Abstract：Severe calcified coronary artery lesions are one of the most challenging lesions during percutaneous coronary intervention. Calcification often impedes balloon dilation and has the stent beams and polymer coatings damaged, leading to poor clinical outcomes or even failure to complete the surgery. Therefore, preprocessing of calcified plaques is necessary, and how to select the right coronary angioplasty balloon for the preprocessing of different calcified lesions has become a new research topic. Based on structure information, application status, and computer simulation experiments, this paper summarized the balloon applied in angioplasty for calcified lesions in percutaneous coronary intervention including cutting balloon,lacrosse NSE balloon. The value of the computer simulation experiment in guiding the balloon selection during percutaneous coronary endovascular angioplasty for calcified plaques was proposed as well.
李佳松, 蔺嫦燕. 冠状动脉钙化病变血管成形术中球囊的应用现状[J]. 中国生物医学工程学报, 2022, 41(4): 502-507.
Li Jiasong, Lin Changyan. Application of Balloon in Angioplasty for Calcified Coronary Artery. Chinese Journal of Biomedical Engineering, 2022, 41(4): 502-507.
[1] Madhavan MV, Tarigopula M, Mintz GS, et al. Coronary artery calcification: pathogenesis and prognostic implications[J]. J Am Coll Cardiol, 2014,63(17):1703-1714. [2] Mintz GS, Popma JJ, Pichard AD, et al. Patterns of calcification in coronary artery disease[J]. Circulation, 1995,91(7):1959-1965. [3] 李小龙, 张萌, 董鹏, 等. PCI球囊实际破裂压体外研究[J]. 中国实用医药. 2011,6(29):6-9. [4] Abazid RM, Obadah Kattea M, Smettei OA, et al. Impact of coronary artery calcification on percutaneous coronary intervention and postprocedural complications[J]. J Saudi Heart Assoc, 2017,29(1):15-22. [5] Fujino A, Mintz GS, Matsumura M, et al. A new optical coherence tomography-based calcium scoring system to predict stent underexpansion[J]. Journal of the American College of Cardiology, 2017,70(18S): B12-B13. [6] Jia S, Li J, Zhang C, et al. Long-term prognosis of moderate to severe coronary artery calcification in patients undergoing percutaneous coronary intervention[J]. Circ J, 2020,85(1):50-58. [7] 王伟民, 霍勇, 葛均波. 冠状动脉钙化病变诊治中国专家共识[J]. 中国介入心脏病学杂志. 2014,22(2):69-73. [8] Spiliopoulos S, Karamitros A, Reppas L, et al. Novel balloon technologies to minimize dissection of peripheral angioplasty[J]. Expert Rev Med Devic, 2019,16(7):581-588. [9] Walraevens J, Willaert B, De Win G, et al. Correlation between compression, tensile and tearing tests on healthy and calcified aortic tissues[J]. Med Eng Phys, 2008,30(9):1098-1104. [10] Matsukawa RAO, Kozai T, Tokutome M, et al. Plaque modification using a cutting balloon is more effective for stenting of heavily calcified lesion than other scoring balloons[J]. Cardiovascular Intervention and Therapeutics, 2019,34(4): 325-334. [11] de Ribamar Costa Jr J, Mintz GS, Carlier SG, et al. Nonrandomized comparison of coronary stenting under intravascular ultrasound guidance of direct stenting without predilation versus conventional predilation with a semi-compliant balloon versus predilation with a new scoring balloon[J]. The American journal of cardiology, 2007,100(5): 812-817. [12] Barath P, Fishbein MC, Vari S, et al. Cutting balloon: a novel approach to percutaneous angioplasty[J]. The American Journal of Cardiology, 1991,68(11):1249-1252. [13] Solar RJ, Ischinger TA. Focused force angioplasty: theory and application[J]. Cardiovascular Radiation Medicine, 2003,4(1): 47-50. [14] Maejima N, Hibi K, Saka K, et al. Relationship between thickness of calcium on optical coherence tomography and crack formation after balloon dilatation in calcified plaque requiring rotational atherectomy[J]. Circulation Journal, 2016,80(6):1413-1419. [15] Mauri L, Bonan R, Weiner BH, et al. Cutting balloon angioplasty for the prevention of restenosis: results of the Cutting Balloon Global Randomized Trial[J]. The American journal of cardiology, 2002,90(10): 1079-1083. [16] Ishihara T, Iida O, Takahara M, et al. Improved crossability with novel cutting balloon versus scoring balloon in the treatment of calcified