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ToolsNatarajan, Rajkumar, Corballis, Natasha, Merinopoulos, Ioannis, Vassiliou, Vassilios S. and Eccleshall, Simon C. (2025) Coronary Artery Dissection Series – Back to the Future II:The ARM Strategy (Avoid, Recognize and Manage Dissections) in Drug-coated Balloon Angioplasty. Heart International, 19 (2). pp. 5-11. ISSN 1826-1868
Full text not available from this repository. (Request a copy)Abstract
Drug-coated balloon (DCB)-only angioplasty is a ‘leave nothing behind’ approach, necessitating a modified percutaneous coronary intervention strategy and mindset to accept coronary dissection during lesion preparation while simultaneously achieving an optimal angiographic outcome. Drawing from the lessons learned during the plain old balloon angioplasty era, it is imperative to re-familiarize ourselves with the strategies of dissection avoidance, recognition and management. With our increasing clinical and research experience in DCB angioplasty, we present our approach to managing dissections, emphasizing the distinction between safe and unsafe dissections, techniques for modifying unsafe or indeterminate dissections into a safe category and the appropriate consideration of bailout stenting (BOS). We provide examples of each dissection category, including those that can be safely left, those requiring BOS and those that necessitate modification through techniques such as further dilatation with specialized balloons (such as non-compliant, scoring and cutting balloons) and prolonged balloon inflation.
| Item Type: | Article |
|---|---|
| Additional Information: | Publisher Copyright: © 2025, Touch Medical Media. All rights reserved. |
| Uncontrolled Keywords: | bailout,classification,coronary vessel dissection,drug-coated balloon angioplasty,fenestration,safe dissection,cardiology and cardiovascular medicine ,/dk/atira/pure/subjectarea/asjc/2700/2705 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Metabolic Health Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Cardiovascular and Metabolic Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 03 Mar 2026 15:30 |
| Last Modified: | 08 Mar 2026 07:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/102154 |
| DOI: | 10.17925/HI.2025.19.2.1 |
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