Paclitaxel crystal visualization by intravascular imaging following drug-coated balloon angioplasty: A report of 2 cases

IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiovascular Revascularization Medicine Pub Date : 2025-07-01 DOI:10.1016/j.carrev.2025.02.013
Rajesh Vijayvergiya, Arghadip Bose, Nikhil Sharma, Basant Kumar, Bhupinder K. Sihag, Ankush Gupta
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Abstract

Drug-coated balloons (DCB) have evolved as an alternative to drug-eluting stents in coronary interventions without the addition of an extra metal layer while delivering antiproliferative drugs. However, the delivery of the drug at the target site cannot be objectively assessed in routine practice. Hence, the success of a DCB angioplasty is limited to luminal gain alone. We report a novel finding of tiny paclitaxel crystals detected on the intimal surface by intravascular ultrasound (IVUS) and optical coherence tomography (OCT) in two cases treated with DCB angioplasty.
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药物包被球囊血管成形术后血管内显像紫杉醇晶体显示2例报告。
药物涂层气球(DCB)已发展成为冠状动脉介入治疗中药物洗脱支架的替代方案,在输送抗增殖药物时无需额外添加金属层。然而,在常规实践中,无法客观地评估药物在靶部位的递送情况。因此,DCB血管成形术的成功仅局限于管腔增益。我们报告了一项新的发现,在血管内超声(IVUS)和光学相干断层扫描(OCT)在内膜表面检测到微小的紫杉醇晶体,在两个接受DCB血管成形术的病例中。
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来源期刊
Cardiovascular Revascularization Medicine
Cardiovascular Revascularization Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.30
自引率
5.90%
发文量
687
审稿时长
36 days
期刊介绍: Cardiovascular Revascularization Medicine (CRM) is an international and multidisciplinary journal that publishes original laboratory and clinical investigations related to revascularization therapies in cardiovascular medicine. Cardiovascular Revascularization Medicine publishes articles related to preclinical work and molecular interventions, including angiogenesis, cell therapy, pharmacological interventions, restenosis management, and prevention, including experiments conducted in human subjects, in laboratory animals, and in vitro. Specific areas of interest include percutaneous angioplasty in coronary and peripheral arteries, intervention in structural heart disease, cardiovascular surgery, etc.
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