Evidence map›Paper›PMID 40102457›Full record

ArticleScientific reports2025

Predictors of optimal angiographic lesion outcomes in drug-coated balloon treatment for de novo coronary artery disease.

Dong Oh Kang, Jong-Seok Lee, Bitna Kim, Yong-Hyun Kim, Sang-Yup Lim, Seong Hwan Kim, Jeong-Cheon Ahn, Ae-Young Her, Woo-Hyuk Song, Eun-Seok Shin and 1 more

Registry-linked trialAbstract readClinical Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04619277 (Impact of Drug-coated Balloon Treatment in de Novo Coronary Lesion), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04619277 recruitingnot on this map

Impact of Drug-coated Balloon Treatment in de Novo Coronary Lesion

Typeobservational_patient_registrySponsorUlsan Medical CenterRan2011 to 2030Enrolled10,000ConditionsDrug-coated BalloonArmsdrug-coated balloon
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

11 authors.

Dong Oh KangCardiovascular Center, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea.
Jong-Seok LeeCardiovascular Center, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, South Korea.
Bitna KimDepartment of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunhwan-doro, Dong-gu, Ulsan, 44033, South Korea.
Yong-Hyun KimCardiovascular Center, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, South Korea.
Sang-Yup LimCardiovascular Center, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, South Korea.
Seong Hwan KimCardiovascular Center, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, South Korea.
Jeong-Cheon AhnCardiovascular Center, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, South Korea.
Ae-Young HerDivision of Cardiology, Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, South Korea.
Woo-Hyuk SongCardiovascular Center, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, South Korea.
Eun-Seok Shin *Department of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunhwan-doro, Dong-gu, Ulsan, 44033, South Korea. sesim1989@gmail.com.
Sunwon Kim *Cardiovascular Center, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, South Korea. sunwon11@hanmail.net.

Funding

Korea University Grant K1923481, K2022971, K2111151, and K2211921Korea University Grant K2225581National Research Foundation of Korea RS-2023-00210960National Research Foundation of Korea (NRF) NRF-2021R1F1A1061337
6 · The paper itself

Abstract

Drug-coated balloon (DCB) treatment is an emerging strategy for de novo coronary artery disease (CAD), but procedural optimization remains uncertain. This study analyzed 317 patients who underwent DCB-based intervention for de novo CAD and angiographic follow-up: SR (successful, stent-like result: diameter stenosis < 20% at follow-up angiography, n = 84, 93 lesions) and Non-SR (n = 224, 358 lesions) groups. Baseline clinical and lesion characteristics were similar, except that SR lesions had larger diameter. In SR lesions, specialty balloons were more frequently utilized (p = 0.025), and maximal balloon diameter and balloon-to-artery ratio were significantly greater compared to Non-SR lesions (p < 0.001 and p = 0.008). At a median 8-month follow-up, SR lesions exhibited larger minimal luminal diameter (MLD) and lower late lumen loss, with negative values indicating positive vessel remodeling. In multivariate analysis, post-DCB MLD (odds ratio 1.17 per 0.1 mm increase, p < 0.001) and balloon-to-artery ratio (odds ratio 1.43 per 0.1 increase, p = 0.002) were independent predictors for successful angiographic outcomes with thresholds of 1.95 mm for post-DCB MLD and 1.13 for balloon-to-artery ratio. In 47 patients, IVUS guidance resulted in balloon-to-artery ratio of 1.23 as calculated by QCA. The study demonstrated the importance of achieving maximal post-DCB MLD through aggressive lesion predilation, underscoring the need for refining procedural strategies. NCT04619277 (Impact of Drug-Coated Balloon Treatment in De Novo Coronary Lesion).

Indexed as

Angioplasty, Balloon, CoronaryCoronary AngiographyCoronary Artery DiseaseAgedFemaleHumansMaleMiddle AgedTreatment OutcomeBalloon-to-artery ratioCoronary artery diseaseDrug-coated balloonLesion predilationOversized ballooning

Identifiers

PMID40102457
PMCPMC11920199

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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.