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SHR Neuro Cancer Cardio Lipid Metab Microb

Linn, YL; Wang, JCC; Pua, U; Yahaya, SAB; Choke, ETC; Chong, TT; Brodmann, M; Tang, TY.
Utility of paclitaxel-coated balloons for the treatment of infrainguinal disease in the Asian population-24-month outcome data from the BIOLUX P-III Global Registry 24-month Asian outcomes of BIOLUX P-III
VASCULAR. 2022; 17085381221081969 Doi: 10.1177/17085381221081969
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Co-authors Med Uni Graz
Brodmann Marianne
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Abstract:
Background Results from the BIOLUX P-III registry have demonstrated favourable outcomes of Passeo-18 Lux (TM) (Biotronik (R), Buelach, Switzerland) drug-coated balloon in treating obstructive infrainguinal peripheral artery disease, but it has not been established if Asians would benefit to the same extent as non-Asians. Methods A subgroup analysis was performed on the 24-month data comparing the Asian cohort (AC) to non-Asian cohort (NAC). Results AC included 49 patients with 77 lesions. AC was significantly younger (65.6 vs 70.3 years, p < 0.05), had more diabetes (87.8% vs 45.3%, p < 0.05), and was more likely to present with CLTI (73.5% vs 35.3%, p < 0.001) compared to NAC. They had significantly longer mean target lesions (115 vs 86.9 mm, p = 0.006), and received significantly higher paclitaxel doses (10.7 vs 7.2 mg, p = 0.0005). Device, technical and procedural successes were 125/125(100%), 95/97(97.5%) and 45/49(91.8%), respectively. There was no significant difference in target lesion revascularization rates between groups (10.5% vs 12%, p = 0.91). However, the AC had more major adverse events (30.2% vs 16.1%, p = 0.001), amputations (26.3% vs 6.2%, p < 0.05) and mortality (37.9% vs 10.6%, p < 0.05) at 24 months. Conclusion Passeo-18 Lux (TM) use was efficacious in Asians, but was associated with higher adverse events, amputations and mortality rates, likely attributable to poorer patient comorbidities and more extensive PAD.

Find related publications in this database (Keywords)
paclitaxel-coated balloon
infrainguinal disease
chronic limb ischaemia
peripheral arterial disease
Asian
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