January 22, 2023Catheterization and Cardiovascular Interventions39 citationsOpen Access

Percutaneous coronary intervention with drug‐coated balloon‐only strategy combined with single antiplatelet treatment in patients at high bleeding risk: Single center experience of a novel concept

ARAlma RäsänenNorth Karelia Central Hospital JKJussi M. KärkkäinenTurku University Hospital AEAntti ErantiElectrophysiology

Structured PICO

Does a DCB-only PCI strategy combined with SAPT reduce post-PCI bleeding risk in patients with CAD and HBR compared to stenting?

Population

Aged patients with comorbidities, coronary artery disease (CAD), and high bleeding risk (HBR)

Intervention

Percutaneous coronary intervention (PCI) with drug-coated balloon (DCB)-only strategy combined with single antiplatelet treatment (SAPT)

Comparator

Stenting (implied reference)

Outcome

Target lesion revascularization (TLR), major adverse cardiovascular events (MACE), and bleeding ratescomposite

A DCB-only PCI strategy combined with SAPT is a novel approach that could reduce post-PCI bleeding risk in patients with CAD and HBR compared to traditional stenting.

Abstract

Despite the aged patient population with comorbidities, the TLR, MACE, and bleeding rates were low with DCB-only PCI combined with SAPT. This novel approach could reduce the post-PCI bleeding risk in patients with CAD and HBR compared to stenting.

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