An algorithmic approach to balloon undilatable coronary lesions

Athanasios Rempakos; Spyridon Kostantinis; Bahadir Simsek; Judit Karacsonyi; Salman Allana; Mohaned Egred; Hani Jneid; Kambis Mashayekhi; Carlo Di Mario; Oleg Krestyaninov; Dmitrii Khelimski; Anastasios Milkas; Yader Sandoval; M. Nicholas Burke; Emmanouil S. Brilakis

doi:10.1002/ccd.30531

An algorithmic approach to balloon undilatable coronary lesions

Athanasios Rempakos, Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, Salman Allana, Mohaned Egred, Hani Jneid, Kambis Mashayekhi, Carlo Di Mario, Oleg Krestyaninov, Dmitrii Khelimski, Anastasios Milkas, Yader Sandoval, M. Nicholas Burke, Emmanouil S. Brilakis

Research output: Contribution to journal › Review article › peer-review

Abstract

Balloon undilatable lesions are lesions that have been successfully crossed by both a guidewire and a balloon but cannot be expanded despite multiple high-pressure balloon inflations. Balloon undilatable lesions can be de novo or in-stent. We describe a systematic, algorithmic approach to treat both de novo and in-stent balloon undilatable lesions using various techniques, such as high-pressure balloon inflation, plaque modification balloons, intravascular lithotripsy, very high-pressure balloon inflation, coronary atherectomy, laser coronary angioplasty, and extraplaque lesion crossing. Knowledge of the various techniques can increase the efficiency, success and safety of the procedure.

Original language	English (US)
Pages (from-to)	355-362
Number of pages	8
Journal	Catheterization and Cardiovascular Interventions
Volume	101
Issue number	2
DOIs	https://doi.org/10.1002/ccd.30531
State	Published - Feb 1 2023
Externally published	Yes

Keywords

ATHR - atherectomy
BALC - balloon
LASR - laser
PCIC - percutaneous coronary intervention
complex PCI
cutting

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1002/ccd.30531

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Rempakos, A., Kostantinis, S., Simsek, B., Karacsonyi, J., Allana, S., Egred, M., Jneid, H., Mashayekhi, K., Di Mario, C., Krestyaninov, O., Khelimski, D., Milkas, A., Sandoval, Y., Burke, M. N., & Brilakis, E. S. (2023). An algorithmic approach to balloon undilatable coronary lesions. Catheterization and Cardiovascular Interventions, 101(2), 355-362. https://doi.org/10.1002/ccd.30531

Rempakos, A, Kostantinis, S, Simsek, B, Karacsonyi, J, Allana, S, Egred, M, Jneid, H, Mashayekhi, K, Di Mario, C, Krestyaninov, O, Khelimski, D, Milkas, A, Sandoval, Y, Burke, MN & Brilakis, ES 2023, 'An algorithmic approach to balloon undilatable coronary lesions', Catheterization and Cardiovascular Interventions, vol. 101, no. 2, pp. 355-362. https://doi.org/10.1002/ccd.30531

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abstract = "Balloon undilatable lesions are lesions that have been successfully crossed by both a guidewire and a balloon but cannot be expanded despite multiple high-pressure balloon inflations. Balloon undilatable lesions can be de novo or in-stent. We describe a systematic, algorithmic approach to treat both de novo and in-stent balloon undilatable lesions using various techniques, such as high-pressure balloon inflation, plaque modification balloons, intravascular lithotripsy, very high-pressure balloon inflation, coronary atherectomy, laser coronary angioplasty, and extraplaque lesion crossing. Knowledge of the various techniques can increase the efficiency, success and safety of the procedure.",

keywords = "ATHR - atherectomy, BALC - balloon, LASR - laser, PCIC - percutaneous coronary intervention, complex PCI, cutting",

author = "Athanasios Rempakos and Spyridon Kostantinis and Bahadir Simsek and Judit Karacsonyi and Salman Allana and Mohaned Egred and Hani Jneid and Kambis Mashayekhi and {Di Mario}, Carlo and Oleg Krestyaninov and Dmitrii Khelimski and Anastasios Milkas and Yader Sandoval and Burke, {M. Nicholas} and Brilakis, {Emmanouil S.}",

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AU - Rempakos, Athanasios

AU - Kostantinis, Spyridon

AU - Simsek, Bahadir

AU - Karacsonyi, Judit

AU - Allana, Salman

AU - Egred, Mohaned

AU - Jneid, Hani

AU - Mashayekhi, Kambis

AU - Di Mario, Carlo

AU - Krestyaninov, Oleg

AU - Khelimski, Dmitrii

AU - Milkas, Anastasios

AU - Sandoval, Yader

AU - Burke, M. Nicholas

AU - Brilakis, Emmanouil S.

PY - 2023/2/1

Y1 - 2023/2/1

N2 - Balloon undilatable lesions are lesions that have been successfully crossed by both a guidewire and a balloon but cannot be expanded despite multiple high-pressure balloon inflations. Balloon undilatable lesions can be de novo or in-stent. We describe a systematic, algorithmic approach to treat both de novo and in-stent balloon undilatable lesions using various techniques, such as high-pressure balloon inflation, plaque modification balloons, intravascular lithotripsy, very high-pressure balloon inflation, coronary atherectomy, laser coronary angioplasty, and extraplaque lesion crossing. Knowledge of the various techniques can increase the efficiency, success and safety of the procedure.

AB - Balloon undilatable lesions are lesions that have been successfully crossed by both a guidewire and a balloon but cannot be expanded despite multiple high-pressure balloon inflations. Balloon undilatable lesions can be de novo or in-stent. We describe a systematic, algorithmic approach to treat both de novo and in-stent balloon undilatable lesions using various techniques, such as high-pressure balloon inflation, plaque modification balloons, intravascular lithotripsy, very high-pressure balloon inflation, coronary atherectomy, laser coronary angioplasty, and extraplaque lesion crossing. Knowledge of the various techniques can increase the efficiency, success and safety of the procedure.

KW - ATHR - atherectomy

KW - BALC - balloon

KW - LASR - laser

KW - PCIC - percutaneous coronary intervention

KW - complex PCI

KW - cutting

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An algorithmic approach to balloon undilatable coronary lesions

Abstract

Keywords

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