Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.005117
Jornal Vascular Brasileiro
Therapeutic Challenge

Tratamento da recidiva de reestenose intra-stent renal por angioplastia com balão farmacológico

Drug-coated balloon used to treat in-stent restenosis of the renal artery

Rodrigo Gibin Jaldin, Marcone Lima Sobreira, Regina Moura, Matheus Bertanha, Rafael Elias Fares Pimenta, Ricardo de Alvarenga Yoshida, Jamil Victor de Oliveira Mariúba, Winston Bonetti Yoshida

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Resumo

Nos últimos anos, balões farmacológicos surgiram como promissora alternativa terapêutica em intervenções endovasculares. Com essa tecnologia, transferem-se drogas antiproliferativas à parede arterial, sem a necessidade de implante metálico para liberação. Descreve-se o caso de um paciente com uma segunda recidiva de reestenose intra-stent renal tratada por angioplastia com balão coberto por droga, com boa evolução clínica caracterizada por adequado controle pressórico e redução de classes e dosagem dos anti-hipertensivos. Os resultados obtidos com balões farmacológicos em outros territórios e esta experiência isolada podem contribuir como sugestão para o uso desses dispositivos na reestenose intra-stent renal, com resultados iniciais satisfatórios.

Palavras-chave

artéria renal; estenose arterial; hipertensão renovascular.

Abstract

During recent years, drug-coated balloons (DCBs) have emerged as a promising therapeutic option. DCBs directly transfer antiproliferative drugs to the arterial wall in order to decrease myointimal hyperplasia. We describe a case of de novo renal artery in-stent restenosis (ISR) treated with drug-coated balloon angioplasty with acceptable short-term results, achieving blood pressure control using fewer antihypertensive agents. The experience and results obtained with DCBs in other territories could suggest and justify use of this technology in renal artery ISR.

Keywords

in-stent restenosis; renal artery stenosis; renovascular hypertension.

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