Coronary disease & ACS

Sirolimus- vs Paclitaxel-Coated Balloon for the Treatment of Coronary In-Stent Restenosis: The SIBLINT-ISR Randomized Trial

JACC Cardiovasc IntervPublished Randomised controlled trial

Primary result · In-segment LLLResult — go to the resultDifference 0.07 mm 95% CI −0.05 to 0.19

Authors' conclusion

In this study, a novel SCB was found to be noninferior to a PCB in terms of in-segment LLL at 9 months in treating patients with ISR.

Study context

Population
Patients with coronary in-stent restenosis
Participants
258 patients285 lesions
Comparison
Sirolimus-coated balloon vs paclitaxel-coated balloon
  • SCBn = 130
  • PCBn = 128reference
Primary endpoint
Angiographic in-segment late lumen loss (non-inferiority)
Follow-up
9 months
Methodological detailsprospective, assessor-blinded, non-inferiority, 1:1 randomisation, 16 sites
  • Prospective
  • Assessor-blinded
  • Non-inferiority
  • 1:1 randomisation
  • 16 sites

Primary result

In-segment late lumen loss (LLL)

Difference

0.07 mm

95% CI −0.05 to 0.19

P < 0.0001 for non-inferiority

By group

SCBvs PCB
difference 0.07 mm (95% CI −0.05 to 0.19); P for non-inferiority < 0.0001

As reported in the abstract

Secondary outcomes

Clinical outcomes (procedural success, restenosis, target lesion failure) · 12 months

No significant differences between SCB and PCB

Original publication

Sirolimus- vs Paclitaxel-Coated Balloon for the Treatment of Coronary In-Stent Restenosis: The SIBLINT-ISR Randomized Trial. JACC Cardiovasc Interv. Published 19 February 2025. doi:10.1016/j.jcin.2024.12.024

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