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AGENT™ Drug-Coated Balloon for Coronary PCI

Deliver optimal healing for In-Stent Restenonis (ISR), small vessels and de novo lesions without leaving any metal behind. 

A Drug-Coated Balloon you can trust – now available in 40mms

For broader lesion coverage and procedural confidence, the AGENTTM DCB is now available in 40mms to enhance deliverabilty for long lesions. Hear how Dr. Testa approaches DCB selection and deliverability.


Why choose AGENT™ Drug-Coated Balloon? 

The AGENTTM DCB is designed for optimal drug deliverability by combining a low-dose paclitaxel 2 µg/mm² and acetyl tributyl citrate (ATBC) Excipient coating technology (TransPaxTM). The coating is designed not only to protect the coating during delivery and support efficient drug transfer to the vessel wall, but to do so rapidly (30 seconds per IFU) .

AGENTTM was approved in Europe in 2014, and in October 2025, we added new 40mm lengths. In the US, AGENTTM became the first and only FDA-approved coronary drug-coated balloon in April 2024, approved for the treatment of coronary in-stent restenosis (ISR).

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Exceptional long term clinical outcomes

Recent clinical data continues to reinforce AGENT™ Drug-Coated Balloon (DCB) as a proven solution for treating coronary artery disease. AGENT™  DCB has been used in more than 275.000 patients worldwide and studied in more than 16.000 patients across complex in-stent restenosis (ISR) and de novo populations.1

Effortless deliverability

Created with a highly deliverable catheter, AGENTTM has a laser-bonded low-profile tip, bi-segmented inner shaft and Z-Glide. The balloon design is based on the proven EMERGETM balloon catheter so that you can reach distal or complex anatomies easily and transfer the drug efficiently in 30 seconds.

A schematic image of AGENT DCB zooming in on the deliverability benefits of the device.

Efficient drug transfer

Due to the efficiency of AGENTTM Drug-Coated Balloon’s proprietary TransPaxTM Coating Technology, AGENTTM is able to use the lowest Paclitaxel (PTx) dosage compared to other PTx-coated balloons, while still resulting in the highest concentration of drug in the tissue. This allows you to deliver the optimal dose with less balloon drug load2,3.

A graph showing higher drug tissue concentration of  AGENT DCB vs SeQuent Please, Selution and Magic Touch.

The AGENTTM difference: 3 key mechanisms of action for best-in-class reliable drug transfer

TransPaxTM combines an acetyl tributyl citrate (ATBC) excipient with 2 µg/mm2 of crystalline, sharp-edge Paclitaxel (PTx),  custom engineered around 3 key mechanisms of action:

A scientific drawing of AGENT DCB in a vessel illustrating targeted transfer.

1. Targeted Transfer

The AGENT Mechanism of Action allows the drug to be transferred in 30 seconds from balloon to vessel wall.

AGENT PTx structure, Hydrophobic1 and durable under hydration in the blood stream3, combined with the ATBC excipient, act to maintain coating integrity during tracking and positioning3.

These help minimise the systemic loss of drug during tracking and inflation4,8.

A scientific drawing of AGENT DCB in a vessel illustrating rapid absorption.

2. Rapid Absorption

AGENT’s TransPaxTM coating is optimized for Rapid Absorption, with a sharp-edge PTx structure1 and ATBC excipient.

The PTx is Lipophilic1, having a high affinity for fatty tissue, and formulated to aid its rapid tissue penetration and absorption5 during the short DCB inflation time.

A scientific drawing of AGENT DCB in a vessel illustrating sustained retention.

3. Sustained Retention

AGENT’s uniform crystalline PTx formulation, dissolves more slowly in the vessel) and achieves sustained drug retention and release, up to 90 days2, 6, 7

AGENT’s PTx has a long half-life, and its chemical stability continues acting through the restenosis-prone healing phase 4.

Learn more about AGENTTM  and DCB treatment


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Product catalogue

Download our product catalogue 2025 and stay up to date on our latest innovations.


1. Surapaneni, M., et al. "Designing Paclitaxel drug delivery systems aimed at improved patient outcomes: current status and challenges." International Scholarly Research Notices (2012).​
2. Tzafriri A, et al. Journal of Controlled Release. 2019; 310:94–102.  Taking paclitaxel coated balloons to a higher level: Predicting coating dissolution kinetics, tissue retention and dosing dynamics
3. BSC Internal Test. Results of internal bench studies are not representative of clinical performance.  Clinical results may vary.
4. Speck, U,. et al., Do Pharmacokinetics Explain Persistent Restenosis Inhibition by a Single Dose of Paclitaxel?, Circ Cardiov Interv, 2012 
5. Loh, JP., et al., The current status of drug-coated balloons in percutaneous coronary and peripheral interventions, EuroIntervention 2013 
6. Tzafriri AR, et al., Taking paclitaxel coated balloons to a higher level: Predicting coating dissolution kinetics, tissue retention and dosing dynamics. J Control Release. 2019 Sep
7. Pre-clinical pharmacokinetic studies performed using the same FDA recommended and accepted porcine coronary de nevo vessel test methodBSC conducted AGENT, SeQuent Please and Selution. Magic touch published data, TCT 2020.
8. Granada JF, et al. Mechanisms of tissue uptake and retention of paclitaxel-coated balloons: impact on neointimal proliferation and healing. Open Heart 2014

 

CAUTION:
The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings, and instructions for use can be found in the product labelling supplied with each device or at www.IFU-BSCI.com.
Products shown for INFORMATION purposes only and may not be approved or for sale in certain countries.
This material not intended for use in France.