Which predilatation balloons provide the best lesion preparation prior to use of drug coated balloons in de-novo lesions? Results from the PREPARE study

Basavarajaiah, Sandeep; Sharma, Vishal; Agip-Fustamante, Dante; Freire, Santiago Jesús Camacho; El-Mokdad, Rami; Bhatia, Gurbir; Waduge, Bhagya Harindi Loku; Ielasi, Alfonso; Fernández, José Francisco Díaz; Athukorala, Sampath; Cortese, Bernardo

doi:10.23736/s2724-5683.22.05989-0

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Our study did not show any benefit with the use of a scoring balloon before DCB in de novo lesions, but this was a retrospective study with several limitations including a selection bias and hence we need randomized data. 18 As of now, we cannot recommend the routine use of scoring balloons or cutting balloons in de novo lesions, but these tools can be considered in some specific settings: ISR, ostial, and calcified lesions. In highly calcific lesions, the operator may consider the use of atherectomy or intravascular lithotripsy before DCB.…”

Section: Scoring Balloons Cutting Balloons or Additional Therapiesmentioning

confidence: 99%

How to perform a successful drug‐coated balloon angioplasty? Tips and tricks

Basavarajaiah,

Kalkat,

Bhatia

et al. 2023

Cathet Cardio Intervent

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Drug‐coated balloons (DCB) offer an excellent alternative to stents as the antiproliferative drugs are delivered via balloons and hence there is no permanent implant of metal or polymer. This rationale applies perfectly in in‐stent restenosis (ISR) as we want to avoid another layer of metal in a previously failed stent. However, their use has also been extended to de novo lesions especially in patients and lesion subsets where stents are not ideal. There is an increased desire toward expanding this further and studies are now being done which are testing DCB in large‐caliber vessels. As the use of DCB is escalating, we felt the importance of writing this article whereby we aim to provide important tips and tricks when using DCB especially for the operators who are in the early phase or have the desire of embarking this technology. From our experience, the DCB‐angioplasty substantially differs on several aspects from DES‐angioplasty. We have provided several case bases examples including algorithm when using DCB in ISR and de novo lesions.

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Section: Scoring Balloons Cutting Balloons or Additional Therapiesmentioning

confidence: 99%