A Retrospective Comparative Study of Mid‐Term Outcomes of Atherectomy, Drug‐Coating Balloon Angioplasty, and Plain Old Balloon Angioplasty for Isolated Atherosclerotic Popliteal Artery Lesions
ABSTRACT We retrospectively reviewed the clinical data of