Evidence map›Paper›PMID 41276786›Full record

Trial reportThe British journal of surgery2025

Long-term mortality rate and clinical outcomes associated with femoro-popliteal drug-coated balloon angioplasty and drug-eluting stents in chronic limb-threatening ischaemia: an analysis of the BASIL-3 RCT.

Matthew Popplewell, Jack Hall, Lewis Meecham, Gareth Bate, Lisa Kelly, Jon J Deeks, Catherine A Moakes, Andrew Bradbury, BASIL-3 Investigators

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in The British journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

9 authors.

Matthew PopplewellBlack Country Vascular Network, Dudley Group of Hospitals, Dudley, UK.ORCID 0000-0002-6239-4039
Jack HallBirmingham Clinical Trials Unit, Department of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-3016-7624
Lewis MeechamDepartment of Vascular Surgery, University Hospital of Wales, Cardiff, UK.ORCID 0000-0003-4698-7333
Gareth BateDepartment of Vascular Surgery,University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID 0009-0005-3084-070X
Lisa KellyDepartment of Vascular Surgery,University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID 0009-0000-0105-1967
Jon J DeeksDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-8850-1971
Catherine A MoakesBirmingham Clinical Trials Unit, Department of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-0473-0532
Andrew BradburyDepartment of Vascular Surgery, University of Birmingham, Birmingham, UK.ORCID 0000-0003-0530-9667
BASIL-3 Investigators

Funding

Health Technology Assessment 13/81/02UK National Institute of Health Research
6 · The paper itself

Abstract

introductionIn recent years there have been a plethora of new endovascular devices have entered the market, including paclitaxel (PTX) drug-coated balloons (DCB) and drug-eluting stents (DES) for treating patients with chronic limb-threatening ischaemia (CLTI). There have been concerns that the use of PTX is associated with increased all-cause mortality rate in this patient population.

methodsIn the BASIL-3 trial (ISRCTN14469736) UK patients with CLTI were randomized (1:1:1) to receive femoro-popliteal (FP) plain balloon angioplasty (PBA; with or without bailout bare metal stenting (BMS), DCB angioplasty (DCBA) (with or without BMS), or primary DES. Here, data from the DCBA and DES arms have been pooled into a single 'drug technologies' (DT) group and compared with PBA ± BMS. The primary outcome was overall survival (OS). Secondary outcomes included amputation-free survival (AFS), major amputations, major adverse limb events, major adverse cardiovascular events, reinterventions, and 30-day mortality and morbidity rates.

resultsFour hundred and eighty-one participants were randomized (PBA: n = 160; DT: n = 321). At a median follow-up in survivors of 5.6 years, OS was similar between the pooled DT and PBA groups (adjusted hazard ratio (HR): 0.83; 95% c.i.: 0.64 to 1.07). There was no evidence of a statistically significant difference in AFS between the groups (adjusted HR: 0.84; 95% c.i.: 0.66 to 1.06), or other secondary outcomes.

conclusionsThis further pooled analysis of the BASIL-3 RCT does not support the notion that the use of drug-eluting technologies, when compared to plain balloon angioplasty, increases all-cause mortality rate, or has other clinically important adverse effects, when used in patients with CLTI.

Indexed as

Angioplasty, BalloonChronic Limb-Threatening IschemiaDrug-Eluting StentsIschemiaPaclitaxelPeripheral Arterial DiseasePopliteal ArteryAgedAmputation, SurgicalChronic DiseaseCoated Materials, BiocompatibleFemaleFemoral ArteryHumansLimb SalvageMaleCoated Materials, BiocompatiblePaclitaxel

Identifiers

PMID41276786
PMCPMC12640773

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Registered trials

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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.