Coronary disease & ACS

Prospective, multicenter, randomized controlled study on the efficacy and safety of intravascular ultrasound-guided drug-coated balloon for de novo small-vessel coronary lesions: Design and rationale of the DCB-IVUS trial

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients indicated for PCI with de novo small-vessel coronary lesions suitable for drug-coated balloon (DCB) treatmentplanned
Participants
998 patients
Planned comparison
Intravascular ultrasound (IVUS)-guided DCB vs angiography-guided DCB
Primary endpoint
Major adverse cardiac events (MACE):
  • Cardiac death
  • Target vessel-related MI
  • Ischaemia-driven target lesion revascularization
Follow-up
12 months
Methodological detailsdesign and rationale, prospective, multicentre, 1:1 randomisation, Secondary endpoints: all-cause mortality, any MI, ischaemia-driven target vessel revascularization at 12 months; periprocedural angiographic success, clinical procedural success, target vessel drug-eluting stent implantation rate
  • Design and rationale
  • Prospective
  • Multicentre
  • 1:1 randomisation
  • Secondary endpoints: all-cause mortality, any MI, ischaemia-driven target vessel revascularization at 12 months; periprocedural angiographic success, clinical procedural success, target vessel drug-eluting stent implantation rate

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Prospective, multicenter, randomized controlled study on the efficacy and safety of intravascular ultrasound-guided drug-coated balloon for de novo small-vessel coronary lesions: Design and rationale of the DCB-IVUS trial. Am Heart J. Published 19 November 2025. doi:10.1016/j.ahj.2025.107307

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