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281267

Outcome of Using Angiosculpt in Bifurcation and Osteal Lesions, Efficacy, Safety

Article

Last updated: 03 Jan 2025

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Abstract

Background: Balloon Catheter for AngioSculpt Scoring being considered using a scoring balloon close to the distal tip, cut the percutaneous transluminal coronary angioplasty (PTCA) catheter. The balloon is designed to expand to a specific diameter and length at a particular pressure. At the distal end of the catheter, there is a conventional nylon-blend balloon and a nitinol scoring element with three spiral struts that wrap around the balloon. Objective: To evaluate the outcome of using Angiosculpt in bifurcation and osteal lesions beside its efficacy and safety. Patients and Methods: This prospective, observational, non-controlled study included 20 with ischemic heart disease (IHD) patients, ischemic with osteal lesions and bifurcational lesion admitted at Wadi Elnil Hospital from January 2019 to May 2020. All patients were subjected to demographic data analysis, clinical examination, ECG. Echocardiography was done for each patient, on admission. Quantitative coronary angiography and PTCA using AngioSculpt then Percutaneous coronary intervention (PCI) with drug-eluting stent (DES) were performed. All patients received proper medications with follow up for morbidity and mortality for 3 months. Results: Mean age was 55± 23 years and 65% were men. The type of lesion was osteal in 25% of lesions and true bifurcation lesion in 75%. Additional stenting was performed in all lesions after angioplasty with the AngioSculpt balloon. The immediate complication was recorded as perforation in one patient (5%). Coronary complication was localized dissection, which was identified in one patient (5%). Survival was 100% at 6 months. Major adverse cardiac events (MACE) occurred in 10%of patients. Target lesion revascularization (TLR) was not needed at the study group. Conclusion: Using the AngioSculpt scoring PTCA balloon for osteal lesions and bifurcation lesion is considered to be safe and effective and leads to satisfactory clinical and angiographic outcome.    

DOI

10.21608/ejhm.2023.281267

Keywords

Osteal, Bifurcational, AngioSculpt scoring balloon, PCI

Authors

First Name

Wael

Last Name

Makled

MiddleName

Ahmed

Affiliation

Department of Cardiology, Benha Teaching hospital, Benha, Egypt

Email

wael_makled82@yahoo.com

City

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Orcid

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First Name

Ehab Kamal Mustafa

Last Name

El Melegy

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Haithem Abd Elrazek

Last Name

Elkady

MiddleName

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Affiliation

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Volume

90

Article Issue

1

Related Issue

38787

Issue Date

2023-01-01

Receive Date

2023-01-21

Publish Date

2023-01-01

Page Start

1,253

Page End

1,259

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_281267.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=281267

Order

187

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Outcome of Using Angiosculpt in Bifurcation and Osteal Lesions, Efficacy, Safety

Details

Type

Article

Created At

22 Jan 2023