دورية أكاديمية
A prospective, multi-center, randomised controlled trial for evaluation of the effectiveness of the Blimp scoring balloon in lesions not crossable with a conventional balloon or microcatheter : the BLIMP study
العنوان: | A prospective, multi-center, randomised controlled trial for evaluation of the effectiveness of the Blimp scoring balloon in lesions not crossable with a conventional balloon or microcatheter : the BLIMP study |
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المؤلفون: | Dens, J., Holvoet, W., McCutcheon, K., Ungureanu, C., Coussement, P., Haine, Steven, De Hemptinne, Q., Sonck, J., Eertmans, W., Bennett, J. |
المصدر: | 0001-5385 ; Acta cardiologica |
سنة النشر: | 2023 |
المجموعة: | IRUA - Institutional Repository van de Universiteit Antwerpen |
مصطلحات موضوعية: | Human medicine |
الوصف: | Background Balloon uncrossable coronary lesions are lesions that cannot be crossed with a conventional balloon. Multiple balloons have been designed to overcome this problem. The Blimp balloon has a very low scoring profile (0.6 mm) with a very high rated burst pressure (30 atmospheres). We aimed to evaluate the efficacy of this balloon compared to customary low-profile balloons. Methods We conducted a multicenter, prospective, randomised, controlled trial in which 126 patients with an uncrossable lesion were randomly (1:1 randomization) assigned to treatment first with the Blimp balloon or low-profile balloon. The primary endpoint was the success of crossing the lesion after initial failure with a microcatheter (group A) or with a conventional balloon (group B). Results Overall, the first attempt of Blimp was successful in 29 out of 61 cases (48%) while the LP balloon immediately crossed in 30 out 67 cases (45%; p = 0.761). Using a low-profile balloon in the BLIMP group after failure of the Blimp balloon increased the success to 64% (39 out of 61 cases). Using the Blimp balloon in the low-profile first group after failure of the low-profile balloon increased the success to 60% (40 out of 67 cases). After the placement of a guide catheter extension, the overall successful lesion crossing in the BLIMP group was 80% (49 out of 61 cases) compared to 76% (51 out of 67 cases) in the LP Balloon group (p = 0.327). Conclusions The Blimp balloon catheter showed no superiority to customary low-profile balloons in uncrossable lesions. It can however be complementary in treating uncrossable lesions. |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
العلاقة: | info:eu-repo/semantics/altIdentifier/isi/000841108600001 |
الإتاحة: | https://doi.org/10.1080/00015385.2022.2058676Test https://hdl.handle.net/10067/1900290151162165141Test https://repository.uantwerpen.be/docstore/d:irua:14129Test |
حقوق: | info:eu-repo/semantics/openAccess |
رقم الانضمام: | edsbas.D5898AEA |
قاعدة البيانات: | BASE |
الوصف غير متاح. |