Cryoplasty for Arterial Restenosis
Objective A prospective follow-up study of patients with arterial restenosis undergoing cryoplasty. Materials & methods Between May 2004 and June 2005, 10 patients with restenosis following ilio-femoral endovascular treatment underwent twelve cryoplasty procedures. All patients had had at least...
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| Veröffentlicht in: | European journal of vascular and endovascular surgery 2007-01, Vol.33 (1), p.40-43 |
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| container_title | European journal of vascular and endovascular surgery |
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| creator | Karthik, S Tuite, D.J Nicholson, A.A Patel, J.V Shaw, D.R McPherson, S.J Kessel, D.O |
| description | Objective A prospective follow-up study of patients with arterial restenosis undergoing cryoplasty. Materials & methods Between May 2004 and June 2005, 10 patients with restenosis following ilio-femoral endovascular treatment underwent twelve cryoplasty procedures. All patients had had at least one previous episode of stenosis treated by conventional endovascular methods and had suffered further restenosis. The indications for treatment were grafts at risk (n = 5) and symptomatic in-stent restenosis (n = 5). Two patients underwent re-cryoplasty. Cryoplasty was performed in accordance with manufacturer's instructions using 6-8mm balloons. All patients had Doppler ultrasound evaluation at 1, 3, 6 and 12 months. Results All procedures had angiographically successful immediate outcome with |
| doi_str_mv | 10.1016/j.ejvs.2006.07.010 |
| format | Article |
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Materials & methods Between May 2004 and June 2005, 10 patients with restenosis following ilio-femoral endovascular treatment underwent twelve cryoplasty procedures. All patients had had at least one previous episode of stenosis treated by conventional endovascular methods and had suffered further restenosis. The indications for treatment were grafts at risk (n = 5) and symptomatic in-stent restenosis (n = 5). Two patients underwent re-cryoplasty. Cryoplasty was performed in accordance with manufacturer's instructions using 6-8mm balloons. All patients had Doppler ultrasound evaluation at 1, 3, 6 and 12 months. Results All procedures had angiographically successful immediate outcome with <30% residual stenosis. Non flow limiting dissection was evident in two cases. In six procedures (50%), restenosis was evident within 6 months post-procedure, whilst in the other six, there was progressive restenosis appearing between 6–12 months. Five cryoplasty procedures have needed endovascular re-intervention due to symptomatic high-grade restenosis and a sixth is awaiting surgery. Conclusion Cryoplasty is of no value in patients with restenosis in the iliofemoral segment with half the procedures failing within six months and all of them within the first year. Evidence to support the use of cryoplasty in the peripheral arterial restenotic lesions is lacking.</description><identifier>ISSN: 1078-5884</identifier><identifier>EISSN: 1532-2165</identifier><identifier>DOI: 10.1016/j.ejvs.2006.07.010</identifier><identifier>PMID: 16931070</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Aged ; Angioplasty - adverse effects ; Angioplasty, Balloon - methods ; Blood Flow Velocity ; Cryoplasty ; Cryotherapy - methods ; Female ; Femoral Artery - surgery ; Follow-Up Studies ; Graft Occlusion, Vascular - diagnostic imaging ; Graft Occlusion, Vascular - physiopathology ; Graft Occlusion, Vascular - therapy ; Humans ; Iliac Artery - surgery ; Leg - blood supply ; Male ; Middle Aged ; Patient Selection ; Peripheral Vascular Diseases - diagnostic imaging ; Peripheral Vascular Diseases - physiopathology ; Peripheral Vascular Diseases - surgery ; Prospective Studies ; Reoperation ; Restenosis ; Retrospective Studies ; Surgery ; Time Factors ; Treatment Outcome ; Ultrasonography, Doppler ; Vascular Patency</subject><ispartof>European journal of vascular and endovascular surgery, 2007-01, Vol.33 (1), p.40-43</ispartof><rights>Elsevier Ltd</rights><rights>2006 