Angiographic and Clinical Outcomes After Treatment of Femoro-Popliteal Lesions with a Novel Paclitaxel-Matrix-Coated Balloon Catheter View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-06-28

AUTHORS

Gunnar Tepe, Özlem Gögebakan, Ulf Redlich, Jörg Tautenhahn, Jens Ricke, Zuhir Halloul, Dirk-Roelfs Meyer, Matthias Waliszewski, Beatrix Schnorr, Thomas Zeller, Stefan Müller-Hülsbeck, Ilka Ott, Thomas Albrecht

ABSTRACT

ObjectivesBased on a novel paclitaxel–resveratrol drug matrix, the safety and efficacy to inhibit intimal hyperplasia were studied in symptomatic claudicants with morphologically challenging lesions. BackgroundThe treatment of peripheral artery occlusive disease (PAOD) with percutaneous transluminal angioplasty is limited by occurrence of vessel recoil and neointimal hyperplasia. Drug-coated balloons (DCB) deliver drugs to the arterial wall to potentially reduce the restenosis rate. A number of paclitaxel-coated balloon technologies are available to treat peripheral lesions.Methods In this randomized controlled trial, a total of 153 patients with symptomatic PAOD in femoro-popliteal lesions were randomized either to DCB or plain old balloon angioplasty (POBA).ResultsThe mean lesion length was 13.2 ± 10.4 cm with target lesion total occlusions in 26.1% of all patients (40/153). The primary endpoint of in-lesion late lumen loss (LLL) at 6 months was significantly reduced in the DCB group as compared to the POBA group (0.35 mm CI [0.19; 0.79 mm] vs. 0.72 mm CI [0.68; 1.22 mm], p = 0.006). At 12 months, the TLR rate in the DCB group was significantly lower as compared to the POBA group (17.8 vs. 37.7% p = 0.008). The censored walking distance increase suggests a benefit for patients who underwent DCB angioplasty as compared to the standard POBA treatment (12 months 165 ± 105 vs. 94 ± 136 m, p = 0.012).ConclusionThe use of paclitaxel–resveratrol-matrix-coated peripheral balloon angioplasty as compared to POBA was associated with significantly reduced in-lesion LLL and reduced TLR rates.ClinicalTrials.gov identifier NCT01970579. More... »

PAGES

1535-1544

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Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00270-017-1713-2

DOI

http://dx.doi.org/10.1007/s00270-017-1713-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1090282013

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28660441


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49 distance increases
50 drug matrix
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52 drugs
53 efficacy
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61 late lumen loss
62 length
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65 lesion length
66 lesion total occlusions
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70 matrix
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72 mean lesion length
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74 months
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76 novel paclitaxel–resveratrol drug matrix
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80 occurrence
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82 outcomes
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91 primary endpoint
92 rate
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94 restenosis rate
95 safety
96 standard POBA treatment
97 symptomatic PAOD
98 symptomatic claudicants
99 target lesion total occlusions
100 technology
101 total
102 total occlusion
103 transluminal angioplasty
104 treatment
105 trials
106 use
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