SCAI Bifurcation Club - A Case-Based Discussion-DCB in Bifurcation PCI, Dr. Goran Stankovic

Video Transcription

Video Summary

The discussion centered on the use of Drug-Coated Balloons (DCB) in treating coronary bifurcations, highlighting its advantages over stents. DCBs ensure the original anatomy of bifurcations is maintained and deliver drugs directly to vessel walls, avoiding issues related to stents, such as malapposition and complicated procedural steps. Initial studies, like PEPCAT 5 and the Belgian study, showed limited success in using DCBs with bare metal stents. A meta-analysis indicated reduced late lumen loss with DCB for side branches, yet without significant clinical outcome improvements. Current strategies explore combining DCB with drug-eluting stent (DES) in main branches, which shows promise in maintaining side branch patency. Ongoing research seeks optimal DCB strategies, like applying it sequentially in both branches, which has shown encouraging results. However, more data is needed to refine these approaches and establish effective protocols, particularly concerning potential suboptimal initial lumen appearance that might improve over time.

Keywords

Drug-Coated Balloons

coronary bifurcations

stents

meta-analysis

clinical outcomes