Evidence map›Paper›PMID 36088609›Full record

Trial reportCardiovascular and interventional radiology2022

Long-Term Effectiveness and Safety of Femoropopliteal Drug-Coated Balloon Angioplasty : 5-Year Results of the Randomized Controlled EffPac Trial.

Ulf Teichgräber, Thomas Lehmann, Maja Ingwersen, René Aschenbach, Thomas Zeller, Klaus Brechtel, Erwin Blessing, Michael Lichtenberg, Peter von Flotow, Britta Heilmeier and 10 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Cardiovascular and interventional radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02540018 (Multicenter Randomized Controlled Trial to Assess the Effectiveness of Paclitaxel-coated Luminor® Balloon Catheter Versus Uncoated Balloon Catheter in the Superficial Femoral and Popliteal Arteries to Prevent Vessel Restenosis or Reocclusion), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02540018 nacompletednot on this map

Multicenter Randomized Controlled Trial to Assess the Effectiveness of Paclitaxel-coated Luminor® Balloon Catheter Versus Uncoated Balloon Catheter in the Superficial Femoral and Popliteal Arteries to Prevent Vessel Restenosis or Reocclusion

TypeinterventionalSponsorJena University HospitalRan2015 to 2022Enrolled172ConditionsPeripheral Arterial DiseaseArmsTransluminal Angioplasty with Paclitaxel-coated Luminor® Balloon Catheter in the Superficial Femoral and Popliteal Arteries, Transluminal Angioplasty with and non-coated (CE-marked) plain old angioplasty balloon (POBA) catheter
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Drug-eluting devices for lower limb peripheral arterial disease.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Long-term outcomes after paclitaxel-coated balloon angioplasty of femoropopliteal arteries in Asian patients of the IN.PACT Global Study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 12 institutions in 2 countries.

Ulf TeichgräberDepartment of Diagnostic and Interventional Radiology, Friedrich-Schiller-University, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany. ulf.teichgraeber@med.uni-jena.de.ORCID http://orcid.org/0000-0002-4048-3938
Thomas LehmannCenter for Clinical Studies, Friedrich-Schiller-University, Jena University Hospital, Jena, Germany.
Maja IngwersenDepartment of Diagnostic and Interventional Radiology, Friedrich-Schiller-University, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.
René AschenbachDepartment of Diagnostic and Interventional Radiology, Friedrich-Schiller-University, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.
Thomas ZellerUniversity Heart Center Freiburg, Bad Krozingen, Bad Krozingen, Germany.
Klaus BrechtelDepartment Radiology, MVZ GmbH Berlin-Tiergarten, Berlin, Germany.
Erwin BlessingSRH Clinic Karlsbad-Langensteinbach, Karlsbad, Germany.
Michael LichtenbergClinic of Angiology Arnsberg, Arnsberg, Germany.
Peter von FlotowDepartment of Angiology, Westpfalz-Clinic, Kusel, Germany.
Britta HeilmeierGefäßpraxis Im Tal, Munich, Germany.
Sebastian SixtGefäßpraxis Biel/Bienne AG, Biel, Germany.
Steffen BrucksAngiologikum Hamburg, Hamburg, Germany.
Christian ErbelDepartment of Cardiology, Angiology, Pneumology, Heidelberg University Hospital, Heidelberg, Germany.
Ulrich BeschornerUniversity Heart Center Freiburg, Bad Krozingen, Bad Krozingen, Germany.
Michael WerkDepartment of Radiology, Martin-Luther-Hospital, Berlin, Germany.
Vicenç RiambauDivision of Vascular Surgery, Cardiovascular Institute, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Andreas WienkeInstitute for Medical Epidemiology, Biostatistics, and Informatics, Martin-Luther-University Halle-Wittenberg, Halle, Germany.
Christof KlumbDepartment of Diagnostic and Interventional Radiology, Friedrich-Schiller-University, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.
Markus ThiemeDepartment of Angiology, Cardiology, Diabetology, Regiomed-Vascular Center, Sonneberg, Germany.
Dierk ScheinertDepartment of Angiology, University Hospital Leipzig, Leipzig, Germany.
Jena University Hospital · DEUniversitäts-Herzzentrum Freiburg-Bad Krozingen · DEHeidelberg University · DEInstitut für Tier-, Natur- und Umweltethik · DEKlinikum Arnsberg · DEMartin-Luther-Krankenhaus · DEMartin Luther University Halle-Wittenberg · DERegio (Germany) · DESRH Klinikum Karlsbad-Langensteinbach · DEUniversitat de Barcelona · ESUniversity Hospital Leipzig · DEWestpfalz Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to assess 5-year effectiveness and safety of femoropopliteal angioplasty with the Luminor® 35 drug-coated balloon (DCB). MATERIALS AND

methodsThe EffPac trial was a prospective, multicenter, randomized controlled trial that enrolled 171 patients of Rutherford category 2 to 4 with medium length femoropopliteal lesions. Patients were allocated 1:1 to either Luminor® 35 DCB angioplasty or plain old balloon angioplasty (POBA). Assessment at 5 years included primary patency, freedom from clinically driven target lesion revascularization (CD-TLR), clinical improvement, and target limb amputation. Long-term vital status was ascertained in 97.1% of the participants.

resultsKaplan-Meier curves at 5 years demonstrate a primary patency of 61.4% after DCB angioplasty and 53.5% after POBA (log-rank p = 0.040) with a decreasing difference throughout the observation period. Freedom from TLR was 82.1% and 73.7%, respectively (log-rank p = 0.050). Incidence of primary clinical improvement was similar between groups (61% DCB vs. 64% POBA, p = 0.94). Major target limb amputation was necessary in one POBA-group participant. Freedom from all-cause death at 5 years was 88.5% after DCB and 86.0% after POBA (log-rank p = 0.34).

conclusionsPrimary patency after femoropopliteal DCB angioplasty remained superior to POBA throughout 5 years, however, with decreasing difference. Clinical improvement, freedom from TLR, and all-cause mortality were similar between groups over the long term. (Effectiveness of Paclitaxel-Coated Luminor® Balloon Catheter Versus Uncoated Balloon Catheter in the Superficial Femoral Artery [EffPac]; NCT02540018).

Indexed as

Angioplasty, BalloonPeripheral Arterial DiseaseCoated Materials, BiocompatibleFemoral ArteryHumansPopliteal ArteryProspective StudiesTime FactorsTreatment OutcomeVascular PatencyCoated Materials, BiocompatibleAngioplastyDrug-coated balloonFemoropoplitealPaclitaxel

Identifiers

PMID36088609
PMCPMC9705448
OpenAlexW4295154784

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.