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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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REVIEW  GLOBAL PERSPECTIVES ON DRUG-ELUTING BALLOON TECHNOLOGY AND SCIENCE


The Journal of Cardiovascular Surgery 2018 February;59(1):70-8

DOI: 10.23736/S0021-9509.17.10253-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Debulking plus drug-coated balloon combination as revascularization strategy for complex femoropopliteal lesions

Katia DESSÌ 1, Luca GIOVANNACCI 2, Jos C. van den BERG 3, 4

1 Service of Surgery, Ospedale Regionale di Locarno “La Carita”, Locarno, Switzerland; 2 Service of Vascular Surgery, Centro Vascolare Ticino, Ospedale Regionale di Lugano, Lugano, Switzerland; 3 Service of Interventional Radiology, Centro Vascolare Ticino, Ospedale Regionale di Lugano, Lugano, Switzerland; 4 Inselspital, Universitätsspital Bern, Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie, Bern, Switzerland


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This paper will discuss the results from the most recent randomized trials and large registries for DCB’s and atherectomy, and the drawbacks of these two therapeutic options. It will also discuss the results of combination therapy in complex femoropopliteal lesions. Several studies indicate that combining atherectomy and DCB yields better outcomes in complex calcified lesions, but the only randomized pilot study could not demonstrate a benefit of combination therapy in the mid-term follow-up. Larger, randomized studies are needed to define the role of atherectomy followed by DCB angioplasty further.


KEY WORDS: Atherectomy - Drug coated balloon - SFA - popliteal artery

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Publication History

Issue published online: November 28, 2017
Article first published online: October 2, 2017
Manuscript accepted: September 29, 2017
Manuscript received: September 26, 2017

Cite this article as

Dessì K, Giovannacci L, van den Berg JC. Debulking plus drug-coated balloon combination as revascularization strategy for complex femoropopliteal lesions. J Cardiovasc Surg 2018;59:70-8. DOI: 10.23736/S0021-9509.17.10253-3

Corresponding author e-mail

josua.vandenberg@eoc.ch