Takase Yukinori, Tanaka Tatsuya, Anai Satoshi, Kyaw May Pyae, Michiwaki Yuhei, Itokawa Hiroshi, Yamane Fumitaka, Abe Tatsuya, Matsuno Akira
Department of Neurosurgery, Kouhoukai Takagi Hospital, Fukuoka, Japan.
Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Narita City, Chiba, Japan.
Surg Neurol Int. 2024 Mar 15;15:91. doi: 10.25259/SNI_923_2023. eCollection 2024.
Treatment of calcified lesions with conventional angioplasty balloons can be difficult due to insufficient lumen expansion, high dissection rates, and repeated revascularization. We report a case in which a scoring balloon was used in lesions resistant to angioplasty with a semi-compliant balloon.
A 72-year-old man presented with severe stenosis and a highly calcified lesion in the right cervical internal carotid artery. Right carotid artery stenting (CAS) was planned to prevent future ischemic stroke events. Conventional semi-compliant balloon angioplasty was unsuccessful. Three inflations of a non-slip element (NSE) percutaneous transluminal angioplasty (PTA) scoring balloon (Nipro, Osaka, Japan) successfully achieved CAS without complications.
This is the first report to describe the use of this scoring balloon in carotid artery disease. NSE PTA scoring balloon catheters can be a useful option for refractory, highly calcified stenosis.
由于管腔扩张不足、夹层发生率高以及反复血管再通,使用传统血管成形术球囊治疗钙化病变可能会很困难。我们报告了一例在使用半顺应性球囊进行血管成形术时对病变无效,转而使用刻痕球囊的病例。
一名72岁男性,右侧颈内动脉出现严重狭窄及高度钙化病变。计划进行右侧颈动脉支架置入术(CAS)以预防未来的缺血性中风事件。传统的半顺应性球囊血管成形术未成功。使用非防滑元件(NSE)经皮腔内血管成形术(PTA)刻痕球囊(日本大阪日普乐株式会社)进行三次扩张后,成功完成了CAS,且未出现并发症。
这是首篇描述在颈动脉疾病中使用这种刻痕球囊的报告。NSE PTA刻痕球囊导管对于难治性、高度钙化狭窄可能是一种有用的选择。