How to perform a successful drug-coated balloon angioplasty? Tips and tricks
Basavarajaiah, Sandeep Kalkat, Harkaran Bhatia, Gurbir Cortese, Bernardo
Basavarajaiah, Sandeep
Kalkat, Harkaran
Bhatia, Gurbir
Cortese, Bernardo
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2023-11-10
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Abstract
Drug-coated balloons (DCB) offer an excellent alternative to stents as the antiproliferative drugs are delivered via balloons and hence there is no permanent implant of metal or polymer. This rationale applies perfectly in in-stent restenosis (ISR) as we want to avoid another layer of metal in a previously failed stent. However, their use has also been extended to de novo lesions especially in patients and lesion subsets where stents are not ideal. There is an increased desire toward expanding this further and studies are now being done which are testing DCB in large-caliber vessels. As the use of DCB is escalating, we felt the importance of writing this article whereby we aim to provide important tips and tricks when using DCB especially for the operators who are in the early phase or have the desire of embarking this technology. From our experience, the DCB-angioplasty substantially differs on several aspects from DES-angioplasty. We have provided several case bases examples including algorithm when using DCB in ISR and de novo lesions.
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Basavarajaiah, S., Kalkat, H., Bhatia, G., & Cortese, B. (2023). How to perform a successful drug-coated balloon angioplasty? Tips and tricks. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 10.1002/ccd.30851. Advance online publication. https://doi.org/10.1002/ccd.30851
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