Şahin Serpil, Yılmaz Mehmet Ali
Çanakkale Onsekiz Mart Medical School, University Hospital, Çanakkale, Turkey.
Department of Cardiovascular Surgery, Mersin City Hospital, Mersin, Turkey.
Kardiochir Torakochirurgia Pol. 2023 Mar;20(1):24-29. doi: 10.5114/kitp.2023.126095. Epub 2023 Apr 3.
The aim of the study was to report our preliminary results and real-world experiences regarding the use of a novel paclitaxel-coated balloon catheter in a cohort of patients with lower extremity peripheral artery disease at different stages.
A prospective cohort pilot study was conducted and the study group was made up of a total of 20 patients with peripheral artery disease who underwent endovascular balloon angioplasty with BioPath 014 or 035, a novel paclitaxel-coated, shellac containing balloon catheter. Eleven patients had a total of 13 TASC II-A lesions, 6 patients had a total of 7 TASC II-B lesions, 2 patients had TASC II-C lesions, 2 patients had TASC II-D lesions.
In 13 patients, a single attempt with a BioPath catheter was adequate to treat a total of 20 target lesions, whereas in 7 patients more than one attempt with a different sized BioPath catheter was necessary. In 5 patients, total or near-total occlusion in the target vessel was initially treated with an appropriate sized chronic total occlusion catheter. Thirteen (65%) patients had at least one categorical improvement in Fontaine classification and none had symptomatic worsening.
The BioPath paclitaxel-coated balloon catheter seems to offer a useful alternative to the similar devices for treatment of femoral-popliteal artery disease. These preliminary results warrant confirmation with further research to reveal the safety and efficacy of the device.
本研究旨在报告我们在不同阶段的下肢外周动脉疾病患者队列中使用新型紫杉醇涂层球囊导管的初步结果和实际经验。
进行了一项前瞻性队列试点研究,研究组由总共20例接受血管内球囊血管成形术的外周动脉疾病患者组成,使用的是BioPath 014或035,一种新型的含紫杉醇和虫胶的涂层球囊导管。11例患者共有13处TASC II - A病变,6例患者共有7处TASC II - B病变,2例患者有TASC II - C病变,2例患者有TASC II - D病变。
13例患者中,单次使用BioPath导管就足以治疗总共20处靶病变,而7例患者需要使用不同尺寸的BioPath导管进行多次尝试。5例患者中,靶血管的完全或近乎完全闭塞最初用合适尺寸的慢性完全闭塞导管进行治疗。13例(65%)患者的Fontaine分级至少有一项分类改善,且无一例出现症状恶化。
BioPath紫杉醇涂层球囊导管似乎为治疗股腘动脉疾病的类似装置提供了一种有用的替代方案。这些初步结果有待进一步研究证实,以揭示该装置的安全性和有效性。