Aortic & peripheral vascular disease

A Novel Sirolimus-Coated Balloon for the Treatment of Femoropopliteal Lesions: The SELUTION SFA Japan Trial

JACC Cardiovasc IntervPublished Prospective single-arm study

Authors' conclusion

The SELUTION SFA JAPAN trial demonstrated that a novel SELUTION SCB is a safe and effective treatment option for FP disease in symptomatic patients.

Study context

Population
Japanese patients with mild-to-moderate femoropopliteal disease127 (94.8%) with 12-month data
Participants
134 patients
Exposure
SELUTION SLR sirolimus-coated balloons (SCB) vs prespecified performance goal of 60%
  • SELUTION SLR SCBn = 134
Outcome
Primary patency (peak systolic velocity ratio ≥2.5 by duplex ultrasound) vs performance goal of 60%
Follow-up
12 months
Methodological detailsmulticentre, independent imaging core laboratory and clinical events committee adjudication
  • Multicentre
  • Independent imaging core laboratory and clinical events committee adjudication

Main finding

As reported in the abstract

12-month primary patency (PSVR ≥2.5 by duplex ultrasound)

12-month primary patency rate

87.9%

Observational data: associations, not effects.

Further findings

Freedom from clinically driven target lesion revascularization (CD-TLR) · 12 months

Freedom from CD-TLR (Kaplan-Meier estimate)
97.0%

Ankle-brachial index

Baseline (mean ± SD)
0.73 ± 0.16
30 days postprocedure (mean ± SD)
0.96 ± 0.14
12 months (mean ± SD)
0.94 ± 0.13
  • Improved significantly from baseline, sustained through 12 months

Safety

Major adverse event rate
6.7%
CD-TLRs
4
Deaths (none related to device or procedure)
5

Original publication

A Novel Sirolimus-Coated Balloon for the Treatment of Femoropopliteal Lesions: The SELUTION SFA Japan Trial. JACC Cardiovasc Interv. Published 5 June 2024. doi:10.1016/j.jcin.2024.03.029

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