Aortic & peripheral vascular disease

5-Year Outcomes of Drug-Coated Balloons for Peripheral Artery In-Stent Restenosis, Long Lesions, and Chronic Total Occlusions (CTOs)

JACC Cardiovasc IntervPublished Prospective single-arm study

Authors' conclusion

Results demonstrate long-term safety and effectiveness of this DCB in all 3 cohorts, with low reintervention rates in the LL and CTO cohorts and no safety issues.

Study context

Population
Complex femoropopliteal atherosclerotic lesions treated with a paclitaxel drug-coated balloon (DCB)
Participants
132 / 158 / 127
Exposure
In-stent restenosis (ISR) vs long lesions (LL) vs CTO
  • ISRn = 132
  • LLn = 158
  • CTOn = 127
Outcome
Freedom from clinically driven target lesion revascularization (CD-TLR)
Follow-up
5 years
Methodological detailsprespecified imaging cohorts of the IN.PACT Global Study, international
  • Prespecified imaging cohorts of the IN.PACT Global Study
  • International

Main finding

As reported in the abstract

Freedom from CD-TLR (Kaplan-Meier)

Observational data: associations, not effects.

Further findings

Freedom from all-cause mortality (with vital status update) · 5 years

≥2 TLRs

Safety

Composite safety endpoint (freedom from device- and procedure-related death to 30 days, major target limb amputation and clinically driven target vessel revascularization within 60 months) · 5 years · cumulative incidence as printed

Original publication

5-Year Outcomes of Drug-Coated Balloons for Peripheral Artery In-Stent Restenosis, Long Lesions, and CTOs. JACC Cardiovasc Interv. Published 8 May 2023. doi:10.1016/j.jcin.2023.03.032

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