Skip to main content
Top

Open Access 19-04-2024 | Laboratory Investigation

Do Balloon Catheters have a Different Radial Force Along Their Longitudinal Axis?

Authors: Tae Won Choi, Jinoo Kim, Je Hwan Won

Published in: CardioVascular and Interventional Radiology

Login to get access

Abstract

Purpose

This experimental study was designed to compare radial forces between the central portion and both ends of balloon catheters when dilating stenosis.

Materials and Methods

Three balloon catheters of 6 and 8 mm in diameter and of variable length were tested: Mustang, Conquest, and Genoss PTA. Cylindrical modules to position balloon catheters and install the measuring tip during radial force measurements were made using a 3D printer. The measuring tip created 20% stenosis at the inner lumen. Both ends and center of the balloon catheter were located at the measuring tip. The radial force was measured after inflating the balloon catheter to the rated burst pressure.

Results

For the different diameters and lengths of balloon catheters and cylinder sizes, the median inccenter, the radial rease in radial force at the distal end compared to the center was 16.5% (range: 9.8–35.2%) for Mustang, 12.4% (range: 10.3–25.5%) for Genoss, and 7.4% (range: −0.3–13.1%) for Conquest balloon catheters. Similarly, compared to that at the force at the proximal end was 10.8% greater (range: −2.9–18.3%) for Mustang, 9.9% greater (range: 3.9–22.3%) for Genoss, and 7.3% greater (range: −1.3–12.4%) for Conquest catheters.

Conclusion

The radial force is greater at both ends of the balloon than at the central portion, especially at the distal end. Dilation using the distal end of the balloon catheter is a practical method that can be applied in clinical practice without additional devices when encountering resistant stenosis, especially with semi-compliant balloons.

