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Follow-up results of Cutting Balloon angioplasty used to relieve stenoses in small pulmonary arteries

  • Lisa Bergersen (a1), Kathy J. Jenkins (a1), Kimberlee Gauvreau (a1) and James E. Lock (a1)

Abstract

Background: We sought to determine if the acute gains in pulmonary arterial diameter achieved by using Cutting Balloons to dilate stenoses in small arteries are maintained at follow-up. Methods: A search of our database identified all patients who underwent dilation with Cutting Balloons for pulmonary arterial stenosis between June 2001 and September 2003. We reviewed the procedural and angiographic data obtained at the initial and follow-up procedures. Results: Over the period of study, 29 patients with a median age of 3.7 years, and a range from 0.4 to 46.6, underwent treatment with Cutting Balloons at 41 procedures for one or more pulmonary arterial obstructions resistant to conventional angioplasty. At the initial procedure, we enlarged 79 vessels, with an initial minimal luminal diameter of 1.5 plus or minus 0.8 millimetres, to a diameter of 3.0 plus or minus 1.1 millimetres (p smaller than 0.001). Angiographic data indicated that 49% of the vessels showed evidence of vascular damage not requiring intervention, while stents were placed in 9 vessels. Follow-up angiography was available for 39 of the vessels, evaluated at a median of 6 months, with a range from 3 to 24 months, after the initial procedure. In these vessels, there was a mean loss of 10 plus or minus 25% in luminal diameter, p not significant. Of the 39 vessels, 8 had returned to a diameter within half of the initial diameter, giving a failure rate at follow-up of 21%, with 95% confidence intervals from 9% to 36%. All complications were identified within 24 hours of the catheterization procedure, and there were no late complications or deaths during the period of follow-up. Placement of stents produced both greater increases in diameter at the initial procedure (p smaller than 0.001), and greater losses at follow-up (p equal to 0.01). Conclusions: Despite the frequent identification of intravascular trauma, initial gains in luminal diameter after use of Cutting Balloons to dilate stenotic pulmonary arteries are maintained at follow-up.

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Corresponding author

Correspondence to: Lisa Bergersen MD, Department of Cardiology, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA. Tel: +1 617 355 7893; Fax: +1 617 739 3784; E-mail: Lisa.Bergersen@cardio.CHBoston.org

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References

Rocchini A, Kveselis D, MacDonald D, Crowley D, Snider R, Rosenthal A. Use of balloon angioplasty to treat peripheral pulmonary stenosis. Am J Cardiol 1984; 54: 10691073.
Rothman A, Perry S, Keane J, Lock J. Early results and follow-up of balloon angioplasty for branch pulmonary artery stenoses. J Am Coll Cardiol 1990; 15: 11091117.
Hosking M, Thomaidis C, Hamilton R, Burrows P, Freedom R, Benson L. Clinical impact of balloon angioplasty for branch pulmonary arterial stenosis. Am J Cardiol 1992; 69: 14671470.
Zeevi B, Berant M, Blieden L. Midterm clinical impact versus procedural success of balloon angioplasty for pulmonary artery stenosis. Pediatr Cardiol 1997; 18: 101106.
Gentles T, Lock J, Perry S. High pressure balloon angioplasty for branch pulmonary artery stenosis: early experience. J Am Coll Cardiol 1993; 22: 867872.
Kan J, Marvin W, Bass J, Muster A, Murphy J. Balloon angioplasty-branch pulmonary artery stenosis: results of the valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol 1990; 65: 798801.
Bush D, Hoffman T, Del Rosario J, Eiriksson H, Rome J. Frequency of restenosis after balloon pulmonary arterioplasty and its causes. Am J Cardiol 2000; 86: 12051209.
Magee A, Wax D, Saiki Y, Rebekya I, Benson L. Experimental branch pulmonary artery stenosis angioplasty using a novel cutting balloon. Can J Cardiol 1998; 4: 10371041.
Schneider M, Zartner O, Magee A. Images in cardiology: cutting balloon for treatment of severe peripheral pulmonary stenosis in a child. Heart 1999; 82: 108.
Rhodes J, Lane G, Mesia I, et al. Cutting balloon angioplasty for children with small-vessel pulmonary artery stenoses. Cathet Cardiovasc Intervent 2002; 55: 7377.
Bergersen L, Perry S, Lock J. Effect of cutting balloon angioplasty on resistant pulmonary artery stenosis. Am J Cardiol 2003; 91: 185189.
Sugiyama H, Vedtman G, Norgard G, Lee K, Chaturvedi R, Benson L. Bladed balloon angioplasty for peripheral pulmonary artery stenosis. Cathet Cardiovasc Interv 2004; 62: 7177.

Keywords

Follow-up results of Cutting Balloon angioplasty used to relieve stenoses in small pulmonary arteries

  • Lisa Bergersen (a1), Kathy J. Jenkins (a1), Kimberlee Gauvreau (a1) and James E. Lock (a1)

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