Background
This retrospective study aimed to evaluate the safety and efficacy of cutting balloon
angioplasty and conventional balloon angioplasty in supra-aortic arterial lesions
caused by Takayasu arteritis.
Methods
A total of 46 patients with supra-aortic arterial lesions between January 2011 and
December 2018 were included. Cutting balloon angioplasty was applied for 17 patients
with 24 supra-aortic arterial lesions (group A), while 29 patients with 36 supra-aortic
arterial lesions received conventional balloon angioplasty (group B). The preoperative
clinical manifestation, operation result, and postoperative outcomes were recorded
and compared in the 2 groups.
Results
Dizziness, visual disturbance, and unequal/absent pulses were the most common manifestations.
The technical success of revascularization was 93.5% (43/46) in patients and 93.3%
(56/60) in lesions. The stent implantation rate in group A was significantly lower
than that in group B (4.2% vs. 50% in lesions, P < 0.05). Restenosis was the most common complication in both groups. Although the
early (≤30 days) and late (>30 days) complications in group A were less than those
in group B, there was no significant difference between the 2 groups (P > 0.05). Moreover, the primary-assisted patency of cutting balloon angioplasty and
conventional balloon angioplasty at 1, 2, and 5 years were 66.7%, 62.5%, and 62.5%
and 61.1%, 58.2%, and 49.8%, there was no significant difference between the 2 groups
(P > 0.05), respectively.
Conclusions
Compared with conventional balloon angioplasty, cutting balloon angioplasty could
be considered a safe and effective alternative for supra-aortic arterial lesions caused
by Takayasu arteritis, demonstrating better patency and clinical benefit.
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Article info
Publication history
Published online: February 16, 2023
Accepted:
January 27,
2023
Received:
October 7,
2021
Publication stage
In Press Journal Pre-ProofFootnotes
The first three authors contributed equally to this study.
Funding: This study was supported by the National Natural Science Foundation of China [81770476, 81970208, 82000430].
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
