ArticleFrontiers in cardiovascular medicine2025
Efficacy and safety of drug-coated balloon angioplasty in proximal LAD stenosis with distal myocardial bridge: a 12-month comparative study with drug-eluting stents.
Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Myocardial bridge (MB), particularly involving the distal left anterior descending artery (LAD), presents unique challenges in percutaneous coronary intervention (PCI) when coexisting with proximal LAD stenosis. Drug-coated balloon (DCB) represents a "leave nothing behind" strategy that may offer advantages over drug-eluting stents (DES) in these anatomically complex lesions. Methods: In this retrospective single-center study, 231 patients with proximal LAD stenosis and distal MB underwent PCI using either DCB ( Results: Baseline characteristics were comparable between groups. DES achieved greater acute lumen gain (1.94 ± 0.26 mm vs. 1.58 ± 0.36 mm; Conclusion: DCB angioplasty is a safe and effective alternative to DES in proximal LAD lesions complicated by distal MB. Despite reduced acute lumen gain, DCBs yielded comparable angiographic results, reduced restenosis and MACE, and enabled shorter dual antiplatelet therapy duration.
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