The Current Use of Drug-Eluting Balloons and Stents in Peripheral Arterial Disease: An Online Survey by the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

Autor: Morgan, Robert A., Müller-Hülsbeck, Stefan, Fanelli, Fabrizio, Haage, Patrick, Hamady, Mohamad, Loffroy, Romaric, O'Sullivan, Gerard, Wolf, Florian, Slijepčević, Birgit
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Zdroj: CardioVascular & Interventional Radiology; Dec2023, Vol. 46 Issue 12, p1743-1747, 5p
Abstrakt: Purpose: To assess the current use of drug-eluting devices for peripheral arterial disease (PAD) among interventional radiologists following the controversy caused by the 2018 meta-analysis suggesting an increased mortality risk for paclitaxel-eluting devices. Methods: An anonymous survey was sent to 7035 CIRSE members via email; only complete responses were included and statistically analysed. Results: Three hundred and seven members (4.4%) completed the survey. Among these, 95.8% indicated that they personally perform peripheral vascular procedures. Thirty-eight percentage of respondents did not see any change of practice since 2018, while 47% reported that the use of drug-eluting devices decreased; for 13%, the use stopped altogether, while it increased in 3% of responses. 45.6% of respondents also felt the impact of the controversy in terms of pricing, availability or directives from hospital administration. A large majority of respondents (83.7%) who perform peripheral vascular procedures consider the use of these devices as safe, 12.9% were undecided and 3.4% did not consider them as safe. Among the respondents who do not perform endovascular procedures, 77% considered these devices as safe and 23% were undecided. Conclusion: Although the 2018 meta-analysis had a disruptive impact on the use of drug-eluting devices in PAD, with the increasing body of evidence available, a majority of respondents continue to believe in the safety of these devices for use in femoropopliteal disease. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index