Evidence map›Paper›PMID 29961306›Full record

ArticleThe Korean journal of internal medicine2019

Intravascular imaging analysis of a drug-eluting balloon followed by a bare metal stent compared to a drug-eluting stent for treatment of de novo lesions.

Wonsuk Choi, In-Ho Chae, Jin Joo Park, Sun-Hwa Kim, Si-Hyuck Kang, Il-Young Oh, Chang-Hwan Yoon, Young-Seok Cho, Tae-Jin Youn, Dong-Ju Choi

Abstract readComparative Study
In one paragraph

Article in The Korean journal of internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Wonsuk ChoiCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
In-Ho ChaeCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Jin Joo ParkCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Sun-Hwa KimCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Si-Hyuck KangCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Il-Young OhCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Chang-Hwan YoonCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Young-Seok ChoCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Tae-Jin YounCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.
Dong-Ju ChoiCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.

Funding

Ministry of Health and WelfareMinistry of Trade, Industry and Energy
6 · The paper itself

Abstract

BACKGROUND/

aimsAfter a study comparing drug-eluting stents (DESs) to sequential treatment with drug-eluting balloons (DEBs) and bare metal stents (BMSs), we retrospectively analysed strut malapposition and neointimal hyperplasia in de novo coronary lesions using optical coherence tomography (OCT) or intravascular ultrasonography (IVUS).

methodsWe obtained OCT data from 16 patients (eight per group) and IVUS data from 40 patients (20 per group). OCT or IVUS was performed after the index procedure and after 9 months. Parameters including obstruction volume due to neointimal hyperplasia (neointimal hyperplasia volume/stent volume, %), strut malapposition (% of malapposed struts), and intra-individual inhomogeneity of in-stent restenosis were compared.

resultsAlthough obstruction volume due to neointimal hyperplasia was significantly higher in the DEB-BMS group (14.90 ± 15.36 vs. DES 7.03 ± 11.39, p = 0.025), there was no difference in strut malapposition between the two groups (DEB-BMS 1.99 ± 5.37 vs. DES 0.88 ± 2.22, p = 0.856). The DEB-BMS group showed greater intra-individual inhomogeneity of in-stent restenosis pattern than the DES group.

conclusionTreatment with DEB followed by BMS failed to improve strut malapposition despite higher in-stent neointimal growth, probably because of the inhomogeneous inhibition of in-stent neointimal hyperplasia by DEB. DEB technology should be improved to obtain even drug delivery to the vessel wall and homogeneous prevention of neointimal growth comparable to contemporary DES.

Indexed as

Cardiac CathetersCoated Materials, BiocompatibleDrug-Eluting StentsMetalsStentsUltrasonography, InterventionalAgedAngioplasty, Balloon, CoronaryCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleHumansHyperplasiaMaleMiddle AgedCoated Materials, BiocompatibleMetalsBare metal stentDrug-eluting balloonDrug-eluting stentsTomography, optical coherenceUltrasonography, interventional

Identifiers

PMID29961306
PMCPMC6610201

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