Trine Ørhøj Barkholt

Coronary balloon catheter tip damage. A bench study of a clinical problem

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Standard

Coronary balloon catheter tip damage. A bench study of a clinical problem. / Barkholt, Trine Ø; Ormiston, John A; Ding, Patricia; Webber, Bruce; Ubod, Ben; Waite, Stephen; Webster, Mark Wi.

I: Catheterization and Cardiovascular Interventions, Bind 92, Nr. 5, 01.11.2018, s. 883-889.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Barkholt, TØ, Ormiston, JA, Ding, P, Webber, B, Ubod, B, Waite, S & Webster, MW 2018, 'Coronary balloon catheter tip damage. A bench study of a clinical problem', Catheterization and Cardiovascular Interventions, bind 92, nr. 5, s. 883-889. https://doi.org/10.1002/ccd.27441

APA

Barkholt, T. Ø., Ormiston, J. A., Ding, P., Webber, B., Ubod, B., Waite, S., & Webster, M. W. (2018). Coronary balloon catheter tip damage. A bench study of a clinical problem. Catheterization and Cardiovascular Interventions, 92(5), 883-889. https://doi.org/10.1002/ccd.27441

CBE

Barkholt TØ, Ormiston JA, Ding P, Webber B, Ubod B, Waite S, Webster MW. 2018. Coronary balloon catheter tip damage. A bench study of a clinical problem. Catheterization and Cardiovascular Interventions. 92(5):883-889. https://doi.org/10.1002/ccd.27441

MLA

Vancouver

Barkholt TØ, Ormiston JA, Ding P, Webber B, Ubod B, Waite S o.a. Coronary balloon catheter tip damage. A bench study of a clinical problem. Catheterization and Cardiovascular Interventions. 2018 nov 1;92(5):883-889. https://doi.org/10.1002/ccd.27441

Author

Barkholt, Trine Ø ; Ormiston, John A ; Ding, Patricia ; Webber, Bruce ; Ubod, Ben ; Waite, Stephen ; Webster, Mark Wi. / Coronary balloon catheter tip damage. A bench study of a clinical problem. I: Catheterization and Cardiovascular Interventions. 2018 ; Bind 92, Nr. 5. s. 883-889.

Bibtex

@article{8372a818945742529bdc99bfaa44cb74,
title = "Coronary balloon catheter tip damage. A bench study of a clinical problem",
abstract = "OBJECTIVES: To confirm clinically that coronary balloon catheter tips may be damaged during bifurcation treatment with side-branch access through the side of a stent. On the bench, we aimed to assess the susceptibility of different balloon designs to damage. We compared catheter tip widths. We tested whether balloon tip flaring can cause stent distortion.BACKGROUND: We had observed that balloon catheters that failed to cross to a side-branch frequently exhibited tip damage.METHODS AND RESULTS: We examined microscopically for damage 82 balloon tips after clinical side-branch access. In a bench study, the forces required to compress catheter tips 0.5 mm were compared to assess susceptibility to damage. We compared tip widths of balloons of different nominal inflation diameters. We examined stents after side-branch access for distortion. In 42 of 48 (88%) of balloon tips from patients with resistance to or failure to cross through the side of a stent there was tip damage. Even when the balloon crossed without perceptible resistance, tip damage occurred in over half of balloons 18/34 (53%). Some balloon designs were more resistant to damage than others. Tips from balloons of different nominal diameters from the same manufacturer had the same width. Stent distortion caused by damaged balloon tips is improved by kissing balloon post-dilatation.CONCLUSIONS: Balloon tip damage is common with crossing between stent struts. This is one cause of failure of a balloon to access a side-branch and a new balloon should be used. If stent distortion is suspected, it should be corrected with kissing balloon post-dilatation.",
keywords = "balloon tip damage, bench test, bifurcation, BIFURCATION LESIONS, CONSENSUS",
author = "Barkholt, {Trine {\O}} and Ormiston, {John A} and Patricia Ding and Bruce Webber and Ben Ubod and Stephen Waite and Webster, {Mark Wi}",
note = "{\textcopyright} 2017 The Authors Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.",
year = "2018",
month = nov,
day = "1",
doi = "10.1002/ccd.27441",
language = "English",
volume = "92",
pages = "883--889",
journal = "Catheterization and Cardiovascular Interventions",
issn = "1522-1946",
publisher = "JohnWiley & Sons, Inc.",
number = "5",

