Evidence map›Paper›PMID 42496627›Full record

ArticleJACC. Case reports2026

Drug-Coated Balloon Performance in a Calcified Coronary Bifurcation Complicated by Cardiogenic Shock.

Florin-Leontin Lazar, Shirin Khasha, Paula Anderco, Teodor Paul Kacso, Horea-Laurentiu Onea

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 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. 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

5 authors.

Florin-Leontin LazarMedical Clinic Number 1, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; Department of Cardiology, County Emergency Hospital Sibiu, Sibiu, Romania.
Shirin Khasha"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Paula AndercoFaculty of Medicine, Lucian Blaga University of Sibiu, Sibiu, Romania. Electronic address: paula.anderco@ulbsibiu.ro.
Teodor Paul KacsoMedical Clinic Number 1, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania; Department of Interventional Cardiology, Cluj County Emergency Hospital, Cluj-Napoca, Romania.
Horea-Laurentiu OneaDepartment of Cardiology, County Emergency Hospital Sibiu, Sibiu, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplex coronary disease in frail patients requires balancing procedural efficacy, safety, and permanent metallic implantation. CASE SUMMARY: A 76-year-old frail woman presented with non-ST-segment elevation acute coronary syndrome and triple-vessel disease, including a calcified left anterior descending artery-diagonal bifurcation, circumflex culprit lesion, and right coronary artery chronic total occlusion. After circumflex stenting, the bifurcation lesion underwent extensive preparation with balloons and intravascular lithotripsy. The procedure was complicated by acute diagonal occlusion with hemodynamic instability. Flow was restored using drug-coated balloons (DCBs) in both branches, avoiding complex stenting. At a staged procedure, the right coronary artery chronic total occlusion was recanalized with a hybrid DCB and focal stent strategy. Repeat angiography demonstrated positive remodeling. DISCUSSION: This case illustrates a scaffold-minimizing hybrid strategy for complex calcified coronary disease. TAKE-HOME MESSAGES: DCBs may be effective in selected high-risk patients. In selected cases, acute flow compromise during complex percutaneous coronary intervention can be managed with DCB angioplasty without resorting to bailout stenting.

Indexed as

chronic total occlusioncoronary calcificationdrug-coated balloonfrailtyintravascular lithotripsymultivessel coronary artery diseasescaffold-minimizing PCI

Identifiers

PMID42496627
PMCPMC13531213

What OpenQuestion holds

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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.