Cutting balloon explained
A cutting balloon is an angioplasty device invented by Barath et al. used in percutaneous coronary interventions. It has a special balloon tip with small blades, that are activated when the balloon is inflated. This procedure is different from Rotoblation (Percutaneous Transluminal Rotational Atherectomy or PCRA) whereby a diamond tipped device spins at high revolutions to cut away calcific (chalky) atheroma usually prior to coronary stenting. Boston Scientific's Flextome is the most widely used cutting balloon.
Cutting balloons have also been used in the treatment of refractory or recurrent laryngotracheal stenosis, particularly in cases where a dense ring of circumferential fibrosis has formed in the trachea or either bronchus'.
References
- Barath P, Fishbein MC, Vari S, Forrester JS . cutting balloon: A novel approach to percutaneous angioplasty . Am J Cardiol . 1991. 11 . 1249–1251 . 1842213 . 10.1016/0002-9149(91)90207-2 . 68.
- Lee M, Singh V, Nero T, Wilentz J . Cutting balloon angioplasty. . J Invasive Cardiol . 14 . 9 . 552–6 . 2002 . 12205358. Full text
- Cejna M . Cutting balloon: review on principles and background of use in peripheral arteries. . Cardiovasc Intervent Radiol . 28 . 4 . 400–8 . 2005. 16034656 . 10.1007/s00270-004-0115-4. 23443021 .
- Kim JH, Shin JH, Song HY, Ko GY, Gwon, DI, Yoon HK, Sung, KB . Cutting balloon treatment for resistant benign bronchial strictures: report of eleven patients . J Vasc Interv Radiol . 21 . 5 . 748–52 . 2010 . 20346700 . 10.1016/j.jvir.2010.01.023. free .
- Nouraei SA, Mills H, Butler CR, Ghufoor K, Sandhu GS, George PJ . Outcome of treating airway compromise due to bronchial stenosis with intralesional corticosteroids and cutting-balloon bronchoplasty . Otolaryngol Head Neck Surg . 145 . 4 . 623–7 . 2011 . 21746843 . 10.1177/0194599811413683. 30176223 .
- Cho YC, Kim JH, Park JH, Shin JH, Ko HK, Song HY, Choi CM, Shim TS . Tuberculous Tracheobronchial Strictures Treated with Balloon Dilation: A Single-Center Experience in 113 Patients during a 17-year Period . Radiology . 277 . 1 . 286–93 . 2015 . 25955577 . 10.1148/radiol.2015141534.
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