Review Article

Drug-Coated Balloon versus Drug-Eluting Stent in Patients with Small-Vessel Coronary Artery Disease: A Meta-Analysis of Randomized Controlled Trials

Table 1

Main characteristics of included studies.

StudyPICCOLETO [10]BELLO [11, 12]BASKET-SMALL2 [13]RESTORE SVD China [14, 15]

Year2010201220182020
DCB/DES patients (n/n)28/2990/92382/376116/114
Clinical follow-up time (months)9241224
Definition of SVD, in diameter (mm)≤2.75 mm<2.8 mm<3 mm in diameter≥2.25 and ≤2.75 mm
OutcomesMACE, death, MI, TLRMACE, death, MI, TVRMACE, cardiac death, MI, TVRTLF, cardiac death, MI, TVR
Type of DCBPaclitaxel-coated balloon (Dior, Eurocor GmBH, Germany)Paclitaxel-coated balloon (IN.PACT Falcon, Medtronic, USA)Paclitaxel-coated balloon (SeQuent Please, B Braun Melsungen AG, Germany)Paclitaxel-coated balloon (RESTORE, Cardionovum, Germany)
Type of DESFirst-generation paclitaxel-eluting stent (Taxus Liberté, Boston Scientific, USA)First-generation paclitaxel-eluting stent (Taxus Liberté, Boston Scientific, USA)everolimus-eluting stent (Xience, Abbott vascular, USA) or the second-generation paclitaxel-eluting stent (Taxus element, Boston Scientific, USA)zotarolimus-eluting stent (RESOLUTE Integrity, Medtronic, USA)
Balloon predilation in the DCB group (%)2596.873100

DCB, drug-coated balloon; DES, drug-eluting stent; MACE, major adverse cardiac events; MI, myocardial infarction; TLF, target lesion failure; TLR, target lesion revascularization; TVR, target vessel revascularization; SVD, small vessel disease. MACE definition: PICCOLETO: death, new ST-elevation MI, and TLR; BELLO: death, Q- or non-Q-wave MI, or TVR; BASKET-SMALL2: cardiac death, non-fatal MI, and TVR.