The EKOS™ Endovascular System is the most studied device in the pulmonary embolism space

The KNOCOUT PE Study

EKOS Endovascular System
PE Clinical Studies


Prospective Cohort: 3-Month Data

The KNOCOUT PE registry is the largest data set in the interventional treatment of PE: it just got bigger. It’s a prospective cohort with 3-month data.

To understand the impact of the EKOS™ Endovascular System low-dose, short treatment duration OPTALYSE PE study on various ultrasound-accelerated thrombolysis (USAT) protocols being used as the standard of care in the treatment of acute pulmonary embolism and associated long-term outcomes including quality of life outcomes.

Filename
PI-1140510-AA-KNOCOUT-study-summary-EMEA-FINAL.pdf
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563 KB
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application/pdf
Download the Boston Scientific study summary

Clinical significance

0 ICH & 2.5% bleeding rate

489 patients, 83 centres

Reduction 23% RV/LV ratio

(P<0.0001) in 48 hrs

32.4% of patients treated

with OPTALYSE protocol (<12MG r-tPA)

Next publication

in review

Trial overview

  • Patient Registry
  • 489 prospective patients
  • Patients with acute intermediate-high and high-risk PE
  • 83 centers in the U.S.A and Europe between 2018 and 2020
  • 23% reduction (p<0.0001) in RV/LV ratio 48 hr from baseline
  • Mean infusion time: 10.4 hr Mean r-tPA dose: 17.9 mg
  • 0 ICH
  • 2.5% major bleeding rate
  • Significant improvement in QoL as measured by PEmb-QoL and EQ-5D-5L VAS

Key results

Results from KNOCOUT PE reflect contemporary clinical practice and demonstrated effective treatment of PE with EKOS with lower r-tPA dose and shorter infusion duration, and low major hemorrhagic complications and zero intracerebral hemorrhagic events.

Trial conclusions

EKOS users have shifted their clinical practice toward lower-dose / shorter duration OPTALYSE protocols. Also KNOCOUT PE confirmed, yet again, the safety and efficacy of EKOS therapy in PE with zero intracerebral hemorrhage observed and significant improvements in QOL scores.

Filename
PI-1140510-AA-KNOCOUT-study-summary-EMEA-FINAL.pdf
Size
563 KB
Format
application/pdf
Download the Boston Scientific study summary

Trial bibliography

2021 – KNOCOUT: International EkoSonic Registry of the Treatment and Clinical Outcomes of Patients with Pulmonary Embolism Prospective Cohort 3-month Data Release

Principal Investigators: Samuel Z. Goldhaber, MD; Stavros V. Konstantinides, MD PhD; Nicolas Meneveau, MD PhD; Victor F. Tapson, MD; Keith M. Sterling, MD; Nils Kucher, MD; Robert Maholic, DO; Mahir Elder, MD; Gregory Piazza, MD; Andrew SP Sharp, MD; Noah Jones, MD.


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