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Application of drug-coated balloon in coronary artery intervention: challenges and opportunities 被引量:2

Application of drug-coated balloon in coronary artery intervention: challenges and opportunities
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摘要 In recent decades, the outcomes of coronary heart disease (CHD) have markedly improved, which can be partly attributed to the use of novel drugs (especially statins and antiplatelet drugs) and partly to the evolution ofpercutaneous coronary intervention (PCI). From percutaneous transluminal coronary angioplasty to bare-metal stent and then to drug-eluting stent, every step of PCI is attractive to interventional cardiologist, great progress has been made for patients with CHD. In the past few years, some successor devices for treating CHD have cmerged. Undoubtedly, drug-coated balloon (DCB), which was recommended by 2014 ESC Guidelines on myocardial revascularization, is a "shining star" among them. DCB involves a semi-compliant angioplasty balloon coated with an anti-proliferative agent that can exert antirestenotic efficacy by permeating into the vessel wall during balloon contact. This review discusses the conception and merits, preclinical data, emerging clinical indications, and results from clinical trials of this novel interventional technology. Although DCB has shown authentic efficacy in the treatment ofin-stent restenosis, its use in de novo coronary lesions is still in dispute. Hence, concerns and the future direction of DCB are also covered in this paper.
出处 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第11期906-913,共8页 老年心脏病学杂志(英文版)
关键词 Drug-coated balloon In-stent restenosis Percutaneous coronary intervention 冠状动脉粥样硬化性心脏病 他汀类药物 介入治疗 球囊 应用 涂层 金属支架 临床试验
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