Aortic & peripheral vascular disease

The PERFORMANCE II Trial: A Prospective Multicenter Investigation of a Novel Carotid Stent System

JACC Cardiovasc IntervPublished Prospective single-arm study

Authors' conclusion

The rate of major adverse events was extremely low, demonstrating the study system is a safe, effective, and durable treatment option for high-risk patients.

Study context

Population
Patients at elevated risk for adverse events from carotid endarterectomy, treated with a novel carotid stent system (stent, adjustable integrated embolic filter, postdilation balloon); US and Europe
Participants
305 patients32 centres
Outcome
Composite of:
  • Death
  • All stroke and MI within 30 days of the procedure
  • Plus ipsilateral stroke through 12 months
Follow-up
12 months
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Primary endpoint:
  • Death
  • All stroke
  • MI within 30 days plus ipsilateral stroke through 12 months

12-month primary endpoint rate

2.8%

Observational data: associations, not effects.

Further findings

30-day all stroke plus ipsilateral stroke through 12 months

Rate
1.8%

Stroke and death at 30 days

Minor strokes: 4
1.3%
Stroke/death rate
1.6%
Stroke/death/myocardial infarction (MI) rate
2.3%
No major strokes
1 cardiac death on day 30

Safety

Major stroke, clinically driven TLR, stent thrombosis, neurological death · 12 months

No major strokes, clinically driven target lesion revascularizations, stent thromboses or neurological deaths

Original publication

The PERFORMANCE II Trial: A Prospective Multicenter Investigation of a Novel Carotid Stent System. JACC Cardiovasc Interv. Published 8 January 2025. doi:10.1016/j.jcin.2024.10.031

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