Type 2 & other diabetes

Sirolimus-coated balloon in all-comer population of coronary artery disease patients: the EASTBOURNE DIABETES prospective registry

Cardiovasc DiabetolPublished Subgroup analysis of the EASTBOURNE prospective registry

Primary result · TLRResult — go to the resultHazard ratio 1.38 95% CI 0.91–2.08

Authors' conclusion

In the EASTBOURNE DIABETES registry, diabetic patients treated with the MagicTouch SCB did not have a significant increase in TLR when compared to non-diabetic patients; moreover, diabetic status did not affect the study device performance in terms of TLR, in both de-novo lesions and ISR.

Study context

Population
All-comer patients with coronary artery disease undergoing percutaneous coronary intervention (PCI) with sirolimus-coated balloon MagicTouch41.5% diabetic
Participants
2,083 patients
Comparison
Diabetes vs no diabetes in patients undergoing PCI with MagicTouch sirolimus-coated balloon (SCB)
  • Diabetesn = 864
Primary endpoint
Target lesion revascularization (TLR)
Follow-up
12-month follow-up
Methodological detailsmulticenter, investigator-initiated
  • Multicenter
  • Investigator-initiated

Primary result

TLR · 12 months

Hazard ratio

1.38

95% CI 0.91–2.08

By group

Diabetesvs No diabetes
HR 1.38 (95% CI 0.91–2.08)

As reported in the abstract

Further findings

All-cause death

Numerically higher all-cause death with diabetes
HR 1.81, 95%CI 0.95-3.46

Major adverse clinical events (MACE)

Numerically higher MACE with diabetes
HR 1.26 95%CI 0.92-1.74

Spontaneous myocardial infarction (MI)

Incidence of spontaneous MI significantly higher among diabetic patients
HR 2.15 95%CI 1.09-4.25

BARC 2-5 bleeding

Bleeding events did not significantly differ

Target lesion revascularization (TLR) by lesion type

Overall TLR higher in in-stent restenosis (ISR) vs de-novo coronary lesions, irrespective of diabetes status

Safety

BARC 2-5 bleeding

Bleeding events did not significantly differ

Original publication

Sirolimus-coated balloon in all-comer population of coronary artery disease patients: the EASTBOURNE DIABETES prospective registry. Cardiovasc Diabetol. Published 3 February 2024. doi:10.1186/s12933-024-02139-9

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