}

RIS

TY - JOUR

T1 - Coronary balloon catheter tip damage. A bench study of a clinical problem

AU - Barkholt, Trine Ø

AU - Ormiston, John A

AU - Ding, Patricia

AU - Webber, Bruce

AU - Ubod, Ben

AU - Waite, Stephen

AU - Webster, Mark Wi

N1 - © 2017 The Authors Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.

PY - 2018/11/1

Y1 - 2018/11/1

N2 - OBJECTIVES: To confirm clinically that coronary balloon catheter tips may be damaged during bifurcation treatment with side-branch access through the side of a stent. On the bench, we aimed to assess the susceptibility of different balloon designs to damage. We compared catheter tip widths. We tested whether balloon tip flaring can cause stent distortion.BACKGROUND: We had observed that balloon catheters that failed to cross to a side-branch frequently exhibited tip damage.METHODS AND RESULTS: We examined microscopically for damage 82 balloon tips after clinical side-branch access. In a bench study, the forces required to compress catheter tips 0.5 mm were compared to assess susceptibility to damage. We compared tip widths of balloons of different nominal inflation diameters. We examined stents after side-branch access for distortion. In 42 of 48 (88%) of balloon tips from patients with resistance to or failure to cross through the side of a stent there was tip damage. Even when the balloon crossed without perceptible resistance, tip damage occurred in over half of balloons 18/34 (53%). Some balloon designs were more resistant to damage than others. Tips from balloons of different nominal diameters from the same manufacturer had the same width. Stent distortion caused by damaged balloon tips is improved by kissing balloon post-dilatation.CONCLUSIONS: Balloon tip damage is common with crossing between stent struts. This is one cause of failure of a balloon to access a side-branch and a new balloon should be used. If stent distortion is suspected, it should be corrected with kissing balloon post-dilatation.

AB - OBJECTIVES: To confirm clinically that coronary balloon catheter tips may be damaged during bifurcation treatment with side-branch access through the side of a stent. On the bench, we aimed to assess the susceptibility of different balloon designs to damage. We compared catheter tip widths. We tested whether balloon tip flaring can cause stent distortion.BACKGROUND: We had observed that balloon catheters that failed to cross to a side-branch frequently exhibited tip damage.METHODS AND RESULTS: We examined microscopically for damage 82 balloon tips after clinical side-branch access. In a bench study, the forces required to compress catheter tips 0.5 mm were compared to assess susceptibility to damage. We compared tip widths of balloons of different nominal inflation diameters. We examined stents after side-branch access for distortion. In 42 of 48 (88%) of balloon tips from patients with resistance to or failure to cross through the side of a stent there was tip damage. Even when the balloon crossed without perceptible resistance, tip damage occurred in over half of balloons 18/34 (53%). Some balloon designs were more resistant to damage than others. Tips from balloons of different nominal diameters from the same manufacturer had the same width. Stent distortion caused by damaged balloon tips is improved by kissing balloon post-dilatation.CONCLUSIONS: Balloon tip damage is common with crossing between stent struts. This is one cause of failure of a balloon to access a side-branch and a new balloon should be used. If stent distortion is suspected, it should be corrected with kissing balloon post-dilatation.

KW - balloon tip damage

KW - bench test

KW - bifurcation

KW - BIFURCATION LESIONS

KW - CONSENSUS

UR - http://www.scopus.com/inward/record.url?scp=85056605034&partnerID=8YFLogxK

U2 - 10.1002/ccd.27441

DO - 10.1002/ccd.27441

M3 - Journal article

C2 - 29219238

VL - 92

SP - 883

EP - 889

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

IS - 5

ER -