Utility of a 0.035″ compatible rapid-exchange balloon (Metacross RX?) as a perfusion balloon in endovascular therapy compared with conventional percutaneous coronary intervention: A mini-review

摘要

Summary Since endovascular treatment for peripheral artery disease has been rapidly and widely adopted as the preferred strategy, interventionists sometimes experience complications such as vessel perforation and severe dissections. We have a long-time inflation strategy for perfusion balloon catheters, which could be a solution for vessel complications in coronary sections, but not in peripheral sections. We invented a simple device for application as a perfusion balloon in peripheral sections, using a 0.035″ wire compatible rapid-exchange balloon Metacross RX? (TERUMO, Tokyo, Japan) and reviewed this strategy using three cases as examples and compared them with the coronary perfusion balloon. Table of contents summary Metacross RX (TERUMO, Tokyo, Japan) is being used as a rapid exchange balloon and can be potentially used as a perfusion balloon. We report a series of cases in which patients were treated using the Metacross RX at a single-center for endovascular treatment of peripheral artery disease. We review and discuss the use of this device in comparison with the conventional coronary perfusion balloon catheter. Highlights ? No perfusion balloon catheters exist in endovascular treatment section. ? The 0035″ compatible rapid-exchange balloon could be a perfusion balloon. ? The gap between the wire lumen and the 0.014″ wire is a key point. ? Three cases were reviewed compared with percutaneous coronary intervention.