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Tepe, G; Zeller, T; Moscovic, M; Corpataux, JM; Christensen, JK; Keirse, K; Nano, G; Schroeder, H; Binkert, CA; Brodmann, M.
Paclitaxel-Coated Balloon for the Treatment of Infrainguinal Disease: 12-Month Outcomes in the All-Comers Cohort of BIOLUX P-III Global Registry.
J Endovasc Ther. 2020; 27(2):304-315
Doi: 10.1177/1526602819898804
[OPEN ACCESS]
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Brodmann Marianne
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- Abstract:
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Purpose: To further investigate the safety and performance of the Passeo-18 Lux drug-coated balloon (DCB) for the treatment of atherosclerotic infrainguinal disease under real-world conditions. Materials and Methods: BIOLUX P-III is an international, prospective, observational registry (ClinicalTrials.gov identifier NCT02276313) conducted at 41 centers in Europe, Asia, and Australia with follow-up visits at 6, 12, and 24 months. Of 700 patients (mean age 70.0±10.2 years; 439 men) with 863 lesions in the all-comers cohort, 330 (47.1%) patients had diabetes and 234 (37.7%) had chronic limb-threatening ischemia. The majority (79.3%) of lesions were in the femoropopliteal segment; of all lesions, 645 (74.9%) were calcified and 99 (11.5%) had in-stent restenosis (ISR). The mean lesion length was 84.7±73.3 mm. The primary clinical endpoint was major adverse events (MAEs) within 6 months, a composite of device- and procedure-related mortality through 30 days, major target limb amputation, and clinically-driven target lesion revascularization (TLR). The primary performance endpoint was clinically-driven TLR within 12 months. Results: At 6 and 12 months, freedom from MAEs was 94.0% and 89.5% in the all-comers cohort: 95.0% and 91.2% in the femoropopliteal group and 95.3% and 88.0% in the ISR subgroup, respectively. Freedom from clinically-driven TLR at 12 months was 93.1% in the all-comers cohort, 93.9% in the femoropopliteal lesions, and 89.4% for ISR lesions. All-cause mortality was 6.1% in the all-comers cohort: 5.9% in both the femoropopliteal and ISR subgroups. There were no device- or procedure-related deaths at up to 12 months. The Rutherford category improved in >80% of all subgroups at 12 months. Conclusion: In a real-world patient population, the safety and performance of the Passeo-18 Lux DCB for the treatment of atherosclerotic infrainguinal lesions are maintained, with good performance outcomes and low complication rates at 12 months.
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Aged -
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Amputation -
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Angioplasty, Balloon - adverse effects
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Angioplasty, Balloon - instrumentation
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Angioplasty, Balloon -
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Angioplasty, Balloon -
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Cardiovascular Agents - administration & dosage
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Cardiovascular Agents - adverse effects
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Coated Materials, Biocompatible -
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Equipment Design -
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Equipment Design -
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Female -
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Femoral Artery - diagnostic imaging
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Femoral Artery - physiopathology
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Humans -
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Limb Salvage -
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Male -
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Paclitaxel - administration & dosage
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Paclitaxel - adverse effects
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Peripheral Arterial Disease - diagnostic imaging
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Peripheral Arterial Disease - physiopathology
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Peripheral Arterial Disease - therapy
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Popliteal Artery - diagnostic imaging
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Popliteal Artery - physiopathology
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Progression-Free Survival -
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Prospective Studies -
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Registries -
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Time Factors -
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Vascular Access Devices -
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Vascular Patency -
- Find related publications in this database (Keywords)
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chronic limb-threatening ischemia
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critical limb ischemia
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drug-coated balloon
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drug-eluting balloon
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femoropopliteal segment
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paclitaxel
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peripheral artery disease
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superficial femoral artery