Cutting balloon

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

## Overview[edit | edit source]

A cutting balloon is an angioplasty device invented by Barath et al used in percutaneous coronary interventions. It has a special balloon tip with small blades, that are activated when the balloon is inflated. This procedure is different to Rotoblation (Percutaneous Transluminal Rotational Atherectomy or PCRA) whereby a diamond tipped device spins at high revolutions to cut away calcific (chalky) atheroma usually prior to coronary stenting.

### ACCF/AHA/SCAI 2011 Guidelines for Percutaneous Coronary Intervention: Cutting Balloon Angioplasty[1] (DO NOT EDIT)[edit | edit source]

Class III (No Benefit)

"1. Cutting balloon angioplasty should not be performed routinely during PCI. [2][3][4](Level of Evidence: A)"
Class IIb

"1. Cutting balloon angioplasty might be considered to avoid slippage induced coronary artery trauma during PCI for in-stent restenosis or ostial lesions in side branches. [3](Level of Evidence: C)"

## References[edit | edit source]

1. ↑ Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D, Nallamothu BK, Ting HH (2011). "2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: Executive Summary A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions" (PDF). Journal of the American College of Cardiology. 58 (24): 2550–83. doi:10.1016/j.jacc.2011.08.006. PMID 22070837. Retrieved 2011-12-08. Text "PDF" ignored (help); Unknown parameter `|month=` ignored (help)CS1 maint: Multiple names: authors list (link)
2. ↑ Bittl JA, Chew DP, Topol EJ, Kong DF, Califf RM (2004). "Meta-analysis of randomized trials of percutaneous transluminal coronary angioplasty versus atherectomy, cutting balloon atherotomy, or laser angioplasty". Journal of the American College of Cardiology. 43 (6): 936–42. doi:10.1016/j.jacc.2003.10.039. PMID 15028347. Retrieved 2011-12-10. Unknown parameter `|month=` ignored (help)CS1 maint: Multiple names: authors list (link)
3. ↑ 3.0 3.1 Albiero R, Silber S, Di Mario C, Cernigliaro C, Battaglia S, Reimers B, Frasheri A, Klauss V, Auge JM, Rubartelli P, Morice MC, Cremonesi A, Schofer J, Bortone A, Colombo A (2004). "Cutting balloon versus conventional balloon angioplasty for the treatment of in-stent restenosis: results of the restenosis cutting balloon evaluation trial (RESCUT)". Journal of the American College of Cardiology. 43 (6): 943–9. doi:10.1016/j.jacc.2003.09.054. PMID 15028348. Retrieved 2011-12-10. Unknown parameter `|month=` ignored (help)CS1 maint: Multiple names: authors list (link)
4. ↑ Mauri L, Bonan R, Weiner BH, Legrand V, Bassand JP, Popma JJ, Niemyski P, Prpic R, Ho KK, Chauhan MS, Cutlip DE, Bertrand OF, Kuntz RE (2002). "Cutting balloon angioplasty for the prevention of restenosis: results of the Cutting Balloon Global Randomized Trial". The American Journal of Cardiology. 90 (10): 1079–83. PMID 12423707. Retrieved 2011-12-10. Unknown parameter `|month=` ignored (help)CS1 maint: Multiple names: authors list (link)

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