title: Paclitaxel-eluting balloon: from bench to bed.
abstract: Since the first clinical angioplasty by Gruntzig in 1977, restenosis has been the primary drawback of percutaneous coronary intervention (PCI). In the balloon era. restenosis was correlated with elastic recoil and negative remodeling of the arterial wall. Later, introduction of stents proved to be a significant advance in reducing the elastic recoil and negative remodeling at the treatment site but stimulated proliferation, migration of smooth muscle cells, and neointimal hyperplasia, thereby generating a new type of restenosis, in-stent restenosis. Brachytherapy and drug-eluting stents (DES) may be considered the two breakthroughs against neointimal hyperplasia. However, concerns about stent thrombosis and incomplete elimination of in-stent restenosis with DES in complex lesions and patients justify the pursuit of research in this field. Non-stent based local drug delivery and particularly the use of paclitaxel-eluting balloons could be one of these strategies. We aimed to review the concept, preclinical-, and clinical data available with non-stent based local drug delivery and, in particular, with paclitaxel-eluting balloons.
authors.affiliation: Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, Washington, DC, USA.
authors.forename: Axel
authors.initials: A
authors.lastname: De Labriolle
authors.forename: Rajbabu
authors.initials: R
authors.lastname: Pakala
authors.forename: Laurent
authors.initials: L
authors.lastname: Bonello
authors.forename: Gilles
authors.initials: G
authors.lastname: Lemesle
authors.forename: Mickey
authors.initials: M
authors.lastname: Scheinowitz
authors.forename: Ron
authors.initials: R
authors.lastname: Waksman
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D000818:Animals; D002317:Cardiovascular Agents / Q000008:administration & dosage*; D023903:Coronary Restenosis / Q000209:etiology / Q000473:pathology / Q000517:prevention & control / Q000628:therapy*; D023921:Coronary Stenosis / Q000473:pathology / Q000628:therapy*; D054855:Drug-Eluting Stents; D004867:Equipment Design; D006801:Humans; D006965:Hyperplasia; D017239:Paclitaxel / Q000008:administration & dosage*; D011474:Prosthesis Design; D013927:Thrombosis / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D002317:Cardiovascular Agents; D017239:Paclitaxel