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-e264eefc262f234b92f8270060d33a72b40687ce06e16ea64288f338ea289b523</citedby><cites>FETCH-LOGICAL-c453t-e264eefc262f234b92f8270060d33a72b40687ce06e16ea64288f338ea289b523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejvs.2006.07.010$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16931070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karthik, S</creatorcontrib><creatorcontrib>Tuite, D.J</creatorcontrib><creatorcontrib>Nicholson, A.A</creatorcontrib><creatorcontrib>Patel, J.V</creatorcontrib><creatorcontrib>Shaw, D.R</creatorcontrib><creatorcontrib>McPherson, S.J</creatorcontrib><creatorcontrib>Kessel, D.O</creatorcontrib><title>Cryoplasty for Arterial Restenosis</title><title>European journal of vascular and endovascular surgery</title><addtitle>Eur J Vasc Endovasc Surg</addtitle><description>Objective A prospective follow-up study of patients with arterial restenosis undergoing cryoplasty. Materials & methods Between May 2004 and June 2005, 10 patients with restenosis following ilio-femoral endovascular treatment underwent twelve cryoplasty procedures. All patients had had at least one previous episode of stenosis treated by conventional endovascular methods and had suffered further restenosis. The indications for treatment were grafts at risk (n = 5) and symptomatic in-stent restenosis (n = 5). Two patients underwent re-cryoplasty. Cryoplasty was performed in accordance with manufacturer's instructions using 6-8mm balloons. All patients had Doppler ultrasound evaluation at 1, 3, 6 and 12 months. Results All procedures had angiographically successful immediate outcome with <30% residual stenosis. Non flow limiting dissection was evident in two cases. In six procedures (50%), restenosis was evident within 6 months post-procedure, whilst in the other six, there was progressive restenosis appearing between 6–12 months. Five cryoplasty procedures have needed endovascular re-intervention due to symptomatic high-grade restenosis and a sixth is awaiting surgery. Conclusion Cryoplasty is of no value in patients with restenosis in the iliofemoral segment with half the procedures failing within six months and all of them within the first year. Evidence to support the use of cryoplasty in the peripheral arterial restenotic lesions is lacking.</description><subject>Aged</subject><subject>Angioplasty - adverse effects</subject><subject>Angioplasty, Balloon - methods</subject><subject>Blood Flow Velocity</subject><subject>Cryoplasty</subject><subject>Cryotherapy - methods</subject><subject>Female</subject><subject>Femoral Artery - surgery</subject><subject>Follow-Up Studies</subject><subject>Graft Occlusion, Vascular - diagnostic imaging</subject><subject>Graft Occlusion, Vascular - physiopathology</subject><subject>Graft Occlusion, Vascular - therapy</subject><subject>Humans</subject><subject>Iliac Artery - surgery</subject><subject>Leg - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Selection</subject><subject>Peripheral Vascular Diseases - diagnostic imaging</subject><subject>Peripheral Vascular Diseases - physiopathology</subject><subject>Peripheral Vascular Diseases - surgery</subject><subject>Prospective Studies</subject><subject>Reoperation</subject><subject>Restenosis</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler</subject><subject>Vascular Patency</subject><issn>1078-5884</issn><issn>1532-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd1LwzAUxYMobk7_AR9k-OBb603SpimIMIZfMBD8eA5pdgupXTuTdtD_3pQNBB98uoF7zknyO4RcUogpUHFbxVjtfMwARAxZDBSOyJSmnEWMivQ4nCGTUSplMiFn3lcAkFKenpIJFTkPS5iS66Ub2m2tfTfMy9bNF65DZ3U9f0PfYdN668_JSalrjxeHOSOfjw8fy-do9fr0slysIpOkvIuQiQSxNEywkvGkyFkpWRbeBmvOdcaKBITMDIJAKlCLhElZci5RM5kXKeMzcrPP3br2uw_Xq431ButaN9j2XgnJM5bLJAjZXmhc673DUm2d3Wg3KApqJKMqNZJRIxkFmQpkgunqkN4XG1z_Wg4oguBuL8Dwx51Fp7yx2BhcW4emU-vW_p9__8duattYo-svHNBXbe-aQE9R5ZkC9T52M1YT-ADPecp_ACD7h3Y</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>Karthik, S</creator><creator>Tuite, D.J</creator><creator>Nicholson, A.A</creator><creator>Patel, J.V</creator><creator>Shaw, D.R</creator><creator>McPherson, S.J</creator><creator>Kessel, D.O</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070101</creationdate><title>Cryoplasty for Arterial Restenosis</title><author>Karthik, S ; Tuite, D.J ; Nicholson, A.A ; Patel, J.V ; Shaw, D.R ; McPherson, S.J ; Kessel, D.O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-e264eefc262f234b92f8270060d33a72b40687ce06e16ea64288f338ea289b523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Angioplasty - adverse effects</topic><topic>Angioplasty, Balloon - methods</topic><topic>Blood Flow Velocity</topic><topic>Cryoplasty</topic><topic>Cryotherapy - methods</topic><topic>Female</topic><topic>Femoral Artery - surgery</topic><topic>Follow-Up Studies</topic><topic>Graft Occlusion, Vascular - diagnostic imaging</topic><topic>Graft Occlusion, Vascular - physiopathology</topic><topic>Graft Occlusion, Vascular - therapy</topic><topic>Humans</topic><topic>Iliac Artery - surgery</topic><topic>Leg - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Selection</topic><topic>Peripheral Vascular Diseases - diagnostic imaging</topic><topic>Peripheral Vascular Diseases - physiopathology</topic><topic>Peripheral Vascular Diseases - surgery</topic><topic>Prospective Studies</topic><topic>Reoperation</topic><topic>Restenosis</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karthik, S</creatorcontrib><creatorcontrib>Tuite, D.J</creatorcontrib><creatorcontrib>Nicholson, A.A</creatorcontrib><creatorcontrib>Patel, J.V</creatorcontrib><creatorcontrib>Shaw, D.R</creatorcontrib><creatorcontrib>McPherson, S.J</creatorcontrib><creatorcontrib>Kessel, D.O</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karthik, S</au><au>Tuite, D.J</au><au>Nicholson, A.A</au><au>Patel, J.V</au><au>Shaw, D.R</au><au>McPherson, S.J</au><au>Kessel, D.O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cryoplasty for Arterial Restenosis</atitle><jtitle>European journal of vascular and endovascular surgery</jtitle><addtitle>Eur J Vasc Endovasc Surg</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>33</volume><issue>1</issue><spage>40</spage><epage>43</epage><pages>40-43</pages><issn>1078-5884</issn><eissn>1532-2165</eissn><abstract>Objective A prospective follow-up study of patients with arterial restenosis undergoing cryoplasty. Materials & methods Between May 2004 and June 2005, 10 patients with restenosis following ilio-femoral endovascular treatment underwent twelve cryoplasty procedures. All patients had had at least one previous episode of stenosis treated by conventional endovascular methods and had suffered further restenosis. The indications for treatment were grafts at risk (n = 5) and symptomatic in-stent restenosis (n = 5). Two patients underwent re-cryoplasty. Cryoplasty was performed in accordance with manufacturer's instructions using 6-8mm balloons. All patients had Doppler ultrasound evaluation at 1, 3, 6 and 12 months. Results All procedures had angiographically successful immediate outcome with <30% residual stenosis. Non flow limiting dissection was evident in two cases. In six procedures (50%), restenosis was evident within 6 months post-procedure, whilst in the other six, there was progressive restenosis appearing between 6–12 months. Five cryoplasty procedures have needed endovascular re-intervention due to symptomatic high-grade restenosis and a sixth is awaiting surgery. Conclusion Cryoplasty is of no value in patients with restenosis in the iliofemoral segment with half the procedures failing within six months and all of them within the first year. Evidence to support the use of cryoplasty in the peripheral arterial restenotic lesions is lacking.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>16931070</pmid><doi>10.1016/j.ejvs.2006.07.010</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Angioplasty - adverse effects Angioplasty, Balloon - methods Blood Flow Velocity Cryoplasty Cryotherapy - methods Female Femoral Artery - surgery Follow-Up Studies Graft Occlusion, Vascular - diagnostic imaging Graft Occlusion, Vascular - physiopathology Graft Occlusion, Vascular - therapy Humans Iliac Artery - surgery Leg - blood supply Male Middle Aged Patient Selection Peripheral Vascular Diseases - diagnostic imaging Peripheral Vascular Diseases - physiopathology Peripheral Vascular Diseases - surgery Prospective Studies Reoperation Restenosis Retrospective Studies Surgery Time Factors Treatment Outcome Ultrasonography, Doppler Vascular Patency |
| title | Cryoplasty for Arterial Restenosis |
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