FDA Clears Pantheris for In-stent Restinosis

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FDA has cleared an Avinger 510(k) for a new clinical indication for the Pantheris image-guided atherectomy system — treating in-stent restenosis in the lower extremity arteries. Clearance was based on data generated from the INSIGHT trial, a prospective, global, single arm, multi-center study, according to the company. Key outcomes presented from the trial include:

  • 82% luminal gain (increase in channel for blood flow) following the procedure
  • 93% freedom from target lesion restenosis at 6 months post-procedure
  • 89% freedom from target lesion restenosis at 12 months post-procedure
  • No amputations for the six- or 12-month cohorts of patients
  • 0.96 mean ankle-brachial index at six months from a baseline of 0.69 pre procedure

The device features onboard image-guidance and a directional excision mechanism that allows the operator to target only the blockage and maximize the channel for restored blood flow while avoiding negative interactions with clearly delineated stent struts, the company says. Its proprietary Lumivascular technology also allows physicians to see from inside the artery during an atherectomy by using an imaging modality called optical coherence tomography.

 

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