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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists01:23

Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists

Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Arteries of Lower Limbs01:20

Arteries of Lower Limbs

The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular artery,...

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Related Experiment Video

Updated: Jun 3, 2026

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

Drug-coated balloons in the lower limb.

T Zeller1, S Schmitmeier, G Tepe

  • 1Angiology Division, Heart Center, Bad Krozingen, Germany. thomas.zeller@herzzentrum.de

The Journal of Cardiovascular Surgery
|April 5, 2011
PubMed
Summary

Drug-coated balloons offer promising results for femoro-popliteal artery lesions, showing improved patency compared to standard angioplasty. This stentless technology is an attractive alternative for peripheral artery disease treatment.

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The Intra-Aortic Balloon Pump
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Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
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The Intra-Aortic Balloon Pump
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Published on: February 5, 2021

Area of Science:

  • Vascular surgery
  • Interventional cardiology
  • Biomaterials science

Background:

  • Concerns persist regarding stent implantation in the femoro-popliteal artery.
  • Stentless technologies achieving comparable or superior results are highly desirable.
  • Paclitaxel-eluting stents have shown recent positive outcomes but concerns remain.

Purpose of the Study:

  • To evaluate the efficacy of drug-coated balloons (DCBs) in femoro-popliteal lesions.
  • To compare DCB outcomes with plain balloon angioplasty and bare metal stents.
  • To provide an overview of ongoing trials involving DCBs in peripheral arteries.

Main Methods:

  • Review of randomized studies (THUNDER, FEMPAC, LEVANT 1) on paclitaxel-releasing DCBs.
  • Analysis of data from ongoing trials evaluating DCBs below the knee (PICCOLO study).
  • Inclusion of presented data on drug-eluting stents for shorter lesions (YUKON BTK, DESTINY).

Main Results:

  • DCBs demonstrated significantly improved patency rates in femoro-popliteal lesions versus plain balloon angioplasty.
  • DCB patency results were comparable to those of most bare metal nitinol stents.
  • The efficacy of DCBs below the knee is still under evaluation.

Conclusions:

  • Drug-coated balloons represent a promising stentless technology for femoro-popliteal artery revascularization.
  • DCBs offer a viable alternative to stenting, with favorable patency rates.
  • Further evaluation of DCBs, especially below the knee, is ongoing.