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Background: Although drug-coated balloon (DCB)-based stent-less percutaneous coronary intervention (PCI) for de-novo lesions has attracted more attention, outcomes of the DCB procedure for hemodialysis (HD) patients are reported to be inferior to those for non-HD patients, similarly to drug-eluting stent (DES). Recent several reports have shown that rotational atherectomy (RA) followed by DCB treatment (RA/DCB) could be an option of revascularization strategy particularly for calcified de-novo lesions even in the new-generation DES era; however, efficacy of the RA/DCB procedure for HD patients remains unclear.

Methods: A total of 47 consecutive cases (53 lesions) undergoing RA/DCB for de-novo lesions were enrolled.

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Percutaneous debulking strategy for severe nodular calcification in common femoral artery.

CVIR Endovasc

May 2022

Department of Cardiovascular Medicine, Kyoto Chubu Medical Center, 25, Yagi-Ueno, Yagi-cho, 629-0197, Nantan City, Kyoto, Japan.

Background: Despite marked progress in endovascular treatment (EVT) techniques and devices, calcified lesions remain one of the toughest obstacles to EVT success. Moreover, because the common femoral artery (CFA) is known as a "non-stenting zone," endovascular strategies for this area are controversial.

Case Presentation: Here we describe the technical tips for a novel, less invasive, and effective debulking strategy for severe nodular calcification using an endovascular maneuver.

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Prcis: Intermediate-term results suggest that ab interno Minimally Invasive Micro Sclerostomy (MIMS) stent-less subconjunctival filtration procedure is a promising treatment option for patients with open-angle glaucoma (OAG).

Purpose: MIMS is a novel ab interno, stent-less, subconjunctival filtration procedure. This study set to investigate the safety, performance, and efficacy of MIMS in OAG patients.

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Article Synopsis
  • - The study investigates the effectiveness of scoring balloon angioplasty (SBA) used before drug-coated balloon (DCB) angioplasty in a diverse group of patients with new and recurrent coronary lesions, aiming to improve clinical outcomes.
  • - A total of 481 patients with different types of lesions were analyzed, with a primary goal of measuring target lesion failure (TLF) rates after 9 months; findings showed a low overall TLF rate of 3.0% but higher rates for in-stent restenotic lesions.
  • - Results indicated that while SBA is beneficial for treating new lesions (1.1% TLF rate), it was less effective for patients with previously placed bare metal or drug-eluting stents, suggesting
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