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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Elsevier
2021
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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) |
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DOAJ |
language |
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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 |
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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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