Usefulness of Cutting Balloon Angioplasty for Pulmonary Vein In-Stent Stenosis

Amanda L. Cook, Lourdes R. Prieto, Jeffrey W. Delaney, John F. Rhodes

Research output: Contribution to journalArticle

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After radiofrequency ablation for atrial fibrillation, patients may develop pulmonary vein stenoses requiring stent angioplasty. The treatment options for when such patients develop in-stent stenoses are poorly defined. The investigators retrospectively reviewed their initial experience with cutting balloon angioplasty for pulmonary vein in-stent stenosis. Ten patients with 21 previously stented pulmonary veins returned to the catheterization laboratory for in-stent stenoses. Angioplasty of individual in-stent stenotic vessels were grouped into standard angioplasty alone (n = 6) and a combination of cutting balloon followed by standard angioplasty (n = 15). Although final mean lesion diameter was increased significantly in the 2 groups, restenosis occurred in 4 of 6 vessels in the group with angioplasty alone and 2 of 15 vessels in the cutting balloon group. In conclusion, cutting balloon angioplasty for pulmonary vein in-stent stenosis appears to improve the intermediate results of repeat angioplasty.

Original languageEnglish (US)
Pages (from-to)407-410
Number of pages4
JournalAmerican Journal of Cardiology
Issue number3
Publication statusPublished - Aug 1 2006


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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