Coronary disease & ACS

Comparison of Limus and Paclitaxel Drug–Coated Balloons, Second-Generation or Newer Drug-Eluting Stents, and Balloon Angioplasty: A Network Meta-Analysis of Randomized Controlled Trials

Circ Cardiovasc IntervPublished Systematic review and network meta-analysis of randomised controlled trials

Pooled resultResult — go to the resultRelative risk 1.22 95% CI 0.86–1.73

Authors' conclusion

No significant differences were observed in MACE or its components between limus and paclitaxel DCBs, albeit with limited statistical power. Furthermore, DCB and second-generation or newer drug-eluting stents yielded similar outcomes though power was limited, especially for other de novo CAD.

Study context

Population
Patients with coronary artery disease (CAD)
Participants
10,219 patients · 39 RCTs
Comparison
Limus DCB vs Paclitaxel DCB
Outcome
Trial-defined MACE, typically a composite of death, MI or target lesion revascularization
Methodological detailssubgroup analyses
  • Subgroup analyses

Pooled result

As reported in the abstract

Relative risk

1.22

95% CI 0.86–1.73

Limus DCB vs Paclitaxel DCB
RR 1.22 (95% CI 0.86–1.73)

Further pooled results

MACE in subgroups: in-stent restenosis, small-vessel CAD, other de novo CAD (subgroup)

Results consistent across subgroup analyses

Original publication

Comparison of Limus and Paclitaxel Drug–Coated Balloons, Second-Generation or Newer Drug-Eluting Stents, and Balloon Angioplasty: A Network Meta-Analysis of Randomized Controlled Trials. Circ Cardiovasc Interv. Published 27 October 2025. doi:10.1161/circinterventions.125.016005

Summarised from the published abstract; every number is checked against it

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