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Drug coated balloons

Posted By Kevin C. Harned, Thursday, May 5, 2016
I work in a hospital-based access center, which allows access to Medtronic IN.PACT Paclitaxel-coated balloons. I've been using them for approximately 3 months mostly for inflow stenoses due to their maximum available diameter of 7mm.  Anecdotal evidence is not as promising as hoped. Have others used this or Bard's drug coated balloon with much success over standard PTA?

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Suresh K. Margassery says...
Posted Monday, May 9, 2016
As such there is no unequivocal evidence based data available supporting the use of drug-eluting balloon (DEB) for the maintenance of accesses.
I have used these DEB for the recurring stenotic lesions of the inflow access arteries (not the arterial anastomosis) as well as the upper extremity artery stenosis for steal syndrome. These patients (anecdotal evidence) have shown a relatively longer lasting patency of the arteries with the use of anti-platelet agent like Clopidogrel. One of my patient continues to maintain patency of the proximal brachial artery for the past 1 yr. following DEB angioplasty.
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