Graphical Abstract

Literature
1.
go back to reference Huizing E, Kum S, Adams G, Ferraresi R, De Vries JPM, Ünlü Ç. High-pressure, non compliant balloon angioplasty for long and calcified infrapopliteal and inframalleolar lesions is feasible. Int Angiol. 2020;39(5):390–7.CrossRefPubMed Huizing E, Kum S, Adams G, Ferraresi R, De Vries JPM, Ünlü Ç. High-pressure, non compliant balloon angioplasty for long and calcified infrapopliteal and inframalleolar lesions is feasible. Int Angiol. 2020;39(5):390–7.CrossRefPubMed
2.
go back to reference Cui L, Gao D, Lu X, Gao Z, Yuan H, Hu F. A retrospective cohort study comparing high and low balloon inflation pressure on technical success and patency for treating central venous lesions in patients on chronic hemodialysis. Ren Fail. 2021;43(1):1281–7.CrossRefPubMedPubMedCentral Cui L, Gao D, Lu X, Gao Z, Yuan H, Hu F. A retrospective cohort study comparing high and low balloon inflation pressure on technical success and patency for treating central venous lesions in patients on chronic hemodialysis. Ren Fail. 2021;43(1):1281–7.CrossRefPubMedPubMedCentral
3.
go back to reference Planken RN, van Kesteren F, Reekers JA. Treatment of hemodialysis vascular access arteriovenous graft failure by percutaneous intervention. J Vasc Access. 2014;15(Suppl 7):S114-119.CrossRefPubMed Planken RN, van Kesteren F, Reekers JA. Treatment of hemodialysis vascular access arteriovenous graft failure by percutaneous intervention. J Vasc Access. 2014;15(Suppl 7):S114-119.CrossRefPubMed
4.
go back to reference Rand T, Uberoi R. Current status of interventional radiology treatment of infrapopliteal arterial disease. Cardiovasc Intervent Radiol. 2013;36(3):588–98.CrossRefPubMed Rand T, Uberoi R. Current status of interventional radiology treatment of infrapopliteal arterial disease. Cardiovasc Intervent Radiol. 2013;36(3):588–98.CrossRefPubMed
5.
go back to reference Tummala S, Amin A, Mehta A. Infrapopliteal artery occlusive disease: an overview of vessel preparation and treatment options. J Clin Med. 2020;9(10):3321.CrossRefPubMedPubMedCentral Tummala S, Amin A, Mehta A. Infrapopliteal artery occlusive disease: an overview of vessel preparation and treatment options. J Clin Med. 2020;9(10):3321.CrossRefPubMedPubMedCentral
6.
go back to reference Bosiers M. Is vessel prep necessary before treating the superficial femoral artery? J Cardiovasc Surg (Torino). 2019;60(5):557–66.PubMed Bosiers M. Is vessel prep necessary before treating the superficial femoral artery? J Cardiovasc Surg (Torino). 2019;60(5):557–66.PubMed
7.
go back to reference Wu CC, Lin MC, Pu SY, Tsai KC, Wen SC. Comparison of cutting balloon versus high-pressure balloon angioplasty for resistant venous stenoses of native hemodialysis fistulas. J Vasc Interv Radiol. 2008;19(6):877–83.CrossRefPubMed Wu CC, Lin MC, Pu SY, Tsai KC, Wen SC. Comparison of cutting balloon versus high-pressure balloon angioplasty for resistant venous stenoses of native hemodialysis fistulas. J Vasc Interv Radiol. 2008;19(6):877–83.CrossRefPubMed
8.
go back to reference Tajti P, Karmpaliotis D, Alaswad K, et al. Prevalence, presentation and treatment of “balloon undilatable” chronic total occlusions: insights from a multicenter US registry. Catheter Cardiovasc Interv. 2018;91(4):657–66.CrossRefPubMedPubMedCentral Tajti P, Karmpaliotis D, Alaswad K, et al. Prevalence, presentation and treatment of “balloon undilatable” chronic total occlusions: insights from a multicenter US registry. Catheter Cardiovasc Interv. 2018;91(4):657–66.CrossRefPubMedPubMedCentral
9.
go back to reference Aftab SA, Tay KH, Irani FG, et al. Randomized clinical trial of cutting balloon angioplasty versus high-pressure balloon angioplasty in hemodialysis arteriovenous fistula stenoses resistant to conventional balloon angioplasty. J Vasc Interv Radiol. 2014;25(2):190–8.CrossRefPubMed Aftab SA, Tay KH, Irani FG, et al. Randomized clinical trial of cutting balloon angioplasty versus high-pressure balloon angioplasty in hemodialysis arteriovenous fistula stenoses resistant to conventional balloon angioplasty. J Vasc Interv Radiol. 2014;25(2):190–8.CrossRefPubMed
