Resumen de Investigación
Analyzed using Evidence Intelligence™

Paclitaxel-coated balloons improve outcomes in diabetic lower extremity arteriosclerosis obliterans

Última actualización 9 de septiembre de 2026

Key finding

The primary patency rate at 12 months was significantly higher in the DCB group (83.3% [95% CI, 71.8% to 96.7%]) than in the control group (56.7% [95% CI, 41.2% to 78.0%])

This study compared paclitaxel-coated balloon angioplasty to conventional balloon angioplasty in patients with DLASO, finding significant improvements with the former.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study compared paclitaxel-coated balloon angioplasty to conventional balloon angioplasty in patients with DLASO, finding significant improvements with the former.

Clinical relevance

These findings suggest that paclitaxel-coated balloon angioplasty could be a preferred treatment option for patients with DLASO, potentially leading to better long-term outcomes and improved quality of life. Clinicians may consider this approach to enhance patient care and treatment efficacy.

Keep in mind

The study's sample size may limit the generalizability of the findings. The follow-up period was limited to 12 months, which may not capture long-term outcomes. Complication rates were similar, suggesting no significant safety advantage.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Bolong Z, Ruoyu C, Hanchong L, Shaoyong T, Yangchun L. For patients with DLASO, paclitaxel-coated balloon angioplasty is superior to conventional balloon angioplasty. Diabetology & Metabolic Syndrome. 2026;18:92. doi:10.1186/s13098-026-02121-3

Efectos Principales

The primary patency rate at 12 months was 83.3% for the DCB group compared to 56.7% for the control group.

The mean increase in ABI was greater in the DCB group (0.31) compared to the control group (0.21).

The target lesion revascularization rate was 0% in the DCB group versus 3.33% in the control group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Conventional plain balloon angioplasty (POBA), Paclitaxel-coated balloon angioplasty and Ankle-brachial index (ABI), Clinical improvement (Rutherford classification), Primary patency rate at 12 months, and 2 more.

Primary intervention

Conventional plain balloon angioplasty (POBA)

Primary outcomes

  • Ankle-brachial index (ABI)
  • Clinical improvement (Rutherford classification)
  • Primary patency rate at 12 months

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

10
Evidence pairs
10
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 54

0

Related topics

10

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Ankle-brachial index (ABI)

Conventional plain balloon angioplasty (POBA) → Ankle-brachial index (ABI)

Conventional plain balloon angioplasty (POBA) → Ankle-brachial index (ABI)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Clinical improvement (Rutherford classification)

Conventional plain balloon angioplasty (POBA) → Clinical improvement (Rutherford classification)

Conventional plain balloon angioplasty (POBA) → Clinical improvement (Rutherford classification)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Primary patency rate at 12 months

Conventional plain balloon angioplasty (POBA) → Primary patency rate at 12 months

Conventional plain balloon angioplasty (POBA) → Primary patency rate at 12 months

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Simple reaction time

Conventional plain balloon angioplasty (POBA) → Simple reaction time

Conventional plain balloon angioplasty (POBA) → Simple reaction time

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Target lesion revascularization (TLR) rate at 12 months

Conventional plain balloon angioplasty (POBA) → Target lesion revascularization (TLR) rate at 12 months

Conventional plain balloon angioplasty (POBA) → Target lesion revascularization (TLR) rate at 12 months

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Ankle-brachial index (ABI)

Paclitaxel-coated balloon angioplasty → Ankle-brachial index (ABI)

Paclitaxel-coated balloon angioplasty → Ankle-brachial index (ABI)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Clinical improvement (Rutherford classification)

Paclitaxel-coated balloon angioplasty → Clinical improvement (Rutherford classification)

Paclitaxel-coated balloon angioplasty → Clinical improvement (Rutherford classification)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Primary patency rate at 12 months

Paclitaxel-coated balloon angioplasty → Primary patency rate at 12 months

Paclitaxel-coated balloon angioplasty → Primary patency rate at 12 months

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Simple reaction time

Paclitaxel-coated balloon angioplasty → Simple reaction time

Paclitaxel-coated balloon angioplasty → Simple reaction time

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Target lesion revascularization (TLR) rate at 12 months

Paclitaxel-coated balloon angioplasty → Target lesion revascularization (TLR) rate at 12 months

Paclitaxel-coated balloon angioplasty → Target lesion revascularization (TLR) rate at 12 months

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

evidence suggest

La Evidencia Sugiere

  • DCB group had a 26.6% higher primary patency rate (P < 0.001).
  • ABI improved by 0.10 more in the DCB group (P < 0.001).
  • No target lesion revascularization occurred in the DCB group (P = 0.045).
who this applies

A quién se aplica

  • Patients diagnosed with DLASO.
  • Individuals undergoing angioplasty for peripheral artery disease.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study's demographic.
  • Further studies are needed to confirm long-term benefits.
  • The effectiveness of DCB may vary based on individual patient characteristics.
between the lines

Entre Líneas

  • The study's sample size may limit the generalizability of the findings.
  • The follow-up period was limited to 12 months, which may not capture long-term outcomes.
  • Complication rates were similar, suggesting no significant safety advantage.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Conventional plain balloon angioplasty (POBA) and Left Ventricular Structure, Conventional plain balloon angioplasty (POBA) and Clinical improvement (Rutherford classification).

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Incluido en estas colecciones de evidencia

Curated evidence collections and hubs this study is part of.

Explora más en Evidence Explorer

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Paclitaxel-coated balloon angioplasty improve ankle-brachial index (ABI)?

Emerging Evidence

Paclitaxel-coated balloon angioplasty appears to improve ankle-brachial index (ABI).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Ankle-brachial index (ABI)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

What evidence is available on Paclitaxel-coated balloon angioplasty and clinical improvement (rutherford classification)?

Emerging Evidence

Paclitaxel-coated balloon angioplasty appears to improve clinical improvement (rutherford classification).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Clinical improvement (Rutherford classification)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Paclitaxel-coated balloon angioplasty improve primary patency rate at 12 months?

Emerging Evidence

Paclitaxel-coated balloon angioplasty appears to improve primary patency rate at 12 months.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Primary patency rate at 12 months

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Paclitaxel-coated balloon angioplasty improve target lesion revascularization (TLR) rate at 12 months?

Emerging Evidence

Paclitaxel-coated balloon angioplasty appears to improve target lesion revascularization (TLR) rate at 12 months.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Target lesion revascularization (TLR) rate at 12 months

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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