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Local Drug Delivery to Prevent Restenosis of the Coronary and Peripheral Arteries

  • Carlo Zivelonghi
  • Pierfrancesco Agostoni
  • Freek Nijhoff
Chapter

Abstract

The drug-coated balloon (DCB) is an emerging device that has great potential for the percutaneous treatment of obstructive coronary and peripheral artery disease. Although the DCB technology is still in its infancy, it has already demonstrated its beneficial effects in patients with coronary in-stent restenosis (ISR) [1] and peripheral artery disease [2]. Hallmark of the DCB is the local delivery of an antirestenotic drug into the vessel wall during very short balloon-vessel contact, without the need for implantation of permanent scaffolds. The antirestenotic drug prevents restenosis after vascular intervention through inhibition of neointimal hyperplasia [3–5] and possibly by modification of the arterial remodeling response [3, 6, 7].

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Carlo Zivelonghi
    • 1
  • Pierfrancesco Agostoni
    • 1
  • Freek Nijhoff
    • 1
  1. 1.Cardiovascular CenterZNA MiddelheimAntwerpBelgium

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