No Recoil in Peroneal CTO after Serranator
Sarang Mangalmurti, MD
Bryn Mawr Hospital
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So in this case, this was a patient who had a non-healing wound and I had to do an intervention on the peroneal vessel. So there I crossed the peroneal stenosis and I performed a standard balloon angioplasty initially. And you can see that it's a it's a pretty good result. But what you find is that after about 15 minutes, there's quite a bit of recoil in that vessel from standard balloon angioplasty.
And a lot of times we don't appreciate that recoil is a very real problem. You know, we perform balloon angioplasty. It looks great. And a lot of times these patients are coming off the table after 15 or 20 minutes. And we may never see the recoil that occurs, especially in these tibial vessels which have more calcium than we can sometimes appreciate.
So when I saw this on the table, I followed my standard balloon angioplasty with Serranator Angioplasty. Then I watched the patient for another 15 or 20 minutes on the table and I didn't see any recoil. So on these lesions, it's very important to appreciate that recoil is a very real problem in the tibial vessels. And specialty balloon angioplasty, like Serranation, is a very good way to be able to overcome this problem.
