It doesn't matter how much of the package you use. Here, you can use literally 0% of Koa and get pwned by one of its transitive dependencies (koa > cookies > keygrip > tsscmp) by simply importing the parent package:
mkdir demo && cd demo
npm install --save [email protected]
echo 'console.log("--- pwned by a transitive dependency ---")' >> node_modules/tsscmp/lib/index.js
node -e "import 'koa'"
--- pwned by a transitive dependency ---