Evidence map›Paper›PMID 40662340›Full record

SynthesisCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2025

Drug Coated Balloons Versus Drug-Eluting Stents in Patients With De Novo Coronary Artery Disease.

Daniel O'Callaghan, Himanshu Rai, Daniele Giacoppo, J J Coughlan, Rory Durand, Valeria Paradies, Róisín Colleran, Gavin J Blake, Fernando Alfonso, Robert A Byrne

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. 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

10 authors.

Daniel O'CallaghanCardiovascular Research Institute (CVRI) and Dept. Of Cardiology, Mater Private Network, Dublin, Ireland.ORCID 0000-0002-4480-9990
Himanshu RaiCardiovascular Research Institute (CVRI) and Dept. Of Cardiology, Mater Private Network, Dublin, Ireland.ORCID 0000-0003-3917-1934
Daniele GiacoppoCardiovascular Research Institute (CVRI) and Dept. Of Cardiology, Mater Private Network, Dublin, Ireland.ORCID 0000-0001-9008-3011
J J CoughlanCardiovascular Research Institute (CVRI) and Dept. Of Cardiology, Mater Private Network, Dublin, Ireland.ORCID 0000-0001-6086-3279
Rory DurandCardiovascular Research Institute (CVRI) and Dept. Of Cardiology, Mater Private Network, Dublin, Ireland.ORCID 0000-0003-2712-2131
Valeria ParadiesDepartment of Cardiology, Maasstad Hospital, Rotterdam, The Netherlands.ORCID 0000-0003-3513-7819
Róisín ColleranCardiovascular Research Institute (CVRI) and Dept. Of Cardiology, Mater Private Network, Dublin, Ireland.ORCID 0000-0002-9603-9502
Gavin J BlakeCardiovascular Research Institute (CVRI) and Dept. Of Cardiology, Mater Private Network, Dublin, Ireland.
Fernando AlfonsoCardiology Department, Hospital Universitario de La Princesa, IIS-IP, Centro de Investigación Biomédica en Red Enfermedades Cardiovaculares, Madrid, Spain.ORCID 0000-0002-7480-2511
Robert A ByrneCardiovascular Research Institute (CVRI) and Dept. Of Cardiology, Mater Private Network, Dublin, Ireland.ORCID 0000-0001-5224-6393

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundIn patients with de novo coronary artery disease (CAD), percutaneous coronary intervention (PCI) with drug eluting stent (DES) implantation is the gold standard therapy. New evidence is available with drug coated balloons (DCB) angioplasty. The objective of this meta-analysis was to compare the efficacy and safety of DCB angioplasty versus DES-based PCI for patients with de novo CAD.

methodsA systematic search of PubMed, Scopus, Web of Science, and EMBASE databases was performed from January 1, 2006 up until November 1, 2024. Inclusion criteria were random treatment assignment; PCI with DCB versus DES; patients with de novo CAD; clinical follow-up available for ≥1 year; and studies published in a peer-reviewed journal. Trial-level incidence rate ratios (IRR) with 95% confidence intervals (CI) were pooled by random-effects models with inverse variance weighting. The primary outcome was major adverse cardiac events (MACE). Secondary outcomes included cardiac death, all-cause death, and target lesion revascularization.

resultsA total of nine clinical trials comprising of 4284 patients were included. The risk of the primary compositive endpoint of MACE was comparable with DCB versus DES (IRR 0.95, 95% CI 0.61 to 1.48). Secondary endpoints including cardiac death (IRR 1.49, 95% CI 0.96 to 2.33), all-cause death (IRR 1.18, 95% CI 0.80 to 1.74), and target lesion revascularization (IRR 1.17, 95% CI 0.68 to 2.01) were comparable though CIs around treatment effects were wide.

conclusionsDCB angioplasty for de novo CAD was associated with similar medium-term clinical outcomes compared with DES. Additional evidence is warranted in view of numerical trends in important secondary endpoints.

trial registrationThe analysis was registered at PROSPERO (CRD42024581222).

Indexed as

Angioplasty, Balloon, CoronaryCardiac CathetersCoated Materials, BiocompatibleCoronary Artery DiseaseDrug-Eluting StentsAgedFemaleHumansMaleMiddle AgedProsthesis DesignRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeCoated Materials, Biocompatible

Identifiers

PMID40662340
PMCPMC12412355

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.