الفهرس | Only 14 pages are availabe for public view |
Abstract PAD is highly associated with cardiovascular mortality and morbidity, and smoking cessation, lifestyle modification, and medical treatment, along with concomitant evaluation for cardiovascular risk, is a well-established treatment regimen. Endovascular revascularization or surgical reconstruction often becomes necessary to restore blood flow to the diseased limb. Antiproliferative agents, such as paclitaxel, delivered into the vessel wall by drug-coated balloons (DCB) or drug-eluting stents have been shown to inhibit restenosis and improve patency in the infra inguinal arteries compared with uncoated balloon angioplasty alone. DCB and drug eluting stent strategies are both currently being investigated to optimize interventional treatment of infrainguinal atherosclerotic vascular obstructions. However it remains a matter of some debate whether the use of DCB for femoropopliteal percutaneous revascularization may lower the risk of reinterventions. Indeed, any such benefit may have considerable implication for the costs associated with peripheral artery disease and its complications. |