Comparison of Paclitaxel-Coated Balloon Treatment and Plain Old Balloon Angioplasty for De Novo Coronary Lesions

Ae Young Her, Soe Hee Ann, Gillian Balbir Singh, Yong Hoon Kim, Sang Yong Yoo, Scot Garg, Bon Kwon Koo, Eun Seok Shin, Ae Young Her, Soe Hee Ann, Gillian Balbir Singh, Yong Hoon Kim, Sang Yong Yoo, Scot Garg, Bon Kwon Koo, Eun Seok Shin

Abstract

Purpose: This study compared the angiographic outcomes of paclitaxel-coated balloon (PCB) versus plain old balloon angioplasty (POBA) treatment for de novo coronary artery lesions. At present, there is no available data comparing the efficacy of PCB versus POBA for the treatment of de novo coronary lesions.

Materials and methods: This multicenter retrospective observational study enrolled patients with de novo coronary lesions with a reference vessel diameter between 2.5 mm and 3.0 mm and lesion length ≤ 24 mm who were successfully treated with PCB or POBA. Angiographic measurements and quantitative coronary analysis were performed before and after the procedure, and at 9 months follow-up.

Results: A total of 72 patients (49 receiving PCB and 23 receiving POBA) were enrolled in this study. Late luminal loss was -0.12 ± 0.30 mm in the PCB group and 0.25 ± 0.50 mm in the POBA group (p<0.001). There was a higher percentage of binary restenosis (diameter stenosis ≥ 50%) in POBA, compared to PCB (30.4%, n=7 vs. 4.1%, n=2, p<0.001). Target vessel revascularization was higher in the POBA group (13.0%, n=3 vs. 0%, p=0.033).

Conclusion: PCB treatment of de novo coronary lesions showed better 9-month angiographic outcomes than POBA treatment alone.

Keywords: Paclitaxel-coated balloon; de novo coronary lesion; plain old balloon angioplasty; restenosis; revascularization.

Conflict of interest statement

The authors have no financial conflicts of interest.

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