Real-world comparison of drug-eluting and bare-metal stents in superficial femoral artery occlusive disease with trans-Atlantic intersociety consensus B lesions: A 2-year, single-institute study

Fan Chieh Meng, Po Lin Chen, Chiu Yang Lee, Chun Che Shih, I. Ming Chen

研究成果: 雜誌貢獻文章

6 引文 斯高帕斯(Scopus)

摘要

Background: Endovascular stenting has surpassed bypass surgery to become the first-line treatment for superficial femoral artery (SFA) occlusive disease, and various types of stents including bare-metal stents (BMSs), covered stents, and drug-eluting stents (DESs), have been approved for treatment. This retrospective, single-institute study compared the short-term, real-world outcomes of BMSs and DESs for treating SFA occlusive disease. Methods: A retrospective chart review was used to enroll 94 patients who received a DES (n = 24) or BMS (n = 70) between 2009 and 2014. All patients had SFA occlusive disease with critical limb ischemia and an intermediate length of SFA occlusion [Trans-Atlantic Intersociety Consensus (TASC)-II B lesions] and were regularly followed for 2 years. All patient characteristics, procedural details, and outcomes were recorded. Result: The 1-year primary patency rates in the BMS and DES groups were 71.4% and 87.5% (p = 0.169), respectively, and the corresponding 2-year rates were 61.4% and 79.2% (p = 0.139). The target lesion revascularization rate was 38.6% versus 20.8% (p = 0.139), the in-stent restenosis rate was 22.9% versus 0% (p = 0.009), the major limb amputation rate was 4.3% versus 0% (p = 0.568), the peripheral arterial disease-related mortality rate was 8.6% versus 0% (p = 0.332), and the all-cause mortality rate was 11.4% versus 0% (p = 0.109), respectively. Conclusions: The 2-year results revealed higher safety, superior efficacy, and greater clinical benefits of DESs than BMSs for treating TASC-II B SFA occlusive disease. However, more cases and long-term follow-up are warranted.
原文英語
頁(從 - 到)130-136
頁數7
期刊Acta Cardiologica Sinica
34
發行號2
DOIs
出版狀態已發佈 - 三月 1 2018
對外發佈Yes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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