Evidence map›Paper›PMID 40400945›Full record

ArticleJournal of thoracic disease2025

Randomized study assessing the effectiveness and safety of a novel scoring balloon for percutaneous coronary intervention: the Wedge NC trial.

Haibo Chen, Jian Xu, Delong Chen, Feng Gao, Yabin Liu, Hanbin Cui, Jingfeng Wang, Suxia Guo, Zhimin Du, Jinyu Huang and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06214247 (A Prospective, Open Label, Multi-center, Randomized Study Designed to Evaluate the Safety and Efficacy of Scoring PTCA Catheter on Subjects During Percutaneous Coronary Intervention), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06214247 nacompletednot on this map

A Prospective, Open Label, Multi-center, Randomized Study Designed to Evaluate the Safety and Efficacy of Scoring PTCA Catheter on Subjects During Percutaneous Coronary Intervention

TypeinterventionalSponsorBrosMed Medical Co., LtdRan2021 to 2022Enrolled198ConditionsCoronary Artery DiseaseArmsWedge NC Scoring Balloon Dilatation Catheter, Scoreflex Scoring Balloon Dilatation Catheter
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Calcium modifying dedicated balloons: a contemporary review.Frontiers in cardiovascular medicine · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Haibo ChenDepartment of Cardiology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Jian XuDepartment of Cardiology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Delong ChenDepartment of Cardiology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Feng GaoDepartment of Cardiology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yabin LiuDepartment of Cardiology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Hanbin CuiDepartment of Cardiology, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Jingfeng WangDepartment of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Suxia GuoDepartment of Cardiology, Dongguan People's Hospital, The Tenth Affiliated Hospital of Southern Medical University, Dongguan, China.
Zhimin DuDepartment of Cardiology, Dongguan Songshan Lake Tungwah Hospital, Dongguan, China.
Jinyu HuangDepartment of Cardiology, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China.
Xingwei ZhangDepartment of Cardiology, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China.
Wenbing JiangDepartment of Cardiology, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Zhejiang Chinese Medicine University, Wenzhou, China.
Zhenfeng ChengDepartment of Cardiology, Huzhou Central Hospital, Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Huzhou, China.
Jun JiangDepartment of Cardiology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID https://orcid.org/0000-0001-6926-9516

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Scoring balloon angioplasty catheters are designed to induce high focal stress at low inflation pressure for better lesion modification. We aimed to assess the effectiveness and safety of a newly developed Wedge NC scoring balloon catheter compared to the ScoreFlex coronary dilatation catheter for treating coronary artery lesions. Methods: The Wedge NC trial was a prospective, multicenter, open-label, randomized controlled non-inferiority trial conducted during August 2021 and February 2022. There were 198 patients with indication for percutaneous coronary intervention (PCI) enrolled at nine centers in China. Patients undergoing angioplasty were randomly assigned to treatment with the Wedge NC scoring balloon or the ScoreFlex scoring balloon. The primary endpoint was procedure success, defined as the residual stenosis of the target lesion ≤30% immediately after PCI procedure, without complications (limited to death, Q-wave or non-Q-wave myocardial infarction, or emergent coronary artery bypass grafting during postoperative hospitalization). The secondary endpoints included rate of clinical success, device procedural success, balloon slippage, and angiographic traits measured by quantitative coronary analysis. Results: Baseline parameters showed no differences between the two groups. Procedure success was achieved in 98 of 99 patients in both groups. The mean difference between the Wedge group and the ScoreFlex group was 0 (95% confidence interval: -2.79% to 2.79%, 1-sided P<0.001 with both Wald method and minimum risk weights method). Noninferiority at a predefined margin of 7% was established. Immediately after the balloon inflation, minimal lumen diameter in the Wedge group was significantly larger than that of the ScoreFlex group (1.71±0.39 Conclusions: In patients undergoing PCI, the Wedge NC scoring balloon dilatation catheter was noninferior to the ScoreFlex coronary dilatation catheter regarding procedure success and had comparably low procedural complication rate. (Sponsored by BrosMed Medical.). Trial Registration: The trial was registered at clinicaltrials.gov with the identifier NCT06214247.

Indexed as

lesion modificationPercutaneous coronary intervention (PCI)scoring balloon

Identifiers

PMID40400945
PMCPMC12090169

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.