July 27, 2026 · JACC. Cardiovascular interventions · DOI: 10.1016/j.jcin.2026.05.009

Drug-Coated Balloon-Based Angioplasty for Chronic Total Occlusions: The PICCOLETO X Study

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The PICCOLETO X study aimed to evaluate the clinical outcomes of drug-coated balloon (DCB) revascularization strategies in patients undergoing percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs). The results indicated that DCB-based approaches, whether used alone or in combination with stents, resulted in favorable one-year clinical outcomes without significant differences in target vessel failure rates between the two treatment strategies. This suggests that DCB strategies may be a viable alternative to traditional stenting in CTO cases.

Bernardo Cortese, Gabriele Gasparini, Ludovic Meunier, Antonio Gómez-Menchero, Elliot J Smith, Sandeep Basavarajaiah, Hugo Vinhas, Ilya Litovchik, Nino Cocco, Fabien Picard, Abhishek Kumar, Erwan Bressollette, Stanislaw Bartus, Claudiu Ungureanu, Beatriz Vaquerizo Mantilla, Mauricio Zuñiga Luna, Ignacio Amat Santos, Salvatore Colangelo, Karen Lorena Castillo, Daniela Benedetto, Manfredi Arioti, Gianmaria Calamita, Elena Izaga Torralba, Mahmoud Khedr, Laurencon Virginie, Antoinette Monayer, Daniel Faria Amadora Sintra, Vincent Pham, Sandrine Hervouet, Filippo Luca Gurgoglione, Sara Malakouti, Irfan Ullah, Daniel A Jones

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