Evidence map›Paper›PMID 42087441›Full record

SynthesisEuropean journal of clinical investigation2026

A Comprehensive Meta-Analysis of Bioadaptor Versus Drug-Eluting Stents in Randomised Trials With Exploratory Single-Arm Landmark Analyses.

Simon Wölbert, Stephanie Kühne, Andrea Patrignani, Mauro Chiarito, Moritz von Scheidt, Jan Torzewski, Philip Raake, Dario Bongiovanni

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European journal of clinical investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Simon WölbertDepartment of Internal Medicine I, Cardiology, University Hospital Augsburg, University of Augsburg, Augsburg, Germany.ORCID https://orcid.org/0009-0007-8823-802X
Stephanie KühneDepartment of Internal Medicine I, Cardiology, University Hospital Augsburg, University of Augsburg, Augsburg, Germany.ORCID https://orcid.org/0009-0007-2391-4226
Andrea PatrignaniDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID https://orcid.org/0009-0003-7807-8772
Mauro ChiaritoDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID https://orcid.org/0000-0002-9333-2658
Moritz von ScheidtDepartment of Cardiology, German Heart Center, TUM University Hospital, Technical University Munich, Munich, Germany.
Jan TorzewskiCardiovascular Center Oberallgäu-Kempten, Kempten, Germany.ORCID https://orcid.org/0000-0003-4959-7293
Philip RaakeDepartment of Internal Medicine I, Cardiology, University Hospital Augsburg, University of Augsburg, Augsburg, Germany.
Dario BongiovanniDepartment of Internal Medicine I, Cardiology, University Hospital Augsburg, University of Augsburg, Augsburg, Germany.ORCID https://orcid.org/0000-0002-4162-1482

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLate adverse events after percutaneous coronary intervention continue to occur beyond the first year with last-generation drug-eluting stents (DES). The coronary bioadaptor marks a new approach with an uncaging beginning at approximately 6 months after implantation. We conducted a pairwise meta-analysis of bioadaptor versus DES in randomised trials with complementary single-arm 6-12 and 6-24 landmark analyses.

methodsThe systematic review and meta-analysis was conducted according to PRISMA 2020 Guidelines. PubMed, Embase, CENTRAL and Google Scholar were searched for studies reporting clinical outcomes after bioadaptor implantation. The primary outcome was target-lesion failure (TLF), a composite of cardiac death, target-vessel myocardial infarction and target-lesion revascularisation at 1 year. Secondary outcomes were TLF and individual components at landmark intervals 6-12 and 6-24 months. Single-arm pooled event rates and pairwise comparisons were estimated using generalised linear mixed-effects models.

resultsThree randomised trials (n = 2892; 1448 bioadaptor, 1444 DES) were included in pairwise analyses. 1-year TLF showed no significant difference between bioadaptor and DES (OR 0.81, 95% CI 0.51-1.31, I

conclusionsNo significant differences in safety and efficacy outcomes were observed between bioadaptor and DES. Complementary single-arm landmark analyses suggested low late event rates, but these findings should be interpreted as exploratory. Further randomised trials are warranted.

Indexed as

Coronary Artery DiseaseDrug-Eluting StentsPercutaneous Coronary InterventionHumansMyocardial InfarctionRandomized Controlled Trials as Topicbioadaptordrug‐eluting stentsmeta‐analysispercutaneous coronary interventionrandomised controlled trialstarget‐lesion failure

Identifiers

PMID42087441
PMCPMC13145319

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Registered trials

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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.