IN.PACTTM AdmiralTM drug-coated balloons in peripheral artery disease: current perspectives

Sho Torii, Frank D Kolodgie, Renu Virmani, Aloke V Finn Cardiovascular Pathology, CVPath Institute, Inc., Gaithersburg, MD, USA Abstract: Endovascular therapy has evolved as a main treatment option especially in patients with short (<25 cm) femoropopliteal lesion. The latest...

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Autores principales: Torii S, Kolodgie FD, Virmani R, Finn AV
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:aac9ad146ef5438bb3be7ad70fa99a5f2021-12-02T07:19:12ZIN.PACTTM AdmiralTM drug-coated balloons in peripheral artery disease: current perspectives1179-1470https://doaj.org/article/aac9ad146ef5438bb3be7ad70fa99a5f2019-02-01T00:00:00Zhttps://www.dovepress.com/inpacttm-admiraltm-drug-coated-balloons-in-peripheral-artery-disease-c-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Sho Torii, Frank D Kolodgie, Renu Virmani, Aloke V Finn Cardiovascular Pathology, CVPath Institute, Inc., Gaithersburg, MD, USA Abstract: Endovascular therapy has evolved as a main treatment option especially in patients with short (<25 cm) femoropopliteal lesion. The latest guideline recommends the use of drugeluting devices (both drug-coated balloons [DCBs] and drug-eluting stents) in short femoropopliteal esions as class IIb recommendation. DCB usage is also recommended for in-stent restenosis lesions (class IIb). DCBs are a more attractive treatment option because the lack of metal prosthesis allows for more flexibility in future treatment options including the option of treating nonstenting zones, previously DCB-treated zones with DCBs again. The IN.PACT™ Admiral™ DCB has shown promising clinical performance in several randomized control trials and global registries, and is currently the market DCB leader for the treatment of femoropopliteal lesions with more than 200,000 patients treated thus far. Currently, more than 10 DCBs have received Conformité Européene mark for the treatment of femoropopliteal atherosclerotic disease. Three of these (including IN.PACT Admiral DCBs) have also received Food and Drug Administration approval in the USA. However, some Conformité Européene-marked DCBs have failed to show consistent results in their clinical studies suggesting all DCBs are not created equal. Each DCB is unique (ie, drug type, drug dose, crystallinity, and excipient) with different clinical outcomes. In the current review, we will focus on the preclinical and clinical results of not only IN.PACT Admiral DCB, but also the other currently available DCBs. Keywords: drug-coated balloon, superficial femoral artery, percutaneous transluminal angioplasty, peripheral artery disease, drug-eluting stent, critical limb ischemiaTorii SKolodgie FDVirmani RFinn AVDove Medical PressarticleDrug Coated BalloonSuperficial Femoral ArteryPercutaneous Transluminal AngioplastyPeripheral Artery DiseaseEndovascular therapyIN.PACTMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 12, Pp 53-64 (2019)
institution DOAJ
collection DOAJ
language EN
topic Drug Coated Balloon
Superficial Femoral Artery
Percutaneous Transluminal Angioplasty
Peripheral Artery Disease
Endovascular therapy
IN.PACT
Medical technology
R855-855.5
spellingShingle Drug Coated Balloon
Superficial Femoral Artery
Percutaneous Transluminal Angioplasty
Peripheral Artery Disease
Endovascular therapy
IN.PACT
Medical technology
R855-855.5
Torii S
Kolodgie FD
Virmani R
Finn AV
IN.PACTTM AdmiralTM drug-coated balloons in peripheral artery disease: current perspectives
description Sho Torii, Frank D Kolodgie, Renu Virmani, Aloke V Finn Cardiovascular Pathology, CVPath Institute, Inc., Gaithersburg, MD, USA Abstract: Endovascular therapy has evolved as a main treatment option especially in patients with short (<25 cm) femoropopliteal lesion. The latest guideline recommends the use of drugeluting devices (both drug-coated balloons [DCBs] and drug-eluting stents) in short femoropopliteal esions as class IIb recommendation. DCB usage is also recommended for in-stent restenosis lesions (class IIb). DCBs are a more attractive treatment option because the lack of metal prosthesis allows for more flexibility in future treatment options including the option of treating nonstenting zones, previously DCB-treated zones with DCBs again. The IN.PACT™ Admiral™ DCB has shown promising clinical performance in several randomized control trials and global registries, and is currently the market DCB leader for the treatment of femoropopliteal lesions with more than 200,000 patients treated thus far. Currently, more than 10 DCBs have received Conformité Européene mark for the treatment of femoropopliteal atherosclerotic disease. Three of these (including IN.PACT Admiral DCBs) have also received Food and Drug Administration approval in the USA. However, some Conformité Européene-marked DCBs have failed to show consistent results in their clinical studies suggesting all DCBs are not created equal. Each DCB is unique (ie, drug type, drug dose, crystallinity, and excipient) with different clinical outcomes. In the current review, we will focus on the preclinical and clinical results of not only IN.PACT Admiral DCB, but also the other currently available DCBs. Keywords: drug-coated balloon, superficial femoral artery, percutaneous transluminal angioplasty, peripheral artery disease, drug-eluting stent, critical limb ischemia
format article
author Torii S
Kolodgie FD
Virmani R
Finn AV
author_facet Torii S
Kolodgie FD
Virmani R
Finn AV
author_sort Torii S
title IN.PACTTM AdmiralTM drug-coated balloons in peripheral artery disease: current perspectives
title_short IN.PACTTM AdmiralTM drug-coated balloons in peripheral artery disease: current perspectives
title_full IN.PACTTM AdmiralTM drug-coated balloons in peripheral artery disease: current perspectives
title_fullStr IN.PACTTM AdmiralTM drug-coated balloons in peripheral artery disease: current perspectives
title_full_unstemmed IN.PACTTM AdmiralTM drug-coated balloons in peripheral artery disease: current perspectives
title_sort in.pacttm admiraltm drug-coated balloons in peripheral artery disease: current perspectives
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/aac9ad146ef5438bb3be7ad70fa99a5f
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AT virmanir inpacttmadmiraltmdrugcoatedballoonsinperipheralarterydiseasecurrentperspectives
AT finnav inpacttmadmiraltmdrugcoatedballoonsinperipheralarterydiseasecurrentperspectives
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