Coronary disease & ACS

A novel angiographic index for predicting the efficacy of drug-coated balloons in small vessels

EuroInterventionPublished Secondary analysis of the PEPCAD China small vessel disease (SVD) randomised trial

Authors' conclusion

Angiographically derived RWS has the potential to predict the angiographic and clinical outcomes of DCB treatment for de novo SVD

Study context

Population
De novo small vessel disease treated with paclitaxel-coated balloon or plain old balloon angioplasty (POBA)
Participants
260 participants266 lesions
Comparison
RWSmax ≥13% vs RWSmax <13% in DCB-treated lesions
Primary endpoint
In-segment late lumen loss (LLL)
Follow-up
9-month follow-up
Methodological detailspost hoc analysis
  • Post hoc analysis

Primary result

As reported in the abstract

In-segment LLL, DCB group · 9 months

P = 0.0009

Further findings

RWSmax ≥13% vs RWSmax <13%

Binary restenosis, DCB group

P = 0.0040

Target lesion failure, DCB group

P = 0.022

DCB vs POBA

In-segment LLL in lesions with RWSmax ≥13% (subgroup), DCB vs POBA · no significant difference

P = 0.49

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

A novel angiographic index for predicting the efficacy of drug-coated balloons in small vessels. EuroIntervention. Published 20 October 2025. doi:10.4244/eij-d-25-00075

Composed by AI from the published abstract and checked against it. How Briefs are made →

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