Outcomes of polytetrafluoroethylene-covered stent versus bare-metal stent in the primary treatment of severe iliac artery obstructive lesions

Journal of Vascular Surgery
Michele PiazzaMichele Antonello

Abstract

This study compared early and midterm outcomes of polytetrafluoroethylene-covered stents (CSs) vs bare-metal stents (BMSs) in the primary treatment of severe TransAtlantic Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) C and D iliac artery obstructive lesions. Between January 2009 and June 2014, 128 patients underwent stenting of 167 iliac arteries; CSs were implanted in 82 iliac arteries (49%) and BMSs in 85 (51%). All patients were prospectively enrolled in a dedicated database. Thirty-day outcomes, mid-term patency, limb salvage, and survival were compared, and follow-up results were analyzed with Kaplan-Meier curves. Clinical presentation, lesion site, extension, and laterality were evaluated for their association with patency in the two groups using multiple logistic regressions. Patients were a mean age of 70 ± 10.3 years, The Society for Vascular Surgery comorbidity score was 0.89 ± 0.57, with no differences after stratification by CS and BMS (P = .17). Iliac lesions were classified by limb as TASC II C in 86 (51%) and D in 81 (49%). Comparing CS and BMS, technical success was 99% in both groups (P = 1.0); the 30-day cumulative surgical complications rate (7.3% vs 4.7%; P = .53), mort...Continue Reading

References

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Citations

Apr 22, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Shahab HajibandehGeorge A Antoniou
Jun 27, 2017·Annals of Vascular Surgery·Russell J PepeNaiem Nassiri
Nov 23, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Andrew HoldenAndrew Hill
Jul 13, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jean BismuthUNKNOWN VBX FLEX Study Investigators
Aug 15, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Michele Piazza, Michele Antonello
Jul 25, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Gabriele PiffarettiUNKNOWN ILIACS Registry Group
Aug 31, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ramin BanafscheNikolaos Tsilimparis
Apr 25, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jean M PannetonAndrew Holden
Jun 23, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Michele Piazza
Apr 22, 2018·Nature Reviews. Cardiology·Jade S HiramotoMichael S Conte
Feb 28, 2020·Scientific Reports·Smriti M KrishnaJonathan Golledge
Mar 10, 2020·F1000Research·Andrew Lazar, Nicholas Morrissey
Dec 1, 2020·Journal of Vascular Surgery·Francesco SquizzatoUNKNOWN ILIACS Registry Group
Nov 16, 2019·Journal of Vascular Surgery·Michele PiazzaMichele Antonello
Nov 23, 2020·Interactive Cardiovascular and Thoracic Surgery·Bihui ZhangMin Yang
Apr 28, 2021·Vascular and Endovascular Surgery·Austin MalloryEhrin J Armstrong
Aug 7, 2021·Health Science Reports·Toshihiko KishidaYoshiaki Ito
Mar 10, 2019·Journal of Vascular Surgery·Michele AntonelloMichele Piazza

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