Stenting versus balloon angioplasty alone in patients with below-the-knee disease: A propensity score-matched analysis

Autor: Cheol Ung Choi, Woong Choi, Jin Su Byeon, Byoung Geol Choi, Eung Ju Kim, Chang Gyu Park, Seung-Woon Rha, Cheol Ho Lee, Hye Yon Yu, Hong Seog Seo, Jihun Ahn, Se Yeon Choi, Jae Kyeong Byun, Jin Oh Na, Jinah Cha
Rok vydání: 2021
Předmět:
Male
Percutaneous
medicine.medical_treatment
Myocardial Infarction
030204 cardiovascular system & hematology
Cardiovascular Medicine
030218 nuclear medicine & medical imaging
Diagnostic Radiology
0302 clinical medicine
Restenosis
Ischemia
Medicine and Health Sciences
Surgical Amputation
Cardiovascular Imaging
Tomography
Multidisciplinary
Radiology and Imaging
Angiography
Middle Aged
Treatment Outcome
Lower Extremity
Medicine
Legs
Female
Stents
medicine.symptom
Anatomy
Research Article
medicine.medical_specialty
Imaging Techniques
Science
Perforation (oil well)
Cardiology
Surgical and Invasive Medical Procedures
Neuroimaging
Revascularization
Research and Analysis Methods
03 medical and health sciences
Signs and Symptoms
Diagnostic Medicine
Angioplasty
medicine
Humans
Propensity Score
Aged
business.industry
Ankles
Stent
Biology and Life Sciences
Critical limb ischemia
medicine.disease
Surgery
Computed Axial Tomography
Amputation
Body Limbs
Stent Implantation
Lesions
Clinical Medicine
business
Angioplasty
Balloon
Neuroscience
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 6, p e0251755 (2021)
PLoS ONE, Vol 16, Iss 6 (2021)
ISSN: 1932-6203
Popis: Percutaneous transluminal angioplasty (PTA) is considered an effective treatment in patients with critical limb ischemia (CLI). However, the long-term durability of below-the-knee (BTK) PTA is known to be limited. This study sought to compare the 1-year clinical outcomes following stenting versus balloon angioplasty alone in BTK lesions. This study included 357 consecutive patients (400 limbs, 697 lesions) with BTK lesions who underwent PTA from September 2010 to December 2016. All enrolled patients were treated either by stenting (stent group; 111 limbs of 102 patients) or plain old balloon angioplasty (POBA group; 289 limbs of 255 patients). Stent group includes both primary and provisional stenting. Angiographic outcomes, procedural success, complications, and clinical outcomes were compared between the two groups up to 1 year. After propensity score matching (PSM) analysis, 56 pairs were generated, and the baseline and angiographic characteristics were balanced. The procedural success and complications were similar between the two groups; however, the incidence of procedure-related perforation was higher in the POBA group than in the stenting group [5(11.9%) vs.1 (0.9%), P = 0.009]. Six- to 9-month computed tomography or angiographic follow-up showed similar incidences of binary restenosis, primary patency, and secondary patency. In the 1-year clinical follow-up, there were similar incidences of individual hard endpoints, including mortality, myocardial infarction, limb salvage, and amputation rate, with the exception of target extremity revascularization (TER), which tended to be higher in the stenting group than in the POBA group [21 (20.8%) vs. 11 (10.9%), P = 0.054]. Although there was a trend toward a higher incidence of TER risk in the stenting group, stent implantation, particularly in bail-out stenting seemed to have acceptable 1-year safety and efficacy compared to POBA alone in patients undergoing BTK PTA.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje