Promus Premier Everolimus-Eluting Platinum Chromium Coronary Stent System Promus Elite Everolimus-Eluting Platinum Coro
FDA Clearance Information
The Promus Premier stent received FDA clearance through the PMA pathway on November 19, 2020. Manufactured by Boston Scientific, it is classified as a Class III medical device.
What It Is
FDA-Cleared Indications
- Modification to the midshaft adhesive bond length.
Clinical Applications
- Use within the coronary arteries as part of a coronary stent system.
- Placement after percutaneous coronary intervention to support the treated coronary segment.
- Delivery of everolimus from a drug-eluting coronary stent system.
Reported off-label uses
- Use in selected coronary anatomy or clinical situations outside the specific approved labeling may occur in practice, but such use should be determined by the treating interventional cardiologist.
Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- The system is a balloon-expandable, everolimus-eluting stent made with a platinum chromium platform; available diameters and lengths depend on the specific product configuration.
- It is delivered through a compatible coronary guide catheter and guidewire during fluoroscopic angiography; vessel preparation and accurate sizing are important.
- Patients generally require antiplatelet medication after placement. The treating cardiologist determines the drug regimen and duration.
- MRI conditions should be confirmed in the current device labeling before scanning; the stent is not automatically safe for every MRI setting or protocol.
- Contraindications and precautions include unsuitable vessel anatomy, inability to receive required antiplatelet therapy, significant bleeding risk, and known sensitivity to device or drug components.
Frequently Asked Questions
What are the clinical indications for Promus Premier stent?
The Promus Premier stent is indicated for use in patients with coronary artery disease to prevent restenosis and improve blood flow in coronary arteries.
What outcomes have been reported in clinical studies?
Studies report enhanced radial strength and effective restenosis prevention, with a favorable safety profile.
What complications have been reported?
Safety data indicate low incidence of thrombosis and restenosis, consistent with other drug-eluting stents.