{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:35:32Z","timestamp":1753889732249,"version":"3.41.2"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Objective<\/jats:title>\n            <jats:p xml:lang=\"en\">Carotid artery stenting for heavily calcified lesions is challenging for interventionists. A calcium burden is associated with suboptimal dilatation, periprocedural complications, high rates of restenosis, and poor outcomes. We describe the first report of 2 cases of successful carotid artery stenting for heavily calcified lesions using a scoring balloon.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Case Presentation<\/jats:title>\n            <jats:p xml:lang=\"en\">The patients were both aged 75 years, 1 male and 1 female, who had experienced ipsilateral stroke prior to the procedures. They had dense calcifications at the lesions, stenosis rates of 95% (near occlusion) and 86% according to the North American Symptomatic Carotid Endarterectomy Trial criteria, and calcification arcs of 270\u00b0 and 360\u00b0, respectively. Considering the heavy calcification, predilation with scoring balloons (NSE PTA balloon; Nipro, Osaka, Japan) at the rated burst pressure was performed in both cases. Sufficient dilatation was achieved, followed by carotid stent deployment (Precise Pro RX; Cordis, Miami Lakes, FL, USA). After postdilatation, the stenosis rates decreased to 21% and 23%, respectively. Although 1 patient experienced prolonged bradycardia and hypotension, they were well managed with anticholinergic and vasoconstrictive agents. Both patients remained asymptomatic.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p xml:lang=\"en\">Carotid artery stenting using a scoring balloon obtained acceptable improvements in severe stenosis with heavily calcified lesions. This method could be a useful option for the revascularization of heavily calcified lesions.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/svin.123.001180","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T12:45:11Z","timestamp":1707223511000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Carotid Artery Stenting for Heavily Calcified Lesions Using a Scoring Balloon: A Report of 2 Cases"],"prefix":"10.1161","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9793-0711","authenticated-orcid":false,"given":"Yohei","family":"Takenobu","sequence":"first","affiliation":[{"name":"Department of Neurology Osaka Red Cross Hospital Osaka Japan"},{"name":"Department of Neurology Kyoto University Graduate School of Medicine Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriko","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Neurology Osaka Red Cross Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshito","family":"Sugita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Osaka Red Cross Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Osaka Red Cross Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Kawauchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Osaka Red Cross Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Osaka Red Cross Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Osaka Red Cross Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.08.095"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1126"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.97.13.1239"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.02.057"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2023.03.500"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12928-019-00603-y"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12124073"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.03.100"},{"key":"e_1_3_2_10_2","doi-asserted-by":"crossref","first-page":"2210","DOI":"10.1007\/s12325-020-01320-2","article-title":"Systematic scoring balloon lesion preparation for drug\u2010coated balloon angioplasty in clinical routine: results of the PASSWORD observational study","volume":"37","author":"Bonaventura K","year":"2020","unstructured":"Bonaventura K, Schwefer M, Yusof AKM, et\u00a0al. Systematic scoring balloon lesion preparation for drug\u2010coated balloon angioplasty in clinical routine: results of the PASSWORD observational study. Adv Ther. 2020;37:2210\u20102223.","journal-title":"Adv Ther"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12196254"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00062-021-01016-2"},{"key":"e_1_3_2_13_2","first-page":"29","article-title":"Instent restenosis after carotid stenting: treatment using an off\u2010label cardiac scoring balloon","volume":"7","author":"Sorkin GC","year":"2014","unstructured":"Sorkin GC, Dumont TM, Eller JL, et\u00a0al. Instent restenosis after carotid stenting: treatment using an off\u2010label cardiac scoring balloon. J Vasc Interv Neurol. 2014;7:29\u201034.","journal-title":"J Vasc Interv Neurol"}],"container-title":["Stroke: Vascular and Interventional Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/SVIN.123.001180","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T14:58:37Z","timestamp":1720623517000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/SVIN.123.001180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1161\/SVIN.123.001180"],"URL":"https:\/\/doi.org\/10.1161\/svin.123.001180","relation":{},"ISSN":["2694-5746"],"issn-type":[{"type":"electronic","value":"2694-5746"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e001180"}}