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1000 Titel
  • Directional atherectomy and drug-coated balloon angioplasty vs. barenitinol stent angioplasty for femoropopliteal artery lesions
1000 Autor/in
  1. Wei, Lichun |
  2. Guo, Jianming |
  3. Guo, Lianrui |
  4. Qi, Lixing |
  5. Cui, Shijun |
  6. Tong, Zhu |
  7. Hou, Peiyong |
  8. Gu, Yongquan |
1000 Erscheinungsjahr 2022
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2022-07-08
1000 Erschienen in
1000 Quellenangabe
  • 51(5):275-281
1000 Copyrightjahr
  • 2022
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1024/0301-1526/a001010 |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:p> Summary: Background: The present study evaluated the prognosis of directional atherectomy (DA)+drug-coated balloon (DCB) angioplasty for femoropopliteal artery lesions compared with bare nitinol stent (BNS). Patients and methods: This retrospective cohort study included patients with femoropopliteal artery lesions who underwent percutaneous endovascular surgery between January 2016 and June 2019. The primary outcome was the primary patency rate after 12, 24, and 36 months; the secondary outcomes comprised incidence of flow-limiting dissections, technical success, limb salvage, and all-cause death. Results: During the study period, 110 (44%) patients underwent DA+DCB, and 140 (56%) patients underwent bare nitinol stent (BNS). There were no differences in the 12- and 24-month patency rates of the two groups (98.2% vs. 93.6% and 68.2% vs. 60.0%, both p&gt;.05). The 36-month primary patency rate in the DA+DCB group was significantly higher than that of the BNS group (27.3% vs. 15.7%, p=.003). The technical success rate and all-cause death were similar between groups ( p&gt;.05). Flow-limiting dissections occurred more frequently in the BNS group than in the DA+DCB group (27.9% vs. 10.9%, p=.033). After adjustment for potential confounders, such as sex, smoking, hypertension, hyperlipidemia, ABI after surgery, TASC II B, lesion length ≥15 cm, two-vessel runoff, and three-vessel runoff, the HR for primary patency rate comparing BNS to DA+DCB was 2.61 (95%CI: 1.61–4.25). Conclusions: In this retrospective cohort study, DA+DCB was associated with a higher 30-month primary patency rate and a lower flow-limiting dissection incidence than BNS. </jats:p>
1000 Sacherschließung
lokal Alloys [MeSH]
lokal Popliteal Artery [MeSH]
lokal Stents [MeSH]
lokal Humans [MeSH]
lokal Treatment Outcome [MeSH]
lokal Retrospective Studies [MeSH]
lokal bare nitinol stent
lokal femoropopliteal artery
lokal Angioplasty, Balloon/adverse effects [MeSH]
lokal Atherectomy/adverse effects [MeSH]
lokal Original communication
lokal Vascular Patency [MeSH]
lokal Peripheral Arterial Disease/diagnostic imaging [MeSH]
lokal drug-coated balloon
lokal Peripheral Arterial Disease/therapy [MeSH]
lokal Directional atherectomy
lokal Femoral Artery [MeSH]
lokal Coated Materials, Biocompatible [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/V2VpLCBMaWNodW4=|https://frl.publisso.de/adhoc/uri/R3VvLCBKaWFubWluZw==|https://frl.publisso.de/adhoc/uri/R3VvLCBMaWFucnVp|https://frl.publisso.de/adhoc/uri/UWksIExpeGluZw==|https://frl.publisso.de/adhoc/uri/Q3VpLCBTaGlqdW4=|https://frl.publisso.de/adhoc/uri/VG9uZywgWmh1|https://frl.publisso.de/adhoc/uri/SG91LCBQZWl5b25n|https://frl.publisso.de/adhoc/uri/R3UsIFlvbmdxdWFu
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1000 Erstellt am 2023-03-23T10:12:06.903+0100
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1000 Zuletzt bearbeitet Fri May 03 12:43:55 CEST 2024
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