Temporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects

Downstream paclitaxel particle embolization for nonhealing ischemic ulcers and systemic adverse effects caused by a paclitaxel drug-coated balloon are of concern, and safety measures to prevent these adverse risks are needed. To reduce distal particle embolization and movement of the paclitaxel part...

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Autores principales: Masayoshi Kimura, MD, Jun Shiraishi, MD, PhD, Masayuki Hyogo, MD, Takahisa Sawada, MD, PhD
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/e657be46651a449c890a97ee75d696c3
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spelling oai:doaj.org-article:e657be46651a449c890a97ee75d696c32021-11-10T04:31:15ZTemporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects2468-428710.1016/j.jvscit.2021.10.001https://doaj.org/article/e657be46651a449c890a97ee75d696c32021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2468428721001702https://doaj.org/toc/2468-4287Downstream paclitaxel particle embolization for nonhealing ischemic ulcers and systemic adverse effects caused by a paclitaxel drug-coated balloon are of concern, and safety measures to prevent these adverse risks are needed. To reduce distal particle embolization and movement of the paclitaxel particles to systemic blood flow during drug-coated balloon inflation, proximal balloon occlusion using a sheathless temporary occlusion balloon-guiding catheter and extraction by manual aspiration of the paclitaxel-containing blood through the catheter are good treatment options to overcome these risks. Here, we introduce this method with tips and tricks, and demonstrate initial experience of this technique.Masayoshi Kimura, MDJun Shiraishi, MD, PhDMasayuki Hyogo, MDTakahisa Sawada, MD, PhDElsevierarticlePeripheral artery diseaseCritical limb ischemiaSuperficial femoral arteryDrug-coated balloonDownstream embolizationSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 4, Pp 763-767 (2021)
institution DOAJ
collection DOAJ
language EN
topic Peripheral artery disease
Critical limb ischemia
Superficial femoral artery
Drug-coated balloon
Downstream embolization
Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Peripheral artery disease
Critical limb ischemia
Superficial femoral artery
Drug-coated balloon
Downstream embolization
Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
Masayoshi Kimura, MD
Jun Shiraishi, MD, PhD
Masayuki Hyogo, MD
Takahisa Sawada, MD, PhD
Temporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects
description Downstream paclitaxel particle embolization for nonhealing ischemic ulcers and systemic adverse effects caused by a paclitaxel drug-coated balloon are of concern, and safety measures to prevent these adverse risks are needed. To reduce distal particle embolization and movement of the paclitaxel particles to systemic blood flow during drug-coated balloon inflation, proximal balloon occlusion using a sheathless temporary occlusion balloon-guiding catheter and extraction by manual aspiration of the paclitaxel-containing blood through the catheter are good treatment options to overcome these risks. Here, we introduce this method with tips and tricks, and demonstrate initial experience of this technique.
format article
author Masayoshi Kimura, MD
Jun Shiraishi, MD, PhD
Masayuki Hyogo, MD
Takahisa Sawada, MD, PhD
author_facet Masayoshi Kimura, MD
Jun Shiraishi, MD, PhD
Masayuki Hyogo, MD
Takahisa Sawada, MD, PhD
author_sort Masayoshi Kimura, MD
title Temporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects
title_short Temporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects
title_full Temporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects
title_fullStr Temporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects
title_full_unstemmed Temporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects
title_sort temporal reverse flow by proximal femoral artery occlusion during drug-coated balloon dilatation: a technique to minimize downstream particle embolization and systemic adverse effects
publisher Elsevier
publishDate 2021
url https://doaj.org/article/e657be46651a449c890a97ee75d696c3
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