Original article

Combination of Rotarex debulking with drug coated balloon in treatment of superficial femoral artery in-stent restenosis

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  • Department of Interventional Management, the first Affiliated Hospital of Dalian Medical University, Liaoning Dalian 116011, China

Received date: 2019-06-26

  Online published: 2019-08-25

Abstract

Objective To evaluate the efficacy of Rotarex debulking combined with drug coated balloon (DCB) in the treatment of superficial femoral artery in-stent restenosis(ISR). Methods Nineteen patients with superficial femoral artery ISR treated with Rotarex combined with DCB were analyzed retrospectively in our hospital from June 2016 to June 2018. Postoperative follow-up was carried out for 3, 6 and 12 months with Doppler ultrasound examination. Results All 19 patients were treated successfully by Rotarex debulking with DCB and were followed up (13.5+6.1) months. Ultrasonography showed that patency was 100% in the first 6 months and 84.2% (16/19) in the first 12 months. No revascularization was found 89.5% (17/19) in 12 months. Mortality and amputation did not occur during the follow-up period. Conclusions Combination Rotarex debulking with DCB could be safe and effective in the treatment of superficial femoral artery ISR.

Cite this article

LIU Zhen, ZHANG Guodong, ZHANG Tao, LI Cheng, JI Donghua . Combination of Rotarex debulking with drug coated balloon in treatment of superficial femoral artery in-stent restenosis[J]. Journal of Surgery Concepts & Practice, 2019 , 24(04) : 311 -314 . DOI: 10.16139/j.1007-9610.2019.04.008

References

[1] Tosaka A, Soga Y, Iida O, et al.Classification and clinical impact of restenosis after femoropopliteal stenting[J]. J Am Coll Cadiol,2012,59(1):16-23.
[2] Krishnan P, Tarricone A, K-Raman P, et al.Intravascular ultrasound guided directional atherectomy versus directional atherectomy guided by angiography for the treatment of femoropopliteal in-stent restenosis[J]. Ther Adv Cardiovasc Dis,2018,12(1):17-22.
[3] Srimurugan B, Sigler M, Sankar NM, et al.In-stent restenosis: surgical and histopathological perspective[J]. Asian Cardiovasc Thorac Ann,2018,26(2):114-119.
[4] Manzi M, Cester G, Palena LM, et al.Paclitaxel-coated balloon angioplasty for lower extremity revascularization: A new way to fight in-stent restenosis[J]. J Cardiovasc Surg (Torino),2010,51(4):567-571.
[5] 符伟国, 岳嘉宁. 股腘动脉段病变支架内再狭窄的腔内治疗策略分析[J]. 中华外科杂志,2016,54(8):586-590.
[6] Schillinger M, Sabeti S, Dick P, et al.Sustained benefit at 2 years of primary femoropopliteal stenting compared with balloon angioplasty with optional stenting[J]. Circulation,2007,115(21):2745-2749.
[7] Laird JR, Katzen BT, Scheinert D, et al.Nitinol stent implantation vs. balloon angioplasty for lesions in the superficial femoral and proximal popliteal arteries of patients with claudication: three-year follow-up from the RESILIENT randomized trial[J]. J Endovasc Ther,2012,19(1):1-9.
[8] 王恒振, 魏争, 刘冰. 股动脉支架内再狭窄的腔内治疗进展[J]. 中国血管外科杂志(电子版),2016,8(1):93-96.
[9] 庄金满, 李选. 下肢动脉硬化闭塞症的治疗进展[J]. 中国微创外科杂志,2014,14(9):839-843.
[10] Block PC, Fallon JT, Elmer D, et al.Experimental angioplasty: lessons from the laboratory[J]. Am J Roentgenol,1980,135(5):907-912.
[11] Kinney TB, Chin AK, Rurik GW, et al.Transluminal angioplasty: a mechanical-pathophysiological correlation of its physical mechanisms[J]. Radiology,1984,153(1):85-89.
[12] Dick P, Sabeti S, Mlekusch W, et al.Conventional balloon angioplasty versus peripheral cutting balloon angioplasty for treatment of femoropopliteal artery in-stent restenosis: initial experience[J]. Radiology,2008,248(1):297-302.
[13] Al Shammeri O, Bitar F, Ghitelman J, et al.Viabahn for femoropopliteal in-stent restenosis[J]. Ann Saudi Med,2012,32(6):572-582.
[14] Leopardi M, Houbballah R, Becquemin JP.Effectiveness of Zilver PTX eluting stent in TASC C/D lesions and restenosis[J]. J Cardiovasc Surg (Torino),2014,55(2):229-234.
[15] Murata N, Takahara M, Soga Y, et al.Drug-eluting stent vs percutaneous transluminal angioplasty for treatment of femoropopliteal in-stent restenosis: results from a retrospective 1-year multicenter study[J]. J Endovasc Ther,2016,23(4):642-647.
[16] Schmidt A, Zeller T, Sievert H, et al.Photoablation using the turbo-booster and excimer laser for in-stent restenosis treatment: twelve-month results from the PATENT study[J]. J Endovasc Ther,2014,21(1):52-60.
[17] Shammas NW, Shammas GA, Jerin M, et al.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]. J Endovasc Ther,2013,20(6):844-852.
[18] Laird JR Jr, Yeo KK, Rocha-Singh K, et al.Excimer laser with adjunctive balloon angioplasty and heparin-coated self-expanding stent grafts for the treatment of femoropopliteal artery in-stent restenosis: twelve-month results from the SALVAGE study[J]. Catheter Cardiovasc Interv,2012,80(5):852-859.
[19] Shammas NW, Shammas GA, Arikat L, et al.Five-year freedom from target-lesion revascularization using excimer laser ablation therapy in the treatment of in-stent restenosis of femoropopliteal arteries[J]. J Invasive Car-diol,2017,29(6):207-208.
[20] Krankenberg H, Tübler T, Ingwersen M, et al.Drug-coa-ted balloon versus standard balloon for superficial femoral artery in-stent restenosis: the randomized femoral artery in-stent restenosis(FAIR) trial[J]. Circulation,2015, 132(23):2230-2236.
[21] Liistro F, Angioli P, Porto I, et al.Paclitaxel-eluting balloon vs. standard angioplasty to reduce recurrent restenosis in diabetic patients with in-stent restenosis of the superficial femoral and proximal popliteal arteries: the DEBATE-ISR study[J]. J Endovasc Ther,2014,21(1):1-8.
[22] Heller S, Lubanda J, Varejka P, et al.Percutaneous mechanical thrombectomy using Rotarex® S device in acute limb ischemia in infrainguinal occlusions[J]. Biomed Res Int,2017,2017:2362769.
[23] Stanek F, Ouhrabkova R, Prochazka D, et al.Mechanical thrombectomy using the Rotarex catheter in the treatment of acute and subacute occlusions of peripheral arteries: immedite results, long-term follow-up[J]. Int Angiol,2013, 32(1):52-60.
[24] Duc SR, Schoch E, Pfyffer M, et al.Recanalization of acute and subacute femoropopliteal artery occlusions with the rotarex catheter: one year follow-up, single center experience[J]. Cardiovasc Intervent Radiol,2005,28(5):603-610.
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