Using a drug-coated balloon for treating blocked coronary arteries

Drug-Coated Balloon in Native Chronic Total Occlusion Percutaneous Coronary Intervention (IMAGINATION)

Not applicable Interventional National Institute of Cardiology, Warsaw, Poland · NCT06275386

This study is testing whether a drug-coated balloon can safely help people with blocked coronary arteries feel better during a heart procedure.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment30 (estimated)
Ages18 Years and up
SexAll
SponsorNational Institute of Cardiology, Warsaw, Poland Academic / other
Locations1 site (Warsaw, Masovian Voivodeship)
Trial IDNCT06275386 on ClinicalTrials.gov

What this trial studies

The IMAGINATION trial is a prospective, single-center investigation focusing on symptomatic patients with chronic total occlusion (CTO) of coronary arteries. It aims to evaluate the efficacy and safety of a drug-coated balloon (DCB) during percutaneous coronary intervention (PCI) guided by intravascular ultrasound (IVUS). Patients will undergo baseline assessments and follow-up evaluations at 6 and 12 months to assess the outcomes of the DCB treatment. The study seeks to provide insights that could lead to future randomized trials comparing DCB to traditional drug-eluting stents.

Who should consider this trial

Good fit: Ideal candidates are symptomatic patients with a native chronic total occlusion who meet specific clinical criteria for PCI.

Not a fit: Patients with conditions such as myocardial infarction, severe valvular disease, or those who are not suitable for PCI will not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could offer a safer and more effective treatment option for patients with chronic total occlusion of coronary arteries.

How similar studies have performed: While there have been advancements in CTO PCI techniques, the specific use of drug-coated balloons for this purpose is still being explored and has not been widely tested in prior studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* clinical indication for CTO PCI as determined by the local heart team (presence of angina or equivalent symptoms and/or documented ischemia or viability)
* native CTO lesion as defined by invasive coronary angiography
* informed consent for participation in the study

Exclusion Criteria:

* \<18 years of age
* myocardial infarction
* cardiogenic shock
* severe valvular disease
* estimated life expectancy \<1 year
* contraindication to PCI
* positive pregnancy test or breast-feeding
* in-stent CTO
* CTO recanalization using antegrade or retrograde dissection and re-entry techniques

Where this trial is running

Warsaw, Masovian Voivodeship

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Coronary Artery DiseaseTotal Occlusion of Coronary Arterychronic total occlusionpercutaneous coronary interventiondrug-coated balloon
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.