A systematic review and meta-analysis of bioresorbable vascular scaffolds for below-the-knee arterial disease
| Autor: | Jetty Ipema, Ramon L. Varcoe, Steven Kum, Constantijn E.V.B. Hazenberg, Michiel A. Schreve, Jean-Paul P.M. de Vries, Çağdaş Ünlü, Eline Huizing |
|---|---|
| Přispěvatelé: | Robotics and image-guided minimally-invasive surgery (ROBOTICS) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Arterial disease MEDLINE 030204 cardiovascular system & hematology 030230 surgery Limb Salvage Confidence interval 03 medical and health sciences Peripheral Arterial Disease 0302 clinical medicine Text mining Treatment Outcome Internal medicine Meta-analysis Absorbable Implants Clinical endpoint Medicine Humans Popliteal Artery Cardiology and Cardiovascular Medicine business Survival rate Evidence synthesis Vascular Patency |
| Zdroj: | International angiology, 40(1), 42-51 |
| ISSN: | 0392-9590 |
| Popis: | INTRODUCTION: Different types of bioresorbable vascular scaffolds (BVSs) have been developed and used in below-the-knee (BTK) arterial diseases. This is the first study reviewing and analyzing the literature on BVS treatment for BTK arterial disease.EVIDENCE ACQUISITION: MEDLINE, Embase, and Cochrane were searched for studies published until October 21, 2019. The search, study selection, quality assessment, and data extraction were performed by 2 authors independently. Articles that studied the treatment of BTK arterial disease by using BVSs were eligible. Exclusion criteria were studies with a variant design (e.g. case reports EVIDENCE SYNTHESIS: Five studies representing 155 patients with 160 treated limbs met the inclusion criteria. Pooled 12-month primary patency per limb was 90% (143/160; 95% confidence interval [CI]: 0.84-0.95), freedom from CD-TLR 96% (124/130; 95% CI: 0.91-0.99), limb salvage rate 97% (156/160; 95% CI: 0.94-1.00), survival rate 90% (112/125; 95% CI: 0.82-0.96), and AFS rate 89% (110/125; 95% CI: 0.81-0.94). Subgroup analyses of included Absorb BVS studies showed similar results. All studies were assessed as moderate quality.CONCLUSIONS: This meta-analysis of case series showed good 12-month patency and clinical results with BVSs for BTK arterial disease, even in patients with multimorbidity and short but complex lesions. These results encourage a revival of this scaffold. |
| Databáze: | OpenAIRE |
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