Conventional Angioplasty Balloons
1. Compliant/Semi compliant balloons
- Pre-dilatation
- Recrossing through the stent struts
- Very tight lesions
- Side branch access
- Tortuous anatomy
2. Non-compliant balloons
- Pre and post dilatation
- Resistant lesions
- Calcified lesion
- Undilatable lesions
- Aorto-ostial lesions
- If unable to cross with NC balloon, use a smaller complaint balloon for pre-dilatation.
| Vendor | Compliant/semi compliant | Non-compliant |
| Abbott Vascular | Trek (2.25-5.0mm) Mini Trek (1.20, 1.5 and 2.0mm) |
NC Trek (1.5-5.0mm) |
| Boston Scientific | Emerge Flex (1.2-4.0mm) Emerge Push (1.2 and 1.5mm) |
NC Emerge (2.0-6.0mm) NC Quantum Apex (2.0-5.0mm) |
| Medtronic | Euphora (1.5-4.0mm) Sprinter Legend (1.25-4.0mm) |
NC Euphora (2.0-5.0mm) NC Sprinter (2.0-5.0mm) |
| OrbusNeich distributed by CSI | Sapphire (1.25-4.0mm) Sapphire II (1.0-4.0mm) Sapphire II Pro (1.75-4.0mm) |
Sapphire NC (1.25-4.0mm) |
3. Super-high pressure PTCA balloon (OPN NC®; SIS Medical AG, Winterthur, Switzerland).
Specifications:
- Twin-layer balloon construction with virtually zero dog-boning effect
- Super high-pressure PTCA balloon (RBP 35atm)
- Crossing profile (0.028’’ 2.0mm), which is better than scoring- and cutting balloons
- Minimum Guiding Catheter 6 French
- Available diameters: 1.5-4.5mm diameter; Two markers for all sizes:
Indications for super high pressure dilations:
- Highly calcified lesions
- Un-dilatable lesions
- In combination with rotablation
- CTO – chronic total occlusions
- In-stent restenosis due to under expansion
* Early data report lower rates of dissections and No reported perforations
