Paclitaxel-eluting stents for the treatment of femoropopliteal arterial stenoses: focus on the Zilver PTX drug-eluting peripheral stent

Expert Rev Med Devices. 2015 Mar;12(2):157-62. doi: 10.1586/17434440.2015.985653. Epub 2014 Nov 24.

Abstract

Restenosis is one of the major limitations of the percutaneous treatment of peripheral artery disease, leading to the need for repeat interventions, limb loss and increased cost of therapy. The current standard of percutaneous treatment of stenotic lesions in the femoropopliteal arterial segment includes balloon angioplasty and bare-metal stenting. Recently, research in the field adapting the coronary arterial bed treatment model led to the inclusion of antimitotic drugs in the form of drug-eluting stents to combat neointimal proliferation and reduce the burden of restenosis. Randomized trial and registry data emerged indicating improved long-term outcomes with drug-eluting stents in peripheral arteries, lending the way to more widespread adaptation of this modality in the management of patients with peripheral artery disease.

Keywords: angioplasty; drug-eluting stent; peripheral artery disease.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Constriction, Pathologic
  • Drug-Eluting Stents* / economics
  • Femoral Artery / drug effects
  • Femoral Artery / pathology*
  • Humans
  • Paclitaxel / economics
  • Paclitaxel / pharmacology
  • Paclitaxel / therapeutic use*
  • Peripheral Arterial Disease / drug therapy*
  • Popliteal Artery / drug effects
  • Popliteal Artery / pathology*

Substances

  • Paclitaxel