SCAI 2026 Sirolimus-Eluting Balloons in Coronary PCI: Key Insights from Recent Evidence-Case Review: De Novo Lesion, Dr. Colombo

Case Review: De Novo Lesion, Dr. Colombo

Video Transcription

Video Summary

The speaker explains how drug-coated balloons (DCBs) can simplify complex coronary interventions, especially in calcified or diffuse lesions. Compared with older approaches requiring stents, IVUS, kissing balloons, and sometimes long procedures, DCBs can achieve good acute results in less time and often avoid permanent stents. He presents cases of left circumflex and diffuse LAD disease, including rotablation and long lesions, where careful balloon dilatation and pressure measurements guided successful DCB-only treatment. He emphasizes that even with dissection, if residual lumen is adequate, DCB can be left without stenting, potentially leading to safer, more benign restenosis if it occurs.

Asset Caption

closed captions are computer-generated

Keywords

drug-coated balloons

coronary interventions

calcified lesions

diffuse LAD disease

DCB-only treatment