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Deaths With Paclitaxel-Coated Devices in PAD Draw FDA Scrutiny

— Agency recommends continued monitoring, not stopping use

Last Updated December 12, 2019
MedpageToday

The FDA is investigating a potential safety signal with paclitaxel-coated balloons and stents used to treat peripheral artery disease, it said Thursday in a .

"This review will focus on causes of death, the paclitaxel dose delivered, and patient characteristics that may impact clinical outcomes. Additional statistical analyses will be performed to clarify the presence and magnitude of any long-term risks," the letter said.

The agency is taking action after a meta-analysis in the Journal of the American Heart Association showed that patients getting these devices placed in femoropopliteal lesions had compared with controls.

Within days, the , investigators announced that they were pausing enrollment for these drug-coated balloon trials.

Until there is more information available, the FDA recommended healthcare providers continue monitoring patients that got these paclitaxel-coated devices, discuss the risks and benefits of these balloons and stents with patients considering them, and report adverse events through MedWatch.

"Currently, the FDA believes that the benefits continue to outweigh the risks for approved paclitaxel-coated balloons and paclitaxel-eluting stents when used in accordance with their indications for use," according to the agency.

The educational non-profit group in February to discuss the safety of these devices.

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    Nicole Lou is a reporter for MedPage Today, where she covers cardiology news and other developments in medicine.