Evidence map›Paper›PMID 42567996›Full record

ArticleCVIR endovascular2026

Sirolimus-eluting balloon for the treatment of peripheral artery disease: SUCCESS PTA real-world single-arm study.

Michael Lichtenberg, Thomas Zeller, Ashish Patel, Ralph Kickuth, Julio Andrés Pascua, Jörg Schmehl, Klaus Hertting, Konstantinos Katsanos, Ralph Oberacker, Aljoscha Rastan and 5 more

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Article in CVIR endovascular, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Michael LichtenbergArnsberg Vascular Center, Alexianer Klinikum Hochsauerland, Stolte Ley 5, Arnsberg, 59759, Germany. klichte@gmx.net.
Thomas ZellerDepartment of Cardiology and Angiology, Medical Center, University of Freiburg, Bad-Krozingen, Germany.
Ashish PatelAcademic Department of Vascular Surgery, Guy's & St Thomas' NHS Foundation Trust and King's College London, London, UK.
Ralph KickuthDepartment of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany.
Julio Andrés PascuaDepartamento Hemoterapia y Cardiologia Intervencionista, Hospital Italiano la Plata, La Plata, Buenos Aires, Argentina.
Jörg SchmehlDiagnostic and Interventional Radiology, University Hospital of Tübingen, Tübingen, Germany.
Klaus HerttingDepartment of Cardiology and Angiology, Krankenhaeuser Buchholz und Winsen gGmbH, Buchholz in der Nordheide, Germany.
Konstantinos KatsanosVascular & Interventional Radiology School of Medicine, University of Patras Rion, Patras, Greece.
Ralph OberackerChefarzt Innere Medizin SRH Klinikum Karlsbad-Langensteinbach GmbH, Karlsbad, Germany.
Aljoscha RastanDepartment of Angiology, Lucerne Cantonal Hospital, University Teaching and Research Hospital, Lucerne, Switzerland.
Stefan Müller-HülsbeckAcademic Hospitals Flensburg of Christian-Albrechts-University Kiel - Faculty of Medicine, Deaconess Hospital gGmbH, Flensburg, Germany.
Hans-Martin GisslerInterventional Radiology Kantonsspital Aarau, Aarau, Switzerland.
Grigorios KorosoglouDepartment of Cardiology and Angiology, GRN-Hospital Weinheim, Weinheim, Germany.
Christian HeissDepartment of Clinical and Experimental Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, GU2 7XH, UK.
Christos RammosDepartment of Cardiology and Vascular Medicine, West German Heart and Vascular Center, University of Duisburg Essen, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOutcomes with sirolimus-coated drug-eluting balloons (DEB) have been positive for the treatment of femoropopliteal arterial lesions but have not been studied in a broader patient population.

objectivesCollect real-world safety and effectiveness data on the SELUTION SLR DEB in patients with claudication and chronic limb-threatening ischemia (CLTI).

methodsThis international multi-center, prospective, single-arm, post-market study (SUCCESS PTA) enrolled 723 patients at 27 sites. The primary endpoint was freedom from clinically driven target lesion revascularization (CD-TLR) after 1 year.

resultsMedian age was 71.0 [63.0-79.0] years, 65% were male, 25.7% had CLTI. In total, 822 lesions were included; median lesion length was 100.0 mm [50.0-190.0] with 42.1% chronic total occlusions and 36.4% moderate-to-severe calcification. At 12 months, freedom from CD-TLR was 91.1%, 95% CI [88.6-93.1] and 52.1% of patients were asymptomatic. Median EQ-VAS score and ankle-brachial pressure index improved significantly from baseline to 12 months (65.0 [50.0-80.0] vs. 75.0 [60.0-85.0] (p < 0.0001)) and (0.6 [0.5-0.8] vs. 0.9 [0.8-1.0] (p < 0.0001)), respectively. At 12 months, outcomes in CLTI patients included major target limb amputation, 5.8%; major cardiac event rate, 4.3%; and death, 11.3%. Respective outcomes for those with claudication were 0.0%, 2.2% and 1.2%.

conclusionsThis real-world single-arm study is the largest assessment of a sirolimus DEB for treatment in claudication and CLTI. The outcomes were consistent with those reported for paclitaxel-coated balloons and support this DEB platform as a promising alternative, particularly in CLTI patients. LEVEL OF EVIDENCE: Level 3.

Indexed as

Endovascular therapyPeripheral artery diseaseSirolimus-eluting balloon

Identifiers

PMID42567996
PMCPMC13451607

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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.