CryoPlasty therapy of the superficial femoral and popliteal arteries: a single center experience.


:Long-term patency remains a significant hurdle in the minimally invasive treatment of arteriosclerosis in the superficial femoral and popliteal arteries. New technologies designed to address the sources of restenosis have recently been introduced. CryoPlasty therapy (Boston Scientific, Natick, Mass) is a new approach designed to significantly reduce injury, elastic recoil, stent implantation, neointimal hyperplasia, and constrictive remodeling. The technique combines the dilatation forces of percutaneous transluminal angioplasty with cold thermal energy applied to the plaque and vessel wall. The cumulative effect of limiting the sources of restenosis with CryoPlasty therapy was shown to demonstrate longer term patency in a prospective, multicenter, Investigational Device Exemption study of the PolarCath Peripheral Dilatation System. The CryoPlasty therapy experience of 1 center is reported, in which 47 lesions in 32 consecutive patients (34 procedures, 33 limbs) were treated. The technical success rate was 96%. There were no type 3 flow-limiting dissections, and only 4 (8.5%) lesions were stented. There were no unanticipated adverse events, specifically no thrombus, acute occlusions, distal embolizations, aneurysms, or groin complications. With an average follow-up of 12 months, only 5 lesions have recurred, 4 requiring re-intervention. The 12-month freedom from restenosis for lesions and limbs treated was 82.2% and 84.4%, respectively. These results are similar to the findings of the Investigational Device Exemption study and are encouraging. CryoPlasty therapy appears to be a viable endovascular therapeutic option to achieve longer term patency without compromising options for future interventions. The lack of early occlusions may be due to a low rate of spiral dissection that may be a particular benefit of this form of angioplasty.


Vasc Endovascular Surg


Samson RH,Showalter DP,Lepore MR Jr,Ames S




Has Abstract


2006-12-01 00:00:00














  • First-bite syndrome complicating carotid endarterectomy: a case report and literature review.

    abstract::First-bite syndrome (FBS) is an infrequently encountered complication of parapharyngeal space surgery. Patients experience excruciating pain in the ipsiltateral parotid gland region at the first bite of each meal, which improves with subsequent mastication. This is thought to be due to parotid gland sympathetic denerv...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,评审


    authors: Wong EH,Farrier JN,Cooper DG

    更新日期:2011-07-01 00:00:00

  • Ortner's syndrome and endoluminal treatment of a thoracic aortic aneurysm: a case report.

    abstract::Left recurrent laryngeal nerve paralysis was first described in 1897 by Ortner in a patient with mitral valve disease. However, this paralysis has also been attributed to other cardiovascular pathologies, such as thoracic aortic aneurysms. In 1971, Parodi introduced the endoluminal technique by inserting endovascular ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Escribano JF,Carnés J,Crespo MA,Antón RF

    更新日期:2006-01-01 00:00:00

  • Routine venography following transaxillary first rib resection and scalenectomy (FRRS) for chronic subclavian vein thrombosis ensures excellent outcomes and vein patency.

    abstract::To assess the role of postoperative venography in patients treated with first rib resection and scalenectomy (FRRS) for effort thrombosis, a retrospective review was done to evaluate long-term venous patency in 84 patients treated at the Johns Hopkins Medical Institutions. Patients undergo venography 2 weeks postopera...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Chang KZ,Likes K,Demos J,Black JH 3rd,Freischlag JA

    更新日期:2012-01-01 00:00:00

  • Internal Carotid Artery Aplasia in a Patient With Nail-Patella Syndrome.

    abstract::Nail-patella syndrome (NPS) is a rare disorder characterized by abnormal development of ectodermal and mesodermal tissues. Classically, NPS presents as a triad of nail dysplasia, dysplastic patellae, and bony exostoses of the ilia known as "iliac horns." Apart from dermatological and skeletal abnormalities, patients m...

    journal_title:Vascular and endovascular surgery



    authors: Kraus J,Jahngir MU,Singh B,Qureshi AI

    更新日期:2020-02-01 00:00:00

  • Inflammatory abdominal aortic aneurysms (IAAA): past and present.

    abstract:AIM:The aim of the study is to determine whether presentation and outcomes of inflammatory abdominal aortic aneurysms (IAAA) have changed over the last five decades. METHODS:Comparison of current outcomes (January 2001 to December 2007) with results of the earliest report from our unit in 1972. RESULTS:In contemporar...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Paravastu SC,Murray D,Ghosh J,Serracino-Inglott F,Smyth JV,Walker MG

    更新日期:2009-08-01 00:00:00

  • Vascular Ehlers-Danlos Syndrome With a Novel Missense COL3A1 Mutation Present With Pulmonary Complications and Iliac Arterial Dissection.

    abstract::Vascular Ehlers-Danlos syndrome (vEDS) is a life-threatening connective tissue disorder due to its high tendency of arterial and organ rupture. Pulmonary complications in vEDS are rare. We present a young male patient with vEDS who developed severe pulmonary complications and severe rupture of the iliac artery at diff...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,评审


    authors: Gu G,Yang H,Cui L,Fu Y,Li F,Zhou Z,Zheng Y

    更新日期:2018-02-01 00:00:00

  • Hybrid procedures for complex thoracoabdominal aortic aneurysms: early results and secondary interventions.

