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

PloS One
Jihun AhnSeung-Woon Rha

Abstract

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 an...Continue Reading

References

Dec 1, 2004·The British Journal of Radiology·D Tsetis, A-M Belli
Jan 31, 2009·Annals of Vascular Surgery·Richard F NevilleAnton N Sidawy
Dec 4, 2009·Cardiovascular and Interventional Radiology·C RandonF Vermassen
Feb 15, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dimitris KarnabatidisDimitris Siablis

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