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Cutting balloon angioplasty for the treatment of in-stent restenosis: a matched comparison with rotational atherectomy, additional stent implantation and balloon angioplasty

Milena Adamian, MD, PhD, Antonio Colombo, MD, FACC^*, Carlo Briguori, MD, PhD^*, Takahiro Nishida, MD^*, Federica Marsico, MD^*, Carlo Di Mario, MD, PhD, FACC^*, Remo Albiero, MD^*, Issam Moussa, MD and Jeffrey W. Moses, MD, FACC

^* EMO Centro Cuore Columbus, Milan, Italy
Lenox Hill Heart and Vascular Institute, New York, New York, USA

View larger version (32K): [in a new window]   Figure 1 Cumulative frequency distribution of the late lumen loss at follow-up in cutting balloon angioplasty (CBA), percutaneous transluminal coronary angioplasty (PTCA), rotational atherectomy (ROTA), and additional stenting (STENT) groups. Significantly lower lumen loss noticed in CBA group compared to ROTA and STENT groups (0.63 ± 0.6 mm, 1.30 ± 0.8 mm, and 1.36 ± 0.8 mm; p < 0.0001).

View larger version (82K): [in a new window]   Figure 2 Acute angiographic and intravascular ultrasound (IVUS) results obtained after cutting balloon angioplasty (CBA) for in-stent restenosis (ISR) in left circumflex artery. (a) Preintervention IVUS image shows complete neointimal filling of the lumen in the stent (lumen cross-sectional area 1.3 mm2; (b) Final result following CBA with 2.5-mm balloon (lumen cross-sectional area 6.0 mm2).