    abstract:BACKGROUND:Hybrid procedures for thoracoabdominal aortic aneurysms (TAAA) have been previously described as an attractive alternative to open reconstruction. PATIENTS AND METHODS:Between 1999 and 2009, 16 patients with a median age of 67years underwent hybrid repair of a TAAA (Crawford type I: 3, type II: 3, type III:...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Muehling BM,Bischoff G,Schelzig H,Sunder-Plassmann L,Orend KH

    更新日期:2010-02-01 00:00:00

  • Initial results of concomitant cryoplasty after remote endarterectomy of the superficial femoral artery: a feasibility study (cryoplasty following remote endarterectomy).

    abstract:OBJECTIVE:Remote endarterectomy is a less invasive technique compared with supragenicular bypass surgery for superficial femoral artery (SFA) occlusive disease. Early restenosis remains one of the drawbacks of this procedure. To prevent restenosis following remote endarterectomy, concomitant cryoplasty of the desobstru...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,多中心研究


    authors: Gisbertz SS,de Borst GJ,Overtoom TT,Moll FL,de Vries JP

    更新日期:2010-01-01 00:00:00

  • Safety and Feasibility of Renal Sympathetic Denervation in Patients With Insufficient Renal Artery Length.

    abstract::Insufficient renal artery length for renal sympathetic denervation (RDN) is defined as having a main renal artery shorter than 20 mm in length. Such an anatomy is considered a contraindication for most of the currently available endovascular RDN devices. The concern stems from the need to distribute the ablation point...

    journal_title:Vascular and endovascular surgery

    pub_type: 信件


    authors: Pua U,Tang AA,Ooi YW,Ho HH,Ong PJ

    更新日期:2016-01-01 00:00:00

  • Evolution of bacterial arteritis into a mycotic aortic aneurysm.

    abstract::Arteritis and mycotic aneurysms have been well described for more than 100 years. The authors report a case of bacterial arteritis that presented with pneumatosis of the aortic wall and that evolved over 1 week into an infected abdominal aortic aneurysm. This case documents the rapid progression from arteritis to myco...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Phade SV,deFreitas D,Powell CS,Stoner M

    更新日期:2007-04-01 00:00:00

  • Are statins an option in the management of abdominal aortic aneurysms?

    abstract::Medline was searched for studies investigating the perioperative and long-term results that derive from statin use in patients with abdominal aortic aneurysm and the clinical and experimental evidence dealing with aneurysm expansion. Data suggest that statins improve the perioperative and long-term outcomes of aneurys...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Paraskevas KI,Liapis CD,Hamilton G,Mikhailidis DP

    更新日期:2008-04-01 00:00:00

  • Repeated Episodes of Remote Ischemic Preconditioning for the Prevention of Myocardial Injury in Vascular Surgery.

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,随机对照试验


    authors: Thomas KN,Cotter JD,Williams MJ,van Rij AM

    更新日期:2016-04-01 00:00:00

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: AbuRahma AF,Bates MC,Eads K,Armistead L,Flaherty SK

    更新日期:2008-10-01 00:00:00

  • Evolving microbiology and treatment of extracavitary prosthetic graft infections.

    abstract::The authors report the microbiology and outcomes following an individualized treatment algorithm for extracavitary (EC) prosthetic graft infection, including the use of graft preservation and in situ graft replacement techniques. A retrospective 8-year review of 87 patients treated for EC prosthetic graft infections w...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Stone PA,Back MR,Armstrong PA,Brumberg RS,Flaherty SK,Johnson BL,Shames ML,Bandyk DF

    更新日期:2008-12-01 00:00:00

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Reifsnyder T,Arnaoutakis GJ

    更新日期:2010-11-01 00:00:00

  • A Vascular Malformation in the Carotid Sheath at the Carotid Bifurcation Mimicking Carotid Body Tumor.

    abstract:BACKGROUND:The carotid sheath contains clinically important and vital anatomical neurogenic, vascular, and lymphatic structures that allow for a great variety of lesions. Vascular anomalies found in the carotid sheath are rarely reported and may be easily misdiagnosed as arterial aneurysms, neurogenic tumors, paragangl...

    journal_title:Vascular and endovascular surgery



    authors: Gao X,Li Y,Meng L,Tong Z,Guo L,Zhang J,Gu Y

    更新日期:2020-02-01 00:00:00

  • Hybrid endovascular repair of an aneurysmal chronic type B dissection in a patient with Marfan syndrome with an aberrant right subclavian artery.

