Balloon angioplasty for branch pulmonary artery stenosis-Cutting balloons

• Published in: Catheterization and cardiovascular interventions Vol. 69; no. 3; pp. 459 - 467
• Main Author: De Giovanni, Joseph V.
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 15.02.2007
• Subjects: Angiography; Angioplasty, Balloon - adverse effects; Angioplasty, Balloon - instrumentation; Angioplasty, Balloon - methods; bladed balloon angioplasty; catheter intervention; Contraindications; Equipment Design; Humans; microsurgical devices; Pulmonary Valve Stenosis - pathology; Pulmonary Valve Stenosis - therapy; Treatment Outcome
• ISSN: 1522-1946; 1522-726X
• DOI: 10.1002/ccd.21037

Pulmonary artery stenosis can cause right ventricular strain but intrapulmonary lesions are inaccessible to surgery; moreover, some are also resistant to high pressure balloon angioplasty. An alternative is the use of microsurgical devices mounted on balloons for transvenous delivery, including cutting balloons. The current literature is sparse but seems to indicate a role for cutting balloons in specific situations. The higher cost of these devices does not merit routine use instead of high pressure balloons but a randomised controlled study is underway to address this issue. Until the results of this become available, the role of cutting balloons for pulmonary artery stenosis remains limited to specific situations. The recommendations for the safe use of these devices must be adhered to by all operators. © 2007 Wiley‐Liss, Inc.