Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2023; 11(20): 4920-4925
Published online Jul 16, 2023. doi: 10.12998/wjcc.v11.i20.4920
Drug-coated balloons for treating de novo lesions in large coronary vessels: A case report
Zhi-Qiang Zhang, Yi-Ran Qin, Man Yin, Xue-Heng Chen, Lei Chen, Wen-Yan Liang, Xi-Qing Wei
Zhi-Qiang Zhang, Xue-Heng Chen, Lei Chen, Wen-Yan Liang, Xi-Qing Wei, Jining Key Laboratory for Diagnosis and Treatment of Cardiovascular Diseases, Jining Medical University, Affiliated Hospital of Jining Medical University, Jining 272000, Shandong Province, China
Yi-Ran Qin, Cheeloo College of Medicine, Shandong University, Jinan 250000, Shandong Province, China
Man Yin, Jining Medical University, Affiliated Hospital of Jining Medical University, Jining 272000, Shandong Province, China
Author contributions: Zhang ZQ and Qin YR drafted, reviewed, and revised the manuscript; Wei XQ was the primary physician during the patient’s inpatient stay; Yin M, Chen L, and Liang WY acquired and analyzed all the clinical data; and all authors have read and approved the final manuscript.
Supported by Shandong Provincial TCM Science and Technology Development Program Project, No. 2019-0481; and Jining City Science and Technology Key Research and Development Program, No. 2021YXNS069.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this case report.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xi-Qing Wei, MD, PhD, Chief Physician, Professor, Jining Key Laboratory for Diagnosis and Treatment of Cardiovascular Diseases, Jining Medical University, Affiliated Hospital of Jining Medical University, No. 89 Guhuai Road, Rencheng District, Jining 272000, Shandong Province, China. weixiqing512@163.com
Received: March 16, 2023
Peer-review started: March 16, 2023
First decision: May 8, 2023
Revised: May 10, 2023
Accepted: June 26, 2023
Article in press: June 26, 2023
Published online: July 16, 2023
Abstract
BACKGROUND

Percutaneous transluminal coronary angioplasty, while an effective intervention, can frequently lead to acute occlusion with severe consequences. Although clinical trials have demonstrated the efficacy of drug-coated balloons (DCB) in treating acute coronary artery occlusion and in preventing restenosis, there has been limited exploration on the use of DCB in treating de novo lesions in large vessels. Currently, DCB are only recommended for patients with small vessel lesions and in-stent restenosis lesions, those at high risk of bleeding, and other special groups of patients.

CASE SUMMARY

This report presents a case of successful drug-coated balloon treatment of de novo lesions in large coronary vessels. Postoperatively, the patient demonstrated favorable recovery, with subsequent examination results revealing no significant differences from the previous examination.

CONCLUSION

The successful treatment of the patient in our case highlights the potential of DCB in the treatment of de novo lesions in large coronary vessels.

Keywords: Drug-coated balloons, De novo lesions, Large coronary vessels, Coronary artery disease, Percutaneous coronary intervention, Case report

Core Tip: Drug-coated balloons (DCB) are currently only recommended for patients with small vessel lesions and in-stent restenosis lesions, those at high risk of bleeding, and other special groups of patients. This report presents a case of successful drug-coated balloon treatment of de novo lesions in large coronary vessels. The successful treatment of the patient in our case highlights the potential of DCB in the treatment of de novo lesions in large coronary vessels.