Use of drug-coated balloons for interventions on bifurcation lesions of coronary arteries

Kuropiy T.S., Utegenov R.B., Khelimskiy D.A., Badoyan A.G., Eraliev T.K., Krestyaninov O.V.

Department of Endovascular Diagnosis and Treatment, National Medical Research Centre named after Academician E.N. Meshalkin under the RF Ministry of Public Health, Novosibirsk, Russia

Interventions on bifurcation lesions of the coronary bed are one of the most complicated tasks of interventional cardiology. Recent trends are toward active study of using drug-eluting balloons for interventions in this type of lesions. Using such technique makes it possible to minimize the risks associated with implantation of stents in sites of coronary artery bifurcations with good angiographic results.
This article is a review of the literature data concerning the use of drug-coated balloons in interventions on bifurcation lesions of the coronary bed, discussing peculiarities of the balloon catheter design, dynamics of delivery of an antiproliferative drug to the vascular wall. This is followed by considering the experience with using innovative sirolimus-coated balloon catheters, as well as future perspectives of these devices for interventions in coronary artery bifurcation lesions.

KEY WORDS: percutaneous coronary intervention, bifurcation lesions, drug-coated balloons, paclitaxel, provisional stenting, two-stent technique.

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