A Prospective, Multicenter, Randomized Trial of Cutting Balloon Versus Conventional Balloon for the Treatment of Severe Calcified Lesion: The PREDICTION NIRS-IVUS trial

A Prospective, Multicenter, Randomized Trial of Cutting Balloon Versus Conventional Balloon for the Treatment of Severe Calcified Lesion: The PREDICTION NIRS-IVUS trial

The PREDICTION NIRS-IVUS trial demonstrated that repeated low-pressure inflations using a cutting balloon prior to stent implantation for severely calcified coronary lesions resulted in a significantly larger final minimum stent area (MSA) compared to conventional balloon pre-dilatation. The benefit of the cutting balloon was more evident in lesions with greater calcification arc, according to a study presented by Dr. Kohei Koyama, Kyorin University Hospital, Japan, in the New Evidence for Treatment of Calcified CAD session at EuroPCR 2025.

In this trial, 170 patients with angiographically severe coronary calcification enrolled from eight...
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