Evidence map›Paper›PMID 34242214›Full record

SynthesisPloS one2021

Drug coated balloons for coronary artery bifurcation lesions: A systematic review and focused meta-analysis.

Natasha H Corballis, Sophie Paddock, Tharusha Gunawardena, Ioannis Merinopoulos, Vassilios S Vassiliou, Simon C Eccleshall

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 4% 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.

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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Drug-Coated Balloons Versus Non-Coated Balloons for Side Branch Treatment in Bifurcation Lesions: A Systematic Review and Meta-Analysis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Drug-Coated Balloons Beyond In-Stent Restenosis.Reviews in cardiovascular medicine · 2026
    Review
  10. Review
  11. Review
  12. Review
  13. Validation of complex PCI criteria in drug-coated balloon angioplasty.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Observational
  14. Drug-Eluting Balloons Versus Conventional Balloons in Treatment of Coronary Bifurcation Lesions in Small Vessels.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  15. Review
  16. Review
  17. Application of Drug-Coated Balloons in Complex High Risk and Indicated Percutaneous Coronary Interventions.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Review
  18. Article
  19. Review
  20. Article
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 2 institutions in 1 country.

Natasha H CorballisDepartment of Cardiology, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom.ORCID 0000-0002-6837-5787
Sophie PaddockNorwich Medical School, Bob Champion Research and Education, University of East Anglia, Norwich, United Kingdom.
Tharusha GunawardenaDepartment of Cardiology, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom.
Ioannis MerinopoulosDepartment of Cardiology, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom.
Vassilios S VassiliouDepartment of Cardiology, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom.
Simon C EccleshallDepartment of Cardiology, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom.
University of East Anglia · GBNorfolk and Norwich University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to systematically review the evidence supporting the role of drug coated balloons (DCBs) in the treatment of coronary bifurcation lesions.

backgroundDCBs are emerging as an attractive alternative treatment strategy for treating coronary bifurcations due to simplifying the approach and reducing rates of stent related complications. We systematically reviewed the evidence for DCB use in coronary bifurcations and conducted a focused meta-analysis on late lumen loss in the side branch comparing DCB and plain old balloon angioplasty (POBA).

methodsThis study was conducted in line with the PRISMA statement. All studies (including both RCTs and observational studies, excluding case reports) using DCB as part of a bifurcation strategy were included in this review. A literature search identified a total of ten studies for inclusion. A focused meta-analysis was undertaken for the use of DCB in side-branch compared with POBA. Mean late lumen loss was used with a random effects model due to heterogeneity.

resultsDCB was found to be superior to POBA for side branch treatment in bifurcations (p = 0.01). There are four studies that investigated the use of DCB for main branch treatment in a bifurcation, with evidence supporting its safety in main branches of bifurcation lesions, while prospective observational studies have demonstrated favourable target lesion revascularisation rates.

conclusionAlthough there is a lack of robust RCTs comparing DCBs with current generation DES, DCBs appear safe in main branch bifurcation lesions with improved side branch late lumen loss when compared with DES or POBA.

Indexed as

Angioplasty, Balloon, CoronaryCoronary Artery DiseaseCoated Materials, BiocompatibleCoronary VesselsDrug-Eluting StentsHumansCoated Materials, Biocompatible

Identifiers

PMID34242214
PMCPMC8270410
OpenAlexW3182541345

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.