Provisional drug-coated balloon treatment guided by physiology on de novo coronary lesion
Eun‐Seok Shin, Liew Houng Bang, Eun Jung Jun, Ae‐Young Her, Ju-Hyun Chung, Scot Garg, Joo Myung Lee, Joon‐Hyung Doh, Chang‐Wook Nam, Bon‐Kwon Koo, Qiang Tang
Abstract
Although drug-eluting stents (DES) have become the mainstay of percutaneous coronary intervention, late and very late stent thrombosis remains a concern. Drug-coated balloons (DCB) have the advantage of preserving the anti-restenotic benefits of DES while minimizing potential long-term safety concerns. Currently the two methods to ensure successful DCB treatment of a stenotic lesion are angiography or physiology-guided DCB application. This review will evaluate these two methods based on previous evidence and make suggestions on how to perform DCB treatment more efficiently and safely.
Topics & Concepts
MedicinePercutaneous coronary interventionCoronary angiographyLesionCardiologyInterventional cardiologyRadiologyPercutaneousDrugBalloonInternal medicineStentSurgeryMyocardial infarctionPharmacologyCoronary Interventions and DiagnosticsAntiplatelet Therapy and Cardiovascular DiseasesCerebrovascular and Carotid Artery Diseases