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神经血管领域中的药物涂层球囊:当前应用与适应症的全面系统综述

Drug-coated Balloons in the Neurovascular Setting: A Comprehensive, Systematic Review of Current Use and Indications.

作者信息

von Gottberg Philipp, Cimpoca Alexandru, Wendl Christina, Cohen José E, Speck Ulrich, Henkes Hans

机构信息

Neuroradiologische Klinik, Klinikum Stuttgart, 70174 Stuttgart, Germany.

Neuroradiologisches Zentrum, Institut für Röntgendiagnostik, Universitätsklinikum Regensburg, 93053 Regensburg, Germany.

出版信息

Rev Cardiovasc Med. 2022 Apr 2;23(4):128. doi: 10.31083/j.rcm2304128. eCollection 2022 Apr.

Abstract

BACKGROUND

Drug-coated balloons (DCB) are an established tool in the prevention and treatment of coronary and peripheral artery restenosis. The underlying effects of restenosis resemble those in the neurovascular field, yet data on the use of DCB in cervical and intracranial arteries is rare.

METHODS

Medline, and international and major national guidelines and recommendations were systematically searched for data addressing the use of DCB in the neurovascular setting.

RESULTS

Of the 1448 relevant records found in Medline, 166 publications were considered for this review.

CONCLUSIONS

Data on the use of DCB in the neurovascular setting show a possible benefit over preceding alternatives, such as self-expanding stents, and balloon-mounted or drug-eluting stents. Nonetheless, the role of DCB remains under-researched, and publications remain lacking.

摘要

背景

药物涂层球囊(DCB)是预防和治疗冠状动脉及外周动脉再狭窄的既定工具。再狭窄的潜在影响与神经血管领域的相似,但关于DCB在颈内动脉和颅内动脉应用的数据很少。

方法

系统检索Medline以及国际和主要国家指南与建议,以获取有关DCB在神经血管领域应用的数据。

结果

在Medline中找到的1448条相关记录中,166篇出版物被纳入本综述。

结论

关于DCB在神经血管领域应用的数据表明,与先前的替代方法(如自膨式支架、球囊扩张式或药物洗脱支架)相比,DCB可能具有优势。尽管如此,DCB的作用仍研究不足,且相关出版物较少。

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Drug-coated balloons: Technical and clinical progress.药物涂层球囊:技术与临床进展。
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