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

Internal Medicine

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)
Journal	Catheterization and Cardiovascular Interventions
DOIs	https://doi.org/10.1002/ccd.30531
State	Accepted/In press - 2022

Keywords

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

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. (Accepted/In press). An algorithmic approach to balloon undilatable coronary lesions. Catheterization and Cardiovascular Interventions. https://doi.org/10.1002/ccd.30531

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title = "An algorithmic approach to balloon undilatable coronary lesions",

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, complex PCI, cutting, LASR - laser, PCIC - percutaneous coronary intervention",

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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year = "2022",

doi = "10.1002/ccd.30531",

language = "English (US)",

journal = "Catheterization and Cardiovascular Interventions",

issn = "1522-1946",

publisher = "Wiley-Liss Inc.",

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TY - JOUR

T1 - An algorithmic approach to balloon undilatable coronary lesions

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 - 2022

Y1 - 2022

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 - complex PCI

KW - cutting

KW - LASR - laser

KW - PCIC - percutaneous coronary intervention

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U2 - 10.1002/ccd.30531

DO - 10.1002/ccd.30531

M3 - Review article

C2 - 36579411

AN - SCOPUS:85145308637

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

ER -

An algorithmic approach to balloon undilatable coronary lesions

Abstract

Keywords

ASJC Scopus subject areas

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