Evaluation of a New Balloon Catheter for Difficult Calcified Lesions in Infrainguinal Arterial Disease: Outcome of a Multicenter Registry

• DOI: 10.1007/s00270-008-9398-1
• Publication Date: 2008-07-25T15:05:24Z
• Authors: G. J. Spaargaren; M. J. Lee; J. A. Reekers; H. van Overhagen; L. J. Schultze Kool; Y. L. Hoogeveen
• Keywords: Peripheral Vascular Diseases; Angiography; 610; Calcinosis; Arterial Occlusive Diseases; Catheterization; 3. Good health; Femoral Artery; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Radiology Nuclear Medicine and imaging; Technical Note; Humans; Popliteal Artery; Stents; Prospective Studies; Registries; NCEBP 14: Cardiovascular diseases; Cardiology and Cardiovascular Medicine

The purpose of this study was to assess the technical performance and immediate procedure outcome a new balloon catheter in treatment calcified lesions infrainguinal arterial disease. Seventy-five patients with disease were prospectively entered into registry. (ReeKross Clearstream, Ireland) is 5- 6-Fr rigid shaft intended for enhanced pushability. Only procedural recorded. Treated (range: 5-30 cm), assessed angiographically, located superficial femoral, popliteal, crural arteries. In 67 lesion an occlusion. Guidewire passage occurred subintimally 68 patients. 24 standard chosen as first catheter: 5 failed cross lesion, 8 balloons ruptured, 11 there inadequate dilatation result. only one five did subsequent use ReeKross also fail crossing. successful secondary other 23 cases. 50 used primary catheter. total crossed 74 After 73 (1 true-lumen reentry), 19 had >30% residual lesions, which not treated successfully stented. No ruptured. We conclude that difficult stenotic or occlusive disease, choice high-pushability angioplasty catheter, more calcification-resistant characteristics, like ReeKross, warrants consideration.