Early Results of Cutting Balloon Angioplasty for the Treatment of Stenoocclusive Lesions of Popliteal Arterial Segments P2 and P3

To report the early results of a cutting balloon angioplasty (CBA) procedure for the treatment of stenoocclusive lesions of popliteal arterial segments P2 and P3. Between August 2005 and August 2008, 11 patients underwent CBA due to stenoocclusive lesions of popliteal arterial segments P2 and P3 (Diameter ≥ 4.6 mm). All procedures were performed percutaneously and a PTA was performed by cutting 5mm diameter balloons. An arteriography was performed after each CBA to evaluate the results of the angioplasty and to look for complications, such as elastic recoil or flow-limiting dissection. A follow-up examination was performed at 6 and 12 months. The CBA was technically successful in all cases, thus resulting in the reduction or elimination of clinical symptoms at the 6-month follow-up. One patient showed dissection without flow limitation, but no complications developed. In addition, there was no need for stent placement. Primary patency was 82% and 71.5% at the 6- and 12-month follow-up examinations, respectively. From the patients examined, a CBA is a safe and effective method for treating stenoocclusive lesions of popliteal arterial segments P2 and P3. In addition, it may serve as a means to reduce complications and the need for stent placement after a PTA at a site that is not ideal for stent placement