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J Cardiovasc Surg (Torino). 2018 Feb;59(1):70-78. doi: 10.23736/S0021-9509.17.10253-3. Epub 2017 Oct 2.

Debulking plus drug-coated balloon combination as revascularization strategy for complex femoropopliteal lesions.

Author information

1
Service of Surgery, Ospedale Regionale di Locarno "La Carita", Locarno, Switzerland.
2
Service of Vascular Surgery, Centro Vascolare Ticino, Ospedale Regionale di Lugano, Lugano, Switzerland.
3
Service of Interventional Radiology, Centro Vascolare Ticino, Ospedale Regionale di Lugano, Lugano, Switzerland - josua.vandenberg@eoc.ch.
4
Inselspital, Universitätsspital Bern, Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie, Bern, Switzerland.

Abstract

This paper will discuss the results from the most recent randomized trials and large registries for DCB's and atherectomy, and the drawbacks of these two therapeutic options. It will also discuss the results of combination therapy in complex femoropopliteal lesions. Several studies indicate that combining atherectomy and DCB yields better outcomes in complex calcified lesions, but the only randomized pilot study could not demonstrate a benefit of combination therapy in the mid-term follow-up. Larger, randomized studies are needed to define the role of atherectomy followed by DCB angioplasty further.

PMID:
28975778
DOI:
10.23736/S0021-9509.17.10253-3
[Indexed for MEDLINE]

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