Does paclitaxel-releasing drug-coated balloon angioplasty improve angiographic patency in an 81-year-old man with inferior STEMI and recent ischemic stroke?
PPoblación81-year-old man with inferior STEMI, recent ischemic stroke (new neurological deficits), and proximally occluded ectatic right coronary artery (RCA).
IIntervenciónPaclitaxel-releasing drug-coated balloon (PDCB) angioplasty (initial 4.0/40mm, followed by 4.0/30mm and 4.0/40mm at 36 hours) and aspiration thrombectomy.
OResultadoAngiographic patency (TIMI III flow) and sustained patency at 36 hours.surrogate
Drug-coated balloon-only PCI may be a feasible stentless strategy for STEMI patients with high bleeding risk, allowing for shortened dual antiplatelet therapy.