Vascular Intervention // Coronary
Drug-Eluting Stent System



Ultrathin struts§. Outstanding patient outcomes.


Outstanding patient outcomes


Improving patient outcomes, year after year*


BIOFLOW-V (n = 1,334) the FDA pivotal trial


Significant differences in TLF observed at year 1 and 2 were maintained and further increased at year 3 (8.6% vs. 14.4%, p = 0.003), driven by significant differences in TV-MI (5.5% vs. 10.1%, p = 0.004) and ischemia-driven TLR (3.4% vs. 6.9%, p = 0.008) that favor Orsiro over Xience.1,2,3


TLF and components at 12, 24 and 36 Months




TLF – Target Lesion Failure; TV-MI – Target Vessel Myocardial Infarction; TLR – Target Lesion Revascularization.

§As characterized with respect to strut thickness in Bangalore et al. Meta-analysis.9
◊Based on investigator’s interpretation of BIOFLOW-V primary endpoint results.
*Compared to Xience, based on three consecutive years.
¤p-values for 36-m frequentist analysis.
ф vs. Xience, based on 36-m frequentist analysis.


Long-term performance


In the randomized, all-comers BIOSCIENCE trial (n= 2,119)4
Orsiro shows numerically equal or lower Stent Thrombosis (ST) in complex patients in comparison to Xience.



Ultrathin Struts –
thinnest available in the US5


Thinner struts, faster endothelialization6


Improved outcomes start in the early phase



Vascular Healing



‡ Driven by peri-procedural MI events (<48 hours). In-hospital rate may include events > 48 hours.
Δ Images: Secco G et al. Time-related changes in neointimal tissue coverage following a new generation SES implantation: an OCT observational study. Presented at: euro PCR, May 20, 2014; Paris, France.


Small Vessels. Ultrathin Struts. Big Difference.


Small vessel subgroup analysis (n = 1,506) of a large scale all-comers BIO-RESORT (n = 3,514) trial.


Fewer repeat target lesion revascularizations (TLR) compared to Resolute Integrity at 36 months.8



Lower revascularization rates in the 3rd year



ф vs. Xience, based on 36-m frequentist analysis.

Ultrathin, ultra effective


Ultrathin vs. thin strut DES in a large scale meta-analysis including more than 11,000 patients9



Relative risk reduction in TLF at 12 months
RR (95% CI) 0.84 [0.72, 0.99]



Excellent deliverability


Lower crossing profile


Improved acute performance – up to 7% lower crossing profile.10



Better push


Transmits up to 72% more force from hub to tip.10



"Low profile and great deliverability coupled with superb clinical outcomes is a game-changer. In the current era of coronary stents, thinner struts are better and thinnest might be best."

Dr. Dean Kereiakes
BIOFLOW-V Site Principal Investigator


Orsiro is indicated for improving coronary luminal diameter in patients, including those with diabetes mellitus, with symptomatic heart disease, stable angina, unstable angina, non-ST elevation myocardial infarction or documented silent ischemia due to atherosclerotic lesions in the native coronary arteries with a reference vessel diameter of 2.25 mm to 4.0 mm and a lesion length of ≤ 36 mm.



Technical Data

Orsiro US Technical Data Oct2020

Compliance Chart

Compliance Chart

Ordering Information

Ordering Information


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Orsiro Image

Vascular Intervention

Coronary Drug-Eluting Stent

1. Kandzari D et al. Ultrathin, bioresorbable polymer sirolimus-eluting stents versus thin, durable polymer everolimuseluting stents in patients undergoing coronary revascularisation (BIOFLOW V): a randomised trial. Lancet. October, 2017; 2. Kandzari D et al. Ultrathin Bioresorbable Polymer Sirolimus-Eluting Stents versus Thin Durable Polymer Everolimus- Eluting Stents: Journal of American College of Cardiology. 2018, doi: https//doi.org/10.1016/j.jacc.2018.09.019; 3. Kandzari D et al. J Am Coll Cardiol. Cardiovasc Interven. 2020, doi: 10.1016/j.jcin.2020.02.019; 4. Pilgrim T et al. 5-year outcomes of the BIOSCIENCE randomised trial. Supplementary appendix. Lancet, August, 2018; 5. When compared to FDA approved Drug Eluting Stents. BIOTRONIK data on file; 6. Foin N et al. Int J of Cardiol. 2014, 177(3); 7. Secco G et al. Time-related changes in neointimal tissue coverage of a novel Sirolimus eluting stent: Serial observations with optical coherence tomography. Cardiovascular Revascularization Medicine 17.1 (2016): 38-43; 8. Buiten R et al. Outcomes in patients treated with thin-strut, very thin-strut, or ultrathin-strut drug-eluting stents in small coronary vessels - A prespecified analysis of the randomized BIO-RESORT trial; JAMA Cardiol. Published online May 21, 2019. doi:10.1001/jamacardio.2019.1776; Clinical Trials. gov: NCT01674803; 9. Bangalore S et al. Circulation. 2018, 138; 10. BIOTRONIK data on file; IIB(P)24/2018.

Synergy is a registered trademark of Boston Scientific/Resolute, Integrity, Resolute Integrity and Resolute Onyx are registered trademarks of Medtronic/Xience, Xience Prime and Xience Xpedition are registered trademarks of Abbott Cardiovascular Systems.

Orsiro is a trademark or registered trademark of the BIOTRONIK Group of Companies.