Aortic & peripheral vascular diseaseSecondary analysis

Intraluminal vs Subintimal Drug-Coated Balloon Angioplasty for the Treatment of Femoropopliteal Chronic Total Occlusions

JACC Cardiovasc IntervPublished

  • Secondary analysis of the POPCORN registry
  • propensity-score matched
  • multicentre
  • prospective registry

Authors' conclusion

The present study revealed that intraluminal DCB angioplasty was superior to subintimal DCB angioplasty for FP CTO treatment, with a significantly better 1-year rate of freedom from restenosis.

Study context

Population
Symptomatic patients with lower extremity artery disease and femoropopliteal chronic total occlusion (CTO) treated with drug-coated balloon
Participants
469 lesions
Comparison
Subintimal vs intraluminal drug-coated balloon (DCB) angioplasty
Primary endpoint
Freedom from restenosis
Follow-up
1 year

Primary result

As reported in the abstract

P = 0.024

Further findings

Restenosis during follow-up (whole cohort) · median follow-up 14.2 months

Patients with restenosis
140

Restenosis risk with subintimal DCB angioplasty, by subgroup (interaction analysis)

More marked increased restenosis risk with subintimal DCB angioplasty in severe calcification, low-dose DCB use or smoking

Original publication

Intraluminal vs Subintimal Drug-Coated Balloon Angioplasty for the Treatment of Femoropopliteal Chronic Total Occlusions. JACC Cardiovasc Interv. Published 11 March 2024. doi:10.1016/j.jcin.2023.12.028

Summarised from the published abstract; every number is checked against it