Aortic & peripheral vascular disease

Drug-coated vs non-drug-coated devices for femoropopliteal artery interventions: long-term outcomes of the SAFE-PAD study

Eur Heart JPublished Retrospective cohort study

An erratum to this article was published (Eur Heart J, 9 Jun 2026 ↗)

Main finding · All-cause mortalityResult — go to the resultAdjusted hazard ratio 0.98 95% CI 0.97–0.99

Authors' conclusion

In this final report from the SAFE-PAD study, there was no evidence of long-term mortality risk associated with DCDs used for femoropopliteal revascularization.

Study context

Population
Medicare fee-for-service beneficiaries (≥66 years) undergoing femoropopliteal artery revascularization, 2015–2018
Participants
168,553 beneficiaries
Exposure
Drug-coated devices vs non-drug-coated devices for femoropopliteal revascularization
Outcome
All-cause mortality
Follow-up
Median 4.3 years (maximum 9.0 years)
Methodological detailspre-specified analysis designed with the US Food and Drug Administration, inverse probability treatment weighting, non-inferiority
  • Pre-specified analysis designed with the US Food and Drug Administration
  • Inverse probability treatment weighting
  • Non-inferiority

Main finding

As reported in the abstract

median follow-up 4.3 years

Adjusted hazard ratio

0.98

95% CI 0.97–0.99

DCDsvs NDCDs
adjusted HR 0.98 (95% CI 0.97–0.99)

Observational data: associations, not effects.

Secondary outcomes

All-cause hospitalization, major amputation, repeat revascularization

Similar hospitalization and amputation rates between groups
Increase in repeat revascularization with drug-coated devices (DCDs)

All-cause mortality, by subgroup (high/low risk, clinical setting)

Safety findings confirmed across high/low-risk subgroups and across clinical settings

Original publication

Drug-coated vs non-drug-coated devices for femoropopliteal artery interventions: long-term outcomes of the SAFE-PAD study. Eur Heart J. Published 25 September 2025. doi:10.1093/eurheartj/ehaf721

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