Drug-Coated Balloons for the Treatment of Symptomatic Intracranial High-Grade Stenosis: A Review of the Current Rationale.

angioplasty drug-coated balloon endovascular procedures intracranial atherosclerotic disease intracranial stenosis stroke

Journal

Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899

Informations de publication

Date de publication:
2021
Historique:
received: 07 04 2021
accepted: 21 06 2021
entrez: 13 8 2021
pubmed: 14 8 2021
medline: 14 8 2021
Statut: epublish

Résumé

Symptomatic intracranial atherosclerotic disease (sICAD) remains a challenging disorder in the neurovascular field. Despite best medical treatment, the recurrence rate for stroke remains high in patients with intracranial high-grade stenosis (>70-99%). Furthermore, two large randomized trials (SAMMPRIS and VISSIT) failed to prove the efficacy of percutaneous transluminal angioplasty and stenting in patients with sICAD. Drug-coated balloon percutaneous transluminal angioplasty (DCB-PTA) represents an alternative treatment modality with therapeutic benefits for interventional cardiology. However, there are very few articles in the existing literature that relate to the use of DCB-PTA in sICAD patients. Here, we aimed to review the rationale underlying the use of DCB-PTA in sICAD patients and summarize recent developments in the neurovascular field.

Identifiants

pubmed: 34385971
doi: 10.3389/fneur.2021.692208
pmc: PMC8353086
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

692208

Informations de copyright

Copyright © 2021 Gruber, Singh, Andereggen, Berberat and Remonda.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Philipp Gruber (P)

Department of Neuroradiology, Kantonsspital Aarau, Aarau, Switzerland.

Samarth Singh (S)

Department of Neurology, Norvic International Hospital, Kathmandu, Nepal.

Lukas Andereggen (L)

Department of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland.
Faculty of Medicine, University of Bern, Bern, Switzerland.

Jatta Berberat (J)

Department of Neuroradiology, Kantonsspital Aarau, Aarau, Switzerland.

Luca Remonda (L)

Department of Neuroradiology, Kantonsspital Aarau, Aarau, Switzerland.
Faculty of Medicine, University of Bern, Bern, Switzerland.

Classifications MeSH