A New Drug-Coated Balloon for the Treatment of Superficial Femoropopliteal Artery Disease: 12-Month Results from the IN-DEPT SFA Trial

医学 截肢 气球 临床终点 血运重建 靶病变 腘动脉 放射科 随机对照试验 外科 股动脉 内科学 经皮冠状动脉介入治疗 心肌梗塞
作者
Yuan Fang,Yuanqing Kan,Wei Guo,Biao Hong,Chang Shu,Feng Wang,Xiangchen Dai,Yunfeng Zhu,Daqiao Guo,Bin Chen,Xin Xu,Zhenyu Shi,Junhao Jiang,Jue Yang,Zhong Chen,Weiguo Fu
出处
期刊:Journal of Vascular and Interventional Radiology [Elsevier BV]
卷期号:35 (2): 251-258
标识
DOI:10.1016/j.jvir.2023.10.010
摘要

Abstract

Purpose

To report the outcomes of the IN-DEPT trial assessing the feasibility, preliminary safety data, and 12-month outcomes of a new drug-coated balloon (DCB) product for peripheral artery disease (PAD) in Chinese patients.

Materials and Methods

This is a prospective, multicenter, single-arm clinical trial. A total of 160 patients with superficial femoral artery (SFA) and/or proximal popliteal artery lesions were treated with a new paclitaxel-coated DCB. The preliminary effectiveness end point was 12-month primary patency. The primary safety end point was freedom from device- and procedure-related mortality over 30 days and freedom from major target limb amputation and clinically driven target lesion revascularization (CD-TLR) within 12 months after the index procedure.

Results

In total, 160 patients presented with 162 target lesions. A total of 139 lesions (85.8%) were treated with 1 DCB, whereas the other 23 lesions (14.2%) were treated with 2 devices. The device success rate was 100%. A total of 135 subjects reached the preliminary effectiveness end point, with a 12-month primary patency rate of 84.4%. There was no 30-day device- or procedure-related death or unplanned major target limb amputation at 12 months. Five CD-TLRs (3.1%) occurred during the 12-month follow-up period.

Conclusions

Results from the IN-DEPT SFA trial showed satisfactory feasibility and safety of the new DCB over 12 months in Chinese patients with PAD and femoropopliteal de novo lesions, including both stenoses and total occlusions.
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