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Review
. 2021 Dec 10;15(2):73-78.
doi: 10.17925/HI.2021.15.2.73. eCollection 2021.

An Update on Drug-eluting Technology in Peripheral Arteries to Treat Peripheral Arterial Disease

Affiliations
Review

An Update on Drug-eluting Technology in Peripheral Arteries to Treat Peripheral Arterial Disease

Leonardo Marques et al. Heart Int. .

Abstract

For the treatment of peripheral arterial disease, drug-eluting technology is a widely accepted therapeutic option, with significant reduction in intimal hyperplasia and, consequently, use of target lesion revascularization. Nevertheless, the reputation of such devices was damaged after a meta-analysis, published in December 2018, showed increased mortality in patients receiving paclitaxel-eluting devices. Although subsequent studies have failed to establish such correlation, the use of paclitaxel-eluting devices remains heavily restricted. As such, other options and drugs have been developed, for instance sirolimus. In this article we present the available data on drug-eluting technology.

Keywords: Paclitaxel; drug-coated balloon; drug-eluting stents; drug-eluting technology; peripheral arterial disease; sirolimus.

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Conflict of interest statement

Disclosures: Leonardo Marques, Silke Hopf-Jensen, Michael Preiss and Stefan Mueller-Huelsbeck have no financial or non-financial relationships or activities to declare in relation to this article.

Figures

Figure 1:
Figure 1:. Results from several studies on clinically driven target lesion revascularization and mean lesion length at 12 months,,,,–

References

    1. Moses J, Leon M, Popma J. et al. Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med. 2003;349:1315–23. - PubMed
    1. Piccolo R, Bonaa K, Efthimiou O. et al. Drug-eluting or bare-metal stents for percutaneous coronary intervention: a systematic review and individual patient data meta-analysis of randomised clinical trials. Lancet. 2019;393:2503–10. - PubMed
    1. Baerlocher MO, Kennedy SA, Rajebi MR. et al. Meta-analysis of drug-eluting balloon angioplasty and drug-eluting stent placement for infrainguinal peripheral arterial disease. J Vasc Interv Radiol. 2015;26:459–73. - PubMed
    1. Zeller T, Baumgartner I, Scheinert D. et al. Drug-eluting balloon versus standard balloon angioplasty for infrapopliteal arterial revascularization in critical limb ischemia: 12-month results from the IN.PACT DEEP randomized trial. J Am Coll Cardiol. 2014;64:1568–76. - PubMed
    1. Klumb C, Lehmann T, Aschenbach R. et al. Benefit and risk from paclitaxel-coated balloon angioplasty for the treatment of femoropopliteal artery disease: a systematic review and meta-analysis of randomised controlled trials. EClinicalMedicine. 2019;16:42–50. - PMC - PubMed

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