Existing data on drug coated balloons and coronary bifurcation treatment

EBC - ON DEMAND

European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain

BIFURCATION AND DRUG ELUTING BALLOONS – VOTING

Existing data on drug coated balloons and coronary bifurcation treatment

Author: Mario Araya, MD, Clinica Alemana De Santiago/ Thorax National Institute, Chile

 

4 STRATEGIES TESTED

  • DCB with BMS
  • DCB with DES
  • DCB-only strategy
  • DCB in bifurcaAon restenosis

WHERE DO WE STAND

  • Trials of DCB in bifurcation treatment use different protocols and devices, in small trials. No POT, low kissing. We need more data.
  • Only paclitaxel-coated balloon have been reported.
  • In general, the use of pDCB appears to be effective and safe in SB.
  • The use of pDCB + BMS is inferior to conventional DES treatment
  • The use of pDCB + DES (Everolimus) show excellent results in small registries .
  • Only-DCB strategy is feasible and safe.
  • In Restenosis of bifurcation, including LM, DCB tx show promising results compare to DES

 

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https://www.youtube.com/watch?v=Nk6NsRI4KOU

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