Drug-Coated Balloons and Coronary Bifurcation Lesions

Abstract

Bifurcation coronary lesions still represent a challenge for interventional cardiologists. Although provisional stenting is considered the gold standard for the treatment of bifurcations, some studies report good results with two-stent techniques. In the last few years, drug-coated balloons have been used for the treatment of several kinds of coronary lesion, such as in-stent restenosis, small vessels, and bifurcations. The use of drug coated balloons for the treatment of the side branch after provisional stenting is a promising option for further improving provisional stenting results.

Declaración de Consenso del Colegio Mexicano de Cardiología Intervencionista y Terapia Endovascular sobre el tratamiento coronario percutáneo con balón recubierto de fármaco. La declaración de consenso COMECITE

“…3 Another issue is small-vessel coronary artery disease (SVD) restenosis, which ranges from 25.8% with a stent to 34.2% in the balloon angioplasty population, 4 and bifurcation lesion restenosis, ranging from 4.6-6.7% in the main branch and 13.2-14.7% in the side branch. 5 Giuseppe Di Gioia et al recently published a systematic review of clinical outcomes following bifurcation PCI techniques. They found a TLR of 10.2% with provisional stenting, 8.9% with the crush, 7.5% with culotte, 6% with double kissing (DK) crush, and 11.5% with T small protrusion (T/TAP).…”