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Cooper DG,Markur S,Walsh SR,Cousins C,Hayes PD,Boyle JR

    更新日期:2009-06-01 00:00:00

  • Endovascular stent graft repair of iatrogenic popliteal artery injuries--a report of 2 cases.

    abstract::Popliteal artery injury during total knee replacement (TKR) is rare. We report 2 cases of post-TKR popliteal artery occlusions treated endovascularly with Viabahn stent grafts. Long-term duplex follow-up and secondary re-intervention may be necessary. ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Kovacs F,Pollock JG,DeNunzio M

    更新日期:2012-04-01 00:00:00

  • Venous duplex scanning for suspected deep vein thrombosis: results before and after elimination of after-hours studies.

    abstract:OBJECTIVE:A 24-hour venous duplex ultrasound (VDU) for suspected deep vein thrombosis (DVT) imposes significant resource burdens on a hospital. We hypothesize that termination of after-hours services increases empiric therapy without affecting clinical outcomes. METHODS:A retrospective review of patients evaluated by ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Arnaoutakis GJ,Pirrucello J,Brooke BS,Reifsnyder T

    更新日期:2010-07-01 00:00:00

  • Recurrent Ectopic Variceal Bleed After Pancreas Transplantation With No Portal Hypertension: Case Report and Outcomes of Endovascular Onyx Embolization.

    abstract::A 57-year-old male presented with intermittent gastrointestinal bleeding (GIB) 1 year after a successful simultaneous pancreas and kidney transplant. No source could be found after 5 tagged red blood cell studies, 3 computed tomographies (CTs), 7 endoscopies, and 4 catheter angiograms. Review of CTs showed pathologica...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Rostambeigi N,Shrestha P,Dunn TB,Golzarian J,Khoshnoodi P,Rosenberg M,Talaie R

    更新日期:2019-07-01 00:00:00

  • Spontaneous renal artery aneurysm rupture in a patient with neurofibromatosis type 1 without risk factors for renal artery aneurysm rupture.

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Niwa N,Yanaihara H,Horinaga M,Nakahira Y,Hanashima F,Asakura H

    更新日期:2013-10-01 00:00:00

  • A Case of Isolated External Iliac Vein Compression Syndrome and the Role of Advanced Imaging.

    abstract::Isolated external iliac vein compression syndrome is an uncommon cause of nonthrombotic venous stenosis that causes chronic venous hypertension leading to painful swelling, skin discoloration, and ulcer formation. We present a case of an 86-year old man with refractory lower extremity edema for several years who had b...

    journal_title:Vascular and endovascular surgery



    authors: Mukarram O,Dahal K,Azrin M,Lee J

    更新日期:2020-08-01 00:00:00

  • Impact of angiogenic therapy in the treatment of critical lower limb ischemia in an animal model.

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Reis PE,de Carvalho LP,Yasumura E,da Silva FH,Garcia BC,Beutel A,Sacramento CB,Baptista-Silva JC,de Campos RR,Takiya CM,Borojevic R,Han SW

    更新日期:2014-04-01 00:00:00

  • Endovascular repair of abdominal aortic aneurysm with extreme iliac artery tortuosity.

    abstract::Iliac artery tortuosity can be a limiting factor in treating abdominal aortic aneurysms by endovascular means. In this case, a 6F catheter guiding sheath was used to allow tracking of the superstiff wire to straighten the iliac artery on the left. This allowed for tracking of the larger sheath so that a bifurcated dev...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Rahimi SA,O'Donnell PL,Graham AM

    更新日期:2010-08-01 00:00:00

  • Endovascular Repair of Incidentally Found Subclavian Artery Aneurysm: A Case Report From an Urban Level 1 Trauma Center.

    abstract::Subclavian artery aneurysms (SAAs) are historically rare peripheral aneurysm. However, it can be associated with serious life-threatening complications including rupture, thrombosis, and embolism. The majority of such aneurysms are found incidentally. Historically, SAA have been repaired via an open approach. Increasi...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Franz RW,Fraser SR

    更新日期:2018-07-01 00:00:00

  • New trick for removal of intravascular retained foreign body: a case report and review of literature.

    abstract::A 54-year-old male presented to the vascular service for an urgent inpatient consultation. During an infusaport removal, the catheter was accidentally disconnected and lost intravascularly within the left subclavian vein, with the tip still in the right ventricle. We report on a novel technique for removing such intra...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,评审


    authors: Mousa AY,Gill G,Aburahma AF

    更新日期:2014-01-01 00:00:00

  • Neurocognitive improvement after carotid artery stenting in patients with chronic internal carotid artery occlusion: a prospective, controlled, single-center study.

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Fan YL,Wan JQ,Zhou ZW,Chen L,Wang Y,Yao Q,Jiang JY

    更新日期:2014-05-01 00:00:00

  • Lower Extremity Revascularization in End-Stage Renal Disease.

    abstract::Patients with end-stage renal disease (ESRD) who present with critical limb ischemia (CLI) have become an increasingly common and complex treatment problem for vascular surgeons. Dialysis patients have high short-term mortality rates regardless of whether revascularization is pursued. ESRD patients with CLI can be man...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Jones DW,Dansey K,Hamdan AD

    更新日期:2016-11-01 00:00:00

  • Medical management of spontaneous celiac artery dissection: case report and literature review.

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,评审


    authors: Poylin V,Hile C,Campbell D

    更新日期:2008-02-01 00:00:00

  • Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management.

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    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章


    authors: Giragani S,Balani A,Reddy V,Bommakanti KT,Alwala S,Kumar A

    更新日期:2018-10-01 00:00:00