Drug-coated balloon in the treatment of coronary bifurcation lesions: A hope or hype?

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dc.contributor.authorDash, Debabrataen_US
dc.contributor.authorMody, Rohiten_US
dc.contributor.authorAhmed, Naveeden_US
dc.contributor.authorMalan, Sugandhna Renoen_US
dc.contributor.authorMody, Bhavyaen_US
dc.date.accessioned2023-07-21T11:36:56Z
dc.date.available2023-07-21T11:36:56Z
dc.date.issued2022-12
dc.description.abstractWhen compared to non-bifurcation lesions, percutaneous coronary intervention in coronary bifurcation lesions is technically demanding and has historically been limited by lower procedural success rates and inferior clinical results. Following the development of drug-eluting stents, dramatically better results have been demonstrated. In most of the bifurcation lesions, the provisional technique of implanting a single stent in the main branch (MB) remains the default approach. However, some cases require more complex two-stent techniques which carry the risk of side branch (SB) restenosis. The concept of leaving no permanent implant behind is appealing because of the complexity of bifurcation anatomy with significant size mismatch between proximal and distal MB which may drive rates of in-stent restenosis and the potential impact of MB stenting affecting SB coronary flow dynamics. With the perspective of leaving lower metallic burden, a drug-coated balloon (DCB) has been utilized to treat bifurcations in both the MB and SB. The author gives an overview of the existing state of knowledge and prospects for the future for using DCB to treat bifurcation lesions.en_US
dc.identifier.affiliationsDepartment of Cardiology, Max Superspeciality Hospital, Bathinda, Indiaen_US
dc.identifier.affiliationsDepartment of Cardiology, Aster Hospital, Dubai, United Arab Emiratesen_US
dc.identifier.affiliationsDepartment of Medicine, Kasturba Medical College, Manipal, Karnataka, Indiaen_US
dc.identifier.citationDash Debabrata, Mody Rohit, Ahmed Naveed, Malan Sugandhna Reno, Mody Bhavya . Drug-coated balloon in the treatment of coronary bifurcation lesions: A hope or hype?. Indian Heart Journal. 2022 Dec; 74(6): 450-457en_US
dc.identifier.issn0019-4832
dc.identifier.issn2213-3763
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/220942
dc.languageenen_US
dc.publisherCardiological Society of Indiaen_US
dc.relation.issuenumber6en_US
dc.relation.volume74en_US
dc.source.urihttps://doi.org/10.1016/j.ihj.2022.10.193en_US
dc.subjectCoronary bifurcationen_US
dc.subjectPercutaneous coronary interventionen_US
dc.subjectDrug-coated balloonen_US
dc.titleDrug-coated balloon in the treatment of coronary bifurcation lesions: A hope or hype?en_US
dc.typeJournal Articleen_US
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