10.
go back to reference Takei T, Miyamoto A, Takagi T, Yamauchi Y. A novel technique of percutaneous intraluminal cracking using a puncture needle for severe calcified lesions of below-the-knee and below-the-ankle arteries. Diagn Interv Radiol. 2021;27(3):413–7.CrossRefPubMedPubMedCentral Takei T, Miyamoto A, Takagi T, Yamauchi Y. A novel technique of percutaneous intraluminal cracking using a puncture needle for severe calcified lesions of below-the-knee and below-the-ankle arteries. Diagn Interv Radiol. 2021;27(3):413–7.CrossRefPubMedPubMedCentral
11.
go back to reference Ichihashi S, Sato T, Iwakoshi S, Itoh H, Kichikawa K. Technique of percutaneous direct needle puncture of calcified plaque in the superficial femoral artery or tibial artery to facilitate balloon catheter passage and balloon dilation of calcified lesions. J Vasc Interv Radiol. 2014;25(5):784–8.CrossRefPubMed Ichihashi S, Sato T, Iwakoshi S, Itoh H, Kichikawa K. Technique of percutaneous direct needle puncture of calcified plaque in the superficial femoral artery or tibial artery to facilitate balloon catheter passage and balloon dilation of calcified lesions. J Vasc Interv Radiol. 2014;25(5):784–8.CrossRefPubMed
12.
go back to reference Trerotola SO, Stavropoulos SW, Shlansky-Goldberg R, Tuite CM, Kobrin S, Rudnick MR. Hemodialysis-related venous stenosis: treatment with ultrahigh-pressure angioplasty balloons. Radiology. 2004;231(1):259–62.CrossRefPubMed Trerotola SO, Stavropoulos SW, Shlansky-Goldberg R, Tuite CM, Kobrin S, Rudnick MR. Hemodialysis-related venous stenosis: treatment with ultrahigh-pressure angioplasty balloons. Radiology. 2004;231(1):259–62.CrossRefPubMed
13.
go back to reference Trerotola SO, Kwak A, Clark TW, et al. Prospective study of balloon inflation pressures and other technical aspects of hemodialysis access angioplasty. J Vasc Interv Radiol. 2005;16(12):1613–8.CrossRefPubMed Trerotola SO, Kwak A, Clark TW, et al. Prospective study of balloon inflation pressures and other technical aspects of hemodialysis access angioplasty. J Vasc Interv Radiol. 2005;16(12):1613–8.CrossRefPubMed
14.
go back to reference Vorwerk D, Günther RW, Schürmann K, Sieberth HG. Use of a cutting balloon for dilatation of a resistant venous stenosis of a hemodialysis fistula. Cardiovasc Intervent Radiol. 1995;18(1):62–4.CrossRefPubMed Vorwerk D, Günther RW, Schürmann K, Sieberth HG. Use of a cutting balloon for dilatation of a resistant venous stenosis of a hemodialysis fistula. Cardiovasc Intervent Radiol. 1995;18(1):62–4.CrossRefPubMed
15.
go back to reference Tsetis D, Morgan R, Belli AM. Cutting balloons for the treatment of vascular stenoses. Eur Radiol. 2006;16(8):1675–83.CrossRefPubMed Tsetis D, Morgan R, Belli AM. Cutting balloons for the treatment of vascular stenoses. Eur Radiol. 2006;16(8):1675–83.CrossRefPubMed
16.
go back to reference Shehab M, Michalis LK, Rees MR. Balloon angioplasty optimization: should we measure balloon volume as well as pressure? Cardiovasc Intervent Radiol. 2008;31(1):149–57.CrossRefPubMed Shehab M, Michalis LK, Rees MR. Balloon angioplasty optimization: should we measure balloon volume as well as pressure? Cardiovasc Intervent Radiol. 2008;31(1):149–57.CrossRefPubMed
17.
go back to reference More RS, Brack MJ, Gershlick AH. Angioplasty balloon compliance: can in vivo size be predicted from in vitro pressure profile measurements? Clin Cardiol. 1996;19(5):393–7.CrossRefPubMed More RS, Brack MJ, Gershlick AH. Angioplasty balloon compliance: can in vivo size be predicted from in vitro pressure profile measurements? Clin Cardiol. 1996;19(5):393–7.CrossRefPubMed
18.
go back to reference Sathananthan J, Hensey M, Sellers S, et al. Performance of the true dilatation balloon valvuloplasty catheter beyond rated burst pressure: a bench study. Catheter Cardiovasc Interv. 2020;96(2):E187-e195.CrossRefPubMed Sathananthan J, Hensey M, Sellers S, et al. Performance of the true dilatation balloon valvuloplasty catheter beyond rated burst pressure: a bench study. Catheter Cardiovasc Interv. 2020;96(2):E187-e195.CrossRefPubMed