lesion[J]. Cardiovascular Intervention and Therapeutics, 2021,36(2): 198-207. [17] Aoki J, Nakazawa G, Ando K, et al. Effect of combination of non-slip element balloon and drug-coating balloon for in-stent restenosis lesions (ELEGANT study)[J]. J Cardiol, 2019,74(5):436-442. [18] Soga Y, Ando K. Effect of an NSE PTA balloon in experimental lesion models[J]. Cardiovasc Interv Ther, 2018,33(1):35-39. [19] Zhang XY, Tang Z, Zeng YP, et al. Comparison of lacrosse non-slip elements and cutting balloons in treating calcified coronary lesions: a retrospective, single-blind randomized controlled study[J]. Adv Ther, 2019,36(11):3147-3153. [20] 张蓓, 赵雪丹, 吴平, 等. 镍-钛合金弹性模量的测定[J]. 理化检验(物理分册), 2007(9):437-438. [21] Perfetti M, Fulgenzi F, Radico F, et al. Calcific lesion preparation for coronary bifurcation stenting[J]. Cardiol J, 2019,26(5): 429-437. [22] Sato R, Sato T, Shirasawa Y, et al. A case series of favorable vessel dilatation using a nitinol scoring element-equipped helical balloon catheter (AngioSculpt®)[J]. The Journal of Vascular Access. 2019,20(1 Suppl): 93-96. [23] Ormiston WAO, Dyer-Hartnett S, Fernando R, et al. An update on vessel preparation in lower limb arterial intervention[J]. CVIR Endovascular, 2020,3(1): 1-7. [24] Mustapha JA, Lansky A, Shishehbor M, et al. A prospective, multi-center study of the chocolate balloon in femoropopliteal peripheral artery disease: the chocolate BAR registry[J]. Catheter Cardiovasc Interv, 2018,91(6):1144-1148. [25] Garcia-Lithgow C, Tirziu D, Zhou S, et al. First-in-human study of paclitaxel drug-coated chocolate coronary percutaneous transluminal coronary angioplasty balloon catheter in de novo coronary artery lesions[J]. JACC Cardiovasc Interv, 2019,12(24):2568-2570. [26] Byrne RA, Stone GW, Ormiston J, et al. Coronary balloon angioplasty, stents, and scaffolds[J]. The Lancet, 2017,390(10096):781-792. [27] Karvouni E, Stankovic G, Albiero R, et al. Cutting balloon angioplasty for treatment of calcified coronary lesions[J]. Catheterization and Cardiovascular Interventions, 2001,54(4): 473-481. [28] Kato R, Ashikaga T, Sakurai K, et al. Influence of additional ballooning with a dual wire balloon after a rotational atherectomy to expand drug-eluting stent for calcified lesions[J]. Cardiovascular Intervention and Therapeutics, 2012,27(3): 155-160. [29] Mori S, Otsuka Y, Kawamura A. Usefulness of the safecut dual wire PTCA catheter for the treatment of calcified lesions[J]. Journal of Invasive Cardiology, 2008,19(8): e254-e256. [30] Kanai T, Hiro T, Takayama T, et al. Three-dimensional visualization of scoring mechanism of ‘AngioSculpt′balloon for calcified coronary lesions using optical coherence tomography[J]. Journal of Cardiology Cases, 2012,5(1): e16-e19. [31] Abdel-Wahab M, Toelg R, Byrne RA, et al. High-speed rotational atherectomy versus modified balloons prior to drug-eluting stent implantation in severely calcified coronary lesions: the randomized prepare-CALC trial[J]. Circulation: Cardiovascular Interventions, 2018,11(10): e007415. [32] Kawase Y, Saito N, Watanabe S, et al. Utility of a scoring balloon for a severely calcified lesion: bench test and finite element analysis[J]. Cardiovasc Interv Ther, 2014,29(2):134-139. [33] Wang X, Matsumura M, Mintz GS, et al. In vivo calcium detection by comparing optical coherence tomography, intravascular ultrasound, and angiography[J]. JACC Cardiovasc Imaging, 2017,10(8):869-879. [34] Dumoulin C, Cochelin B. Mechanical behaviour modelling of balloon-expandable stents[J]. Journal of Biomechanics, 2000,33(11):1461-1470. [35] Conway C, McGarry JP, Edelman ER, et al. Numerical simulation of stent angioplasty with predilation: an investigation into lesion constitutive representation and calcification influence[J]. Ann Biomed Eng, 2017,45(9):2244-2252. [36] Song X, Adachi T, Kawase Y, et al. Efficacy of the Wolverine cutting balloon on a circumferential calcified coronary lesion: bench test using a three-dimensional printer and computer simulation with the finite element method[J]. Cardiovascular Intervention and Therapeutics, 2022,37(1): 78-88.
