopy in 2 patients. The angioscopic findings clearly showed removal of in-stent thrombi after ELA. Thus, ELA may be effective for in-stent CTO of femoropopliteal lesions. This is the first report describing the direct visualization of ELA effect for vaporization of thrombi in femoropopliteal in-stent lesions by angioscopy.
引用
收藏
页码:335 / 337
页数:3
相关论文
共 15 条
[1]   Laser Atherectomy for Treatment of Femoropopliteal In-Stent Restenosis [J].
Armstrong, Ehrin J. ;
Thiruvoipati, Thejasvi ;
Tanganyika, Kundai ;
Singh, Gagan D. ;
Laird, John R. .
JOURNAL OF ENDOVASCULAR THERAPY, 2015, 22 (04) :506-513
[2]   Randomized Controlled Study of Excimer Laser Atherectomy for Treatment of Femoropopliteal In-Stent Restenosis Initial Results From the EXCITE ISR Trial (EXCImer Laser Randomized Controlled Study for Treatment of FemoropopliTEal In-Stent Restenosis) [J].
Dippel, Eric J. ;
Makam, Prakash ;
Kovach, Richard ;
George, Jon C. ;
Patlola, Raghotham ;
Metzger, D. Christopher ;
Mena-Hurtado, Carlos ;
Beasley, Robert ;
Soukas, Peter ;
Colon-Hernandez, Pedro J. ;
Stark, Matthew A. ;
Walker, Craig .
JACC-CARDIOVASCULAR INTERVENTIONS, 2015, 8 (01) :92-101
[3]   Difference of Neointimal Formational Pattern and Incidence of Thrombus Formation Among 3 Kinds of Stents An Angioscopic Study [J].
Hara, Masahiko ;
Nishino, Masami ;
Taniike, Masayuki ;
Makino, Nobuhiko ;
Kato, Hiroyasu ;
Egami, Yasuyuki ;
Shutta, Ryu ;
Yamaguchi, Hitoshi ;
Tanouchi, Jun ;
Yamada, Yoshio .
JACC-CARDIOVASCULAR INTERVENTIONS, 2010, 3 (02) :215-220
[4]   High incidence of thrombus formation at 18 months after paclitaxel-eluting stent implantation: Angioscopic comparison with sirolimus-eluting stent [J].
Hara, Masahiko ;
Nishino, Masami ;
Taniike, Masayuki ;
Makino, Nobuhiko ;
Kato, Hiroyasu ;
Egami, Yasuyuki ;
Shutta, Ryu ;
Yamaguchi, Hitoshi ;
Tanouchi, Jun ;
Yamada, Yoshio .
AMERICAN HEART JOURNAL, 2010, 159 (05) :905-910
[5]   Extensive arterial repair one year after paclitaxel-coated nitinol drug-eluting stent vs. bare-metal stent implantation in the superficial femoral artery [J].
Ishihara T. ;
Iida O. ;
Awata M. ;
Nanto K. ;
Shiraki T. ;
Okamoto S. ;
Iida T. ;
Fujita M. ;
Watanabe T. ;
Nanto S. ;
Uematsu M. .
Cardiovascular Intervention and Therapeutics, 2015, 30 (1) :51-56
[6]  
Liistro F, 2014, J ENDOVASC THER, V21, P1, DOI 10.1583/13-4420R.1
[7]   Comparison of Angioscopic Findings and Three-Year Cardiac Events Between Sirolimus-Eluting Stent and Bare-Metal Stent in Acute Myocardial Infarction [J].
Nishino, Masami ;
Yoshimura, Takahiro ;
Nakamura, Daisuke ;
Lee, Yasuharu ;
Taniike, Masayuki ;
Makino, Nobuhiko ;
Kato, Hiroyasu ;
Egami, Yasuyuki ;
Shutta, Ryu ;
Tanouchi, Jun ;
Yamada, Yoshio .
AMERICAN JOURNAL OF CARDIOLOGY, 2011, 108 (09) :1238-1243
[8]   Vulnerable disease may induce neointimal coverage after silorimus-eluting stent implantation [J].
Nishino, Masami ;
Hoshida, Shiro ;
Taniike, Masayuki ;
Kato, Hiroyasu ;
Egami, Yasuyuki ;
Shutta, Ryu ;
Yamaguchi, Hitoshi ;
Tanaka, Kenjiro ;
Tanouchi, Jun ;
Yamada, Yoshio .
AMERICAN HEART JOURNAL, 2010, 160 (03) :564-569
[9]   Photoablation Using the Turbo-Booster and Excimer Laser for In-Stent Restenosis Treatment: Twelve-Month Results From the PATENT Study [J].
Schmidt, Andrej ;
Zeller, Thomas ;
Sievert, Horst ;
Krankenberg, Hans ;
Torsello, Giovanni ;
Stark, Matthew A. ;
Scheinert, Dierk .
JOURNAL OF ENDOVASCULAR THERAPY, 2014, 21 (01) :52-60
[10]   Differences in Patient Selection and Outcomes Between SilverHawk Atherectomy and Laser Ablation in the Treatment of Femoropopliteal In-Stent Restenosis: A Retrospective Analysis From a Single Center [J].
Shammas, Nicolas W. ;
Shammas, Gail A. ;
Jerin, Michael .
JOURNAL OF ENDOVASCULAR THERAPY, 2013, 20 (06) :844-852