Drug-Coated Balloon and Antithrombotic Therapy

  • Arturo Alfani
  • Donato Gerardi
  • Giovanni Esposito
  • Eugenio Stabile


In patients with lower extremity arterial disease (LEAD), antiplatelet therapy is used to prevent major adverse cardiac events (MACE) and major adverse limb events (MALE). Different strategies have been tested, involving the use of a single antiplatelet (SAPT) or a dual antiplatelet (DAPT) therapy, but their beneficial effect is still unclear, and specific indications are lacking.

SAPT seems to be effective in symptomatic patients only, with clopidogrel being more effective.

The effect of DAPT in LEAD patients is still unclear. Few studies have evaluated the effect of antiplatelet therapy after percutaneous treatment of LEAD patients, and the benefit of DAPT in these patients is still unclear and only confined to specific subpopulation of patients.

The increasing use of drug-coated balloon (DCB) in LEAD patients is usually followed by DAPT in the first weeks after treatment, and this approach seems to be effective.





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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Arturo Alfani
    • 1
  • Donato Gerardi
    • 1
  • Giovanni Esposito
    • 1
  • Eugenio Stabile
    • 1
  1. 1.Division of Cardiology, Department of Advanced Biomedical Sciences“Federico II” UniversityNapoliItaly

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