Aortic & peripheral vascular disease

2-Year Patient-Centered and Clinical Outcomes of Sirolimus- Versus Paclitaxel-Coated Balloon Angioplasty in Femoropopliteal Artery Disease

JACC Cardiovasc IntervPublished Secondary analysis of the SIRONA randomised trial

Authors' conclusion

SCB angioplasty resulted in sustained patient-reported and clinical outcomes comparable to PCB angioplasty through 2 years, with similar patency, revascularization, and safety.

Study context

Population
Patients with femoropopliteal artery disease (96.5% intermittent claudication)
Participants
482 patients
Comparison
Sirolimus-coated balloon vs paclitaxel-coated balloon angioplasty
  • Sirolimus-coated balloon (SCB)n = 238
  • Paclitaxel-coated balloon (PCB)n = 244reference
Methodological detailsprospective, multicentre, noninferiority, prespecified 2-year outcomes, Longer-term follow-up ongoing up to 5 years
  • Prospective
  • Multicentre
  • Noninferiority
  • Prespecified 2-year outcomes
  • Longer-term follow-up ongoing up to 5 years

Primary result

As reported in the abstract

Vascular quality of life (VascuQol) · 2 years

Improvements sustained through 2 years and similar between groups; between-group difference

0.05

95% CI −0.15 to 0.24P = 0.63

Further findings

Clinical improvement (≥1 Rutherford category) · 2 years

P = 0.89

Primary patency (Kaplan-Meier) · 2 years

log-rank P = 0.34

Freedom from clinically driven target lesion revascularization · 2 years

log-rank P = 0.42

All-cause mortality · 2 years

All-cause mortality, in the order SCB and PCB respectively (P = 0.21); no device- or procedure-related deaths
6.3% and 3.7%

Safety

Major amputation · 2 years

Original publication

2-Year Patient-Centered and Clinical Outcomes of Sirolimus- Versus Paclitaxel-Coated Balloon Angioplasty in Femoropopliteal Artery Disease. JACC Cardiovasc Interv. Published 24 August 2026. doi:10.1016/j.jcin.2026.06.021

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