Association of DAPT duration with bleeding and ischemic outcomes after percutaneous coronary intervention with drug-coated balloons: a meta-analysis - Summary - MDSpire

Association of DAPT duration with bleeding and ischemic outcomes after percutaneous coronary intervention with drug-coated balloons: a meta-analysis

  • By

  • Giuseppe Panuccio

  • Nicole Carabetta

  • Martina Sportelli

  • Giuseppe Tartaglione

  • Kambis Mashayekhi

  • Emmanouil S. Brilakis

  • David M. Leistner

  • Sabato Sorrentino

  • Youssef Abdelwahed

  • Ulf Landmesser

  • Salvatore De Rosa

  • Daniele Torella

  • May 18, 2026

  • 0 min

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Objective:

To define the current DAPT duration after DCB angioplasty and explore its association with bleeding and ischemic outcomes.

Key Findings:
  • DAPT duration after DCB angioplasty varies significantly across studies.
  • Shorter DAPT regimens may be associated with reduced bleeding complications without compromising ischemic protection.
  • No definitive optimal DAPT duration established due to variations in clinical practice.
Interpretation:

The findings suggest that shorter DAPT durations could be safe for patients undergoing DCB angioplasty, but further dedicated studies with larger sample sizes are needed to confirm these associations.

Limitations:
  • Lack of randomized evidence specifically addressing DAPT duration after DCB, which limits the strength of the conclusions.
  • Variability in DAPT reporting and definitions of clinical outcomes across studies.
Conclusion:

This meta-analysis highlights the need for further research to establish guidelines for DAPT duration following DCB angioplasty.

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