Evidence map›Paper›PMID 27379610›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2017

Fractional flow reserve-guided coronary angioplasty using paclitaxel-coated balloons without stent implantation: feasibility, safety and 6-month results by angiography and optical coherence tomography.

Tudor C Poerner, Corinna Duderstadt, Björn Goebel, Daniel Kretzschmar, Hans R Figulla, Sylvia Otto

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% of its field
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.

NCT02120859 phase4completednot on this map

Fractional Flow Reserve - Guided Elective Coronary Angioplasty Using Paclitaxel - Eluting Balloons With Provisional Stent Implantation: A Phase 4 Feasibility Study With 6-Month Follow-up by Optical Coherence Tomography

TypeinterventionalSponsorUniversity of JenaRan2012 to 2014Enrolled50ConditionsStable Angina, Coronary StenosisArmsFFR - guided DEB angioplasty, Provisional bare metal stenting
NCT07587099 narecruitingnot on this mapstarted 2026, after this paper: background citation

An Investigator-initiated, Multicenter, Open-label, Randomized Controlled Non-inferiority Trial to Assess the Single vs. Dual Antiplatelet Therapy in the Chronic Coronary Syndrome (CCS) and Stable Acute Coronary Syndrome (S-ACS) Patients Undergoing Percutaneous Intervention With Drug-coated Balloons (DCB)-Only Strategy (KONG-FREEDOM-I)

TypeinterventionalSponsorGan LijunRan2026 to 2030Enrolled2,170ConditionsCoronary Heart Disease (CHD)ArmsDrug-coated balloon, Single antiplatelet therapy (SAPT), Dual antiplatelet therapy (DAPT)
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Physiology-Guided Drug-Coated Balloon Angioplasty: What We Know and What is Yet to be Understood.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  5. Review
  6. Observational
  7. Drug-Coated Balloons for Coronary Artery Disease: From Theory to Practice.Current treatment options in cardiovascular medicine · 2025
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
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  20. Observational
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

6 authors at 1 institution in 1 country.

Tudor C PoernerDivision of Cardiology, 1st Department of Medicine, University Hospital of Jena, 07747, Jena, Germany.
Corinna DuderstadtDivision of Cardiology, 1st Department of Medicine, University Hospital of Jena, 07747, Jena, Germany.
Björn GoebelDivision of Cardiology, 1st Department of Medicine, University Hospital of Jena, 07747, Jena, Germany.
Daniel KretzschmarDivision of Cardiology, 1st Department of Medicine, University Hospital of Jena, 07747, Jena, Germany.
Hans R FigullaDivision of Cardiology, 1st Department of Medicine, University Hospital of Jena, 07747, Jena, Germany.
Sylvia OttoDivision of Cardiology, 1st Department of Medicine, University Hospital of Jena, 07747, Jena, Germany. sylvia.otto@med.uni-jena.de.
Jena University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous coronary interventions (PCI) with drug-coated balloons (DCB) might be a promising trade-off between balloon angioplasty and drug-eluting stents, since DCB inhibit neointimal proliferation and limit duration of dual antiplatelet therapy. We investigated the safety, feasibility, and 6-month results of fractional flow reserve (FFR)-guided use of the paclitaxel-coated SeQuent Please METHODS AND

resultsIn 46 patients (54 lesions) with stable symptomatic coronary artery disease (CAD), a FFR-guided POBA (plain old balloon angioplasty) was performed. In case of a sufficient POBA result with residual stenosis < 40 %, FFR > 0.8 and no severe dissection, the target lesion was finally dilated using the DCB. Quantitative coronary angiography (QCA) was performed before and after the index procedure and at 6-month follow-up (f/u) to calculate late lumen loss (LLL) and net luminal gain (NLG). Optical coherence tomography (OCT) was performed at f/u to assess vascular remodeling. DCB-only treatment was applied to 43 patients (51 lesions), while 3 patients (3 lesions) needed provisional stenting. Invasive f/u was completed in 39 patients (47 lesions). At the stenotic site, the lumen diameter showed a trend toward progressive increase at f/u (LLL: -0.13 ± 0.44 mm, n.s.; NLG: 1.10 ± 0.53 mm, p < 0.001) without aneurysm formation or restenosis after DCB-only treatment.

conclusionsFFR-guided DCB-only PCI of de novo lesions appeared feasible and safe in stable CAD with clopidogrel discontinuation after 4 weeks, showing a trend toward positive vessel remodeling without lumen loss at 6 months. Clinical trial registration http://www.clinicaltrials.gov . Unique identifier: NCT02120859.

Indexed as

Cardiac CatheterizationCardiac CathetersCoated Materials, BiocompatibleCoronary AngiographyFractional Flow Reserve, MyocardialTomography, Optical CoherenceAgedAngioplasty, Balloon, CoronaryCardiovascular AgentsCoronary Artery DiseaseCoronary VesselsEquipment DesignFeasibility StudiesFemaleGermanyHumansCardiovascular AgentsCoated Materials, BiocompatiblePaclitaxelDrug-coated balloonDrug-eluting balloonOptical coherence tomographyPCI

Identifiers

PMID27379610
PMCPMC5226992
OpenAlexW2468259797

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.