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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

lingua: Inglese

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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