Evidence map›Paper›PMID 38986653›Full record

SynthesisJACC. Cardiovascular interventions2024

Outcomes With Limus- vs Paclitaxel-Coated Balloons for Percutaneous Coronary Intervention: Meta-Analysis of Randomized Controlled Trials.

Ramy Sedhom, Mohamed Hamed, Ayman Elbadawi, Amr Mohsen, Pooja Swamy, Ahmed Athar, Aditya S Bharadwaj, Vinoy Prasad, Islam Y Elgendy, Fernando Alfonso

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in JACC. Cardiovascular interventions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
–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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Article
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  8. SirolimusWorld journal of methodology · 2026
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  10. Paclitaxel-coated balloon with urea or iopromide as the excipient for treatment of coronary artery disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
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  11. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ramy SedhomDivision of Cardiology, Loma Linda University Medical Center, Loma Linda, California, USA.
Mohamed HamedDivision of Cardiology, Florida Atlantic University, Boca Raton, Florida, USA.
Ayman ElbadawiDivision of Cardiology, Christus Good Shepherd Medical Center, Longview, Texas, USA; Texas A&M School of Medicine, Bryan, Texas, USA.
Amr MohsenDivision of Cardiology, Loma Linda University Medical Center, Loma Linda, California, USA.
Pooja SwamyDivision of Cardiology, Loma Linda University Medical Center, Loma Linda, California, USA.
Ahmed AtharCardiology Section, Jerry L. Pettis Memorial Veteran's Hospital, Loma Linda, California, USA.
Aditya S BharadwajDivision of Cardiology, Loma Linda University Medical Center, Loma Linda, California, USA.
Vinoy PrasadDivision of Cardiology, Loma Linda University Medical Center, Loma Linda, California, USA.
Islam Y ElgendyDivision of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USA. Electronic address: iyelgendy@gmail.com.
Fernando AlfonsoCardiology Department, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, IIS-IP, CIBER-CV, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRandomized controlled trials (RCTs) examining the outcomes with limus drug-coated balloons (DCBs) vs paclitaxel DCBs were small and underpowered for clinical endpoints.

objectivesThis study sought to compare the angiographic and clinical outcomes with limus DCBs vs paclitaxel DCBs for percutaneous coronary intervention (PCI).

methodsAn electronic search of Medline, EMBASE, and Cochrane databases was performed through January 2024 for RCTs comparing limus DCBs vs paclitaxel DCBs for PCI. The primary endpoint was clinically driven target lesion revascularization (TLR). The secondary endpoints were late angiographic findings. Summary estimates were constructed using a random effects model.

resultsSix RCTs with 821 patients were included; 446 patients received a limus DCB, and 375 patients received a paclitaxel DCB. There was no difference between limus DCBs and paclitaxel DCBs in the incidence of TLR at a mean of 13.4 months (10.3% vs 7.8%; risk ratio [RR]: 1.32; 95% CI: 0.84-2.08). Subgroup analysis suggested no significant interaction among studies for de novo coronary lesions vs in-stent restenosis (P

conclusionsAmong patients undergoing DCB-only PCI, there were no differences in the risk of clinically driven TLR and other clinical outcomes between limus DCBs and paclitaxel DCBs. However, paclitaxel DCBs were associated with better late angiographic outcomes. These findings support the need for future trials to establish the role of new-generation limus DCBs for PCI.

Indexed as

Angioplasty, Balloon, CoronaryCardiac CathetersCardiovascular AgentsCoated Materials, BiocompatibleCoronary Artery DiseasePaclitaxelPercutaneous Coronary InterventionAgedCoronary AngiographyCoronary RestenosisFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicRisk FactorsCardiovascular AgentsCoated Materials, BiocompatiblePaclitaxelbiolimusdrug-coated balloonpaclitaxelsirolimus

Identifiers

What OpenQuestion holds

Textmetadata
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.