EBC - ON DEMAND
Existing data on drug coated balloons and coronary bifurcation treatment
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
https://www.youtube.com/watch?v=Nk6NsRI4KOU