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 |
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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 |
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