Aortic & peripheral vascular diseaseCohort study

Vessel Patency After Femoropopliteal Drug-Coated Balloon Therapy in Patients on Hemodialysis

JACC Cardiovasc IntervPublished

  • Prospective multicentre registry study
  • propensity-score matched

Authors' conclusion

DCB endovascular therapy is a reasonable treatment for femoropopliteal lesions in patients on HD.

Study context

Population
Patients undergoing DCB (Lutonix or IN.PACT Admiral) for symptomatic femoropopliteal artery disease, March 2018 to December 2019
Participants
3,165 lesions
Exposure
Hemodialysis (HD) vs non-HD after femoropopliteal DCB therapy
  • HDn = 991 lesions
  • non-HDn = 2,174 lesionsreference
Outcome
Freedom from restenosis

Main finding

As reported in the abstract

1 year
GroupValue3-year freedom from restenosis
HD82.2% (95% CI 79.0%–85.3%)61.9% (57.7%-66.1%)
non-HD85.8% (95% CI 83.0%–88.7%)66.3% (62.2%-70.4%)

Observational data: associations, not effects.

Further findings

Restenosis in HD · median follow-up 16.2 months (Q1-Q3: 7.2-35.5 months)
363 · events

Restenosis in HD · median follow-up 16.2 months (Q1-Q3: 7.2-35.5 months)

Independent risk factors in HD: no below-the-knee runoff, prior endovascular therapy, popliteal lesion, severe calcification, Lutonix use, severe dissection

Original publication

Vessel Patency After Femoropopliteal Drug-Coated Balloon Therapy in Patients on Hemodialysis. JACC Cardiovasc Interv. Published 14 July 2025. doi:10.1016/j.jcin.2025.05.001

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