19.
go back to reference Fu X, He H, Wang W. Numerical simulation of forming process conditions and wall thickness for balloonIntelligent Robotics and Applications. In: 10th international conference, ICIRA 2017, Proceedings, Wuhan, China, Part III 10, August 16–18, 2017. Springer, pp 808–818 Fu X, He H, Wang W. Numerical simulation of forming process conditions and wall thickness for balloonIntelligent Robotics and Applications. In: 10th international conference, ICIRA 2017, Proceedings, Wuhan, China, Part III 10, August 16–18, 2017. Springer, pp 808–818
20.
go back to reference Stratakos E, Antonini L, Poletti G, et al. Investigating balloon-vessel contact pressure patterns in angioplasty: in silico insights for drug-coated balloons. Ann Biomed Eng. 2023;51(12):2908–22.CrossRefPubMedPubMedCentral Stratakos E, Antonini L, Poletti G, et al. Investigating balloon-vessel contact pressure patterns in angioplasty: in silico insights for drug-coated balloons. Ann Biomed Eng. 2023;51(12):2908–22.CrossRefPubMedPubMedCentral
21.
go back to reference Kum S, Ipema J, Huizing E, et al. Outcomes of the paclitaxel-eluting Eluvia stent for long femoropopliteal lesions in Asian patients with predominantly chronic limb-threatening ischemia. Vasc Med. 2021;26(3):267–72.CrossRefPubMed Kum S, Ipema J, Huizing E, et al. Outcomes of the paclitaxel-eluting Eluvia stent for long femoropopliteal lesions in Asian patients with predominantly chronic limb-threatening ischemia. Vasc Med. 2021;26(3):267–72.CrossRefPubMed
22.
go back to reference Kwon H, Choi JY, Ko HK, et al. Comparison of surgical and endovascular salvage procedures for juxta-anastomotic stenosis in autogenous wrist radiocephalic arteriovenous fistula. Ann Vasc Surg. 2014;28(8):1840–6.CrossRefPubMed Kwon H, Choi JY, Ko HK, et al. Comparison of surgical and endovascular salvage procedures for juxta-anastomotic stenosis in autogenous wrist radiocephalic arteriovenous fistula. Ann Vasc Surg. 2014;28(8):1840–6.CrossRefPubMed
23.
go back to reference Kim SM, Ko HK, Noh M, et al. Factors affecting patency following successful percutaneous intervention for dysfunctional hemodialysis vascular access. Ann Vasc Surg. 2018;47:54–61.CrossRefPubMed Kim SM, Ko HK, Noh M, et al. Factors affecting patency following successful percutaneous intervention for dysfunctional hemodialysis vascular access. Ann Vasc Surg. 2018;47:54–61.CrossRefPubMed
24.
go back to reference Rigatelli G, Palena M, Cardaioli P, et al. Prolonged high-pressure balloon angioplasty of femoropopliteal lesions: impact on stent implantation rate and mid-term outcome. J Geriatr Cardiol. 2014;11(2):126–30.PubMedPubMedCentral Rigatelli G, Palena M, Cardaioli P, et al. Prolonged high-pressure balloon angioplasty of femoropopliteal lesions: impact on stent implantation rate and mid-term outcome. J Geriatr Cardiol. 2014;11(2):126–30.PubMedPubMedCentral
25.
go back to reference Maglione J, Bergersen L, Lock JE, McElhinney DB. Ultra-high-pressure balloon angioplasty for treatment of resistant stenoses within or adjacent to previously implanted pulmonary arterial stents. Circ Cardiovasc Interv. 2009;2(1):52–8.CrossRefPubMed Maglione J, Bergersen L, Lock JE, McElhinney DB. Ultra-high-pressure balloon angioplasty for treatment of resistant stenoses within or adjacent to previously implanted pulmonary arterial stents. Circ Cardiovasc Interv. 2009;2(1):52–8.CrossRefPubMed
26.
go back to reference Helou B, Bel-Brunon A, Dupont C, et al. Influence of balloon design, plaque material composition, and balloon sizing on acute post angioplasty outcomes: an implicit finite element analysis. Int J Numer Method Biomed Eng. 2021;37(8): e3499.CrossRefPubMed Helou B, Bel-Brunon A, Dupont C, et al. Influence of balloon design, plaque material composition, and balloon sizing on acute post angioplasty outcomes: an implicit finite element analysis. Int J Numer Method Biomed Eng. 2021;37(8): e3499.CrossRefPubMed
27.
