The Safety and Feasibility of Transradial Cutting Balloon Angioplasty : Immediate results, benefits, and limitations
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概要
- 論文の詳細を見る
Cutting balloon angioplasty can reduce the restenosis rate more than conventional balloon angioplasty, but is traditionally performed through a femoral artery. However, it is not clear how useful a transradial approach would be for cutting balloon angioplasty. This study was conducted to examine the safety, feasibility, and limitations of transradial as opposed to transfemoral cutting balloon angioplasty. From November 1999 to August 2001, 177 patients underwent cutting balloon coronary angioplasty. We compared the success rate, angiographic results, and complication rates of two groups of patients, those undergoing transradial (168 lesions from 153 patients) and those undergoing transfemoral (24 lesions from 24 patients) cutting balloon angioplasty. In both groups of patients who had similar clinical and target lesion characteristics, the percentage of lesions that required balloon predilation (27.4% vs 29.2%), stenting (7.7% vs 4.2%), and adjunct balloon dilation (28.0% vs 33.3%) due to dissection (35.7% vs 33.3%) or suboptimal results were comparable. Both approaches achieved a 100% primary success rate with similar acute gain (2.02±0.68 mm vs 1.94±0.70 mm), residual (luminal) diameter stenosis (19.2±11.7% vs 17.0±12.7%), proportion of lesions that achieved TIMI 3 flow (98.8% vs 100%), and clinical success rate (98.8% vs 95.8%). However, patients undergoing transradial cutting balloon angioplasty had earlier ambulation and a significantly shorter hospital stay than those undergoing a transfemoral approach (2.80±2.67 days vs 4.75±5.44 days, P=0.005). We conclude that the transradial approach is a feasible and safe alternative to the transfemoral approach for cutting balloon angioplasty. In addition, it offers patients early ambulation and a short hospital stay.
- Japanese Heart Journal Associationの論文
著者
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YIP Hon-Kan
Division of Cardiology, Department of Internal Medicine
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YANG Cheng-Hsu
Division of Cardiology, Department of Internal Medicine
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HANG Chi-Ling
Division of Cardiology, Department of Internal Medicine
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CHEN Chien-Jen
Division of Cardiology, Department of Internal Medicine
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CHANG Hsueh-Wen
Department of Biological Sciences, National Sun Yat-Sen University
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Wu Chiung-Jen
Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Kaohsiung Medi
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Yang Cheng-hsu
台湾
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Guo G.
Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital
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Hsieh Kelvin
Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital
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Fang Chi-Yung
Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital
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Hung Wei-Ching
Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital
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Chang Hsueh-wen
Department Of Biological Science National Sun Yat-sen University
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Hang Chi-ling
Division Of Cardiology Chang Gung Memorial Hospital-kaohsiung Medical Center Chang Gung University C
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Wu Chiung-jen
Division Of Cardiology Chang Gung Memorial Hospital-kaohsiung Medical Center Chang Gung University C
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Yang Cheng-hsu
Division Of Cardiology Chang Gung Memorial Hospital-kaohsiung Medical Center Chang Gung University C
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Yip Hon-kan
Division Of Cardiology Chang Gung Memorial Hospital-kaohsiung Medical Center Chang Gung University C
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Hang Chi-Ling
Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital
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Chen Chien-Jen
Division of Cardiology, Chang Gung Memorial Hospital
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Guo G.
Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital
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Hsieh Kelvin
Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital
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Yip Hon-Kan
Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital
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Chen Chien-Jen
Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital
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Wu Chiung-Jen
Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital
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