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Temporal Trend Of Drug Eluting Balloon Over The Last 10 Years
Session:
SESSÃO DE POSTERS 32 - DOENÇAS CARDIOVASCULARES - EAM COM SUPRADESNIVELAMENTO DO SEGMENTO ST
Speaker:
Rita Louro
Congress:
CPC 2025
Topic:
H. Interventional Cardiology and Cardiovascular Surgery
Theme:
25. Interventional Cardiology
Subtheme:
25.2 Coronary Intervention
Session Type:
Cartazes
FP Number:
---
Authors:
Rita Louro; Gustavo Sá Mendes; David Neves; Lino Patrício; Pedro Jerónimo Sousa; Rita Calé
Abstract
<p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><strong>BACKGROUND: </strong></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-family:"Aptos Light",sans-serif">Drug-eluting balloons (DEBs) delivered antiproliferative drugs to the lesions without leaving foreign material behind, avoiding the caveats of stent thrombosis, accelerated atherosclerosis, impossibility of surgical revascularization and disruption of vessel dynamics. Initially indicated for in-stent restenosis, DEBs have expanded to application in large-calibre vessels, diffuse disease, ostial lesions and in some cases chronic total occlusions (CTO).</span></span></span></span></p> <p style="text-align:justify"> </p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><strong>METHODS: </strong></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-family:"Aptos Light",sans-serif">Registry data were collected in collaboration with the Portuguese Association of Interventional Cardiology (APIC), with contributions from each participating centre. </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-family:"Aptos Light",sans-serif">The national publication of this review was acknowledged by the CNCD- National Center for Cardiology Data Collection. </span></span></span></span></p> <p style="text-align:justify"> </p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><strong>RESULTS: </strong></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-family:"Aptos Light",sans-serif">This registry evaluates the use of DEB procedures performed between 2014 and 2023 across 13 Portuguese centres, totalling 3,198 interventions (Figure). DEB usage rose significantly from 209 procedures in 2014 to 703 in 2023 (p <0.001), reflecting an increase in DEB as a percentage of total percutaneous coronary interventions (PCIs) from 3.5% to 9.6% over the same period (p <0.001). This trend was independent of the number of PCI per year/centre. Despite this tendency, the penetrance of DEB per region remains different, with a positive gradient from North to South: North 4.34%, Center 10.39%, Lisbon and Tagus Valley 9.64%, and South + Islands 12.35%.</span></span></span></span></p> <p style="text-align:justify"> </p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><strong>CONCLUSIONS</strong><span style="font-family:"Aptos Light",sans-serif">:</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:medium"><span style="font-family:Aptos,sans-serif"><span style="color:#000000"><span style="font-family:"Aptos Light",sans-serif">These findings indicate a growing adoption of DEBs in diverse clinical and anatomical contexts. This highlights the importance of long-term follow-up to ensure the quality and durability of treatment outcomes.</span></span></span></span></p>
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