go back to reference Li T, Zhang Z, Wang W, et al. Simulation and experimental investigation of balloon folding and inserting performance for angioplasty: a comparison of two materials, polyamide-12 and pebax. J Funct Biomater. 2023;14(6):321.CrossRef Li T, Zhang Z, Wang W, et al. Simulation and experimental investigation of balloon folding and inserting performance for angioplasty: a comparison of two materials, polyamide-12 and pebax. J Funct Biomater. 2023;14(6):321.CrossRef
28.
go back to reference Tang TY, Soon SXY, Yap CJQ, et al. Early (6 months) results of a pilot prospective study to investigate the efficacy and safety of sirolimus coated balloon angioplasty for dysfunctional arterio-venous fistulas: magictouch intervention leap for dialysis access (MATILDA) trial. PLoS ONE. 2020;15(10): e0241321.CrossRefPubMedPubMedCentral Tang TY, Soon SXY, Yap CJQ, et al. Early (6 months) results of a pilot prospective study to investigate the efficacy and safety of sirolimus coated balloon angioplasty for dysfunctional arterio-venous fistulas: magictouch intervention leap for dialysis access (MATILDA) trial. PLoS ONE. 2020;15(10): e0241321.CrossRefPubMedPubMedCentral
29.
go back to reference Neumann A, Küchler J, Ditz C, et al. Non-compliant and compliant balloons for endovascular rescue therapy of cerebral vasospasm after spontaneous subarachnoid haemorrhage: experiences of a single-centre institution with radiological follow-up of the treated vessel segments. Stroke Vasc Neurol. 2021;6(1):16–24.CrossRefPubMed Neumann A, Küchler J, Ditz C, et al. Non-compliant and compliant balloons for endovascular rescue therapy of cerebral vasospasm after spontaneous subarachnoid haemorrhage: experiences of a single-centre institution with radiological follow-up of the treated vessel segments. Stroke Vasc Neurol. 2021;6(1):16–24.CrossRefPubMed
30.
go back to reference Kiousis DE, Wulff AR, Holzapfel GA. Experimental studies and numerical analysis of the inflation and interaction of vascular balloon catheter-stent systems. Ann Biomed Eng. 2009;37(2):315–30.CrossRefPubMed Kiousis DE, Wulff AR, Holzapfel GA. Experimental studies and numerical analysis of the inflation and interaction of vascular balloon catheter-stent systems. Ann Biomed Eng. 2009;37(2):315–30.CrossRefPubMed
31.
go back to reference Rahinj GB, Chauhan HS, Sirivella ML, Satyanarayana MV, Ramanan L. Numerical analysis for non-uniformity of balloon-expandable stent deployment driven by dogboning and foreshortening. Cardiovasc Eng Technol. 2022;13(2):247–64.CrossRefPubMed Rahinj GB, Chauhan HS, Sirivella ML, Satyanarayana MV, Ramanan L. Numerical analysis for non-uniformity of balloon-expandable stent deployment driven by dogboning and foreshortening. Cardiovasc Eng Technol. 2022;13(2):247–64.CrossRefPubMed
32.
go back to reference Kwiecinski J, Cheng CP, Uberoi R, et al. Thoracic aortic parallel stent-graft behaviour when subjected to radial loading. J Mech Behav Biomed Mater. 2021;118:104407.CrossRefPubMed Kwiecinski J, Cheng CP, Uberoi R, et al. Thoracic aortic parallel stent-graft behaviour when subjected to radial loading. J Mech Behav Biomed Mater. 2021;118:104407.CrossRefPubMed
33.
go back to reference Zhao J, Song G, Zhao Q, et al. Development of three-dimensionally printed vascular stents of bioresorbable poly(l-lactide-co-caprolactone). J Biomed Mater Res B Appl Biomater. 2023;111(3):656–64.CrossRefPubMed Zhao J, Song G, Zhao Q, et al. Development of three-dimensionally printed vascular stents of bioresorbable poly(l-lactide-co-caprolactone). J Biomed Mater Res B Appl Biomater. 2023;111(3):656–64.CrossRefPubMed
34.
go back to reference Chen C, Xiong Y, Jiang W, Wang Y, Wang Z, Chen Y. Experimental and numerical simulation of biodegradable stents with different strut geometries. Cardiovasc Eng Technol. 2020;11(1):36–46.CrossRefPubMed Chen C, Xiong Y, Jiang W, Wang Y, Wang Z, Chen Y. Experimental and numerical simulation of biodegradable stents with different strut geometries. Cardiovasc Eng Technol. 2020;11(1):36–46.CrossRefPubMed
Metadata
Title
Do Balloon Catheters have a Different Radial Force Along Their Longitudinal Axis?
Authors
Tae Won Choi
Jinoo Kim
Je Hwan Won
Publication date
19-04-2024
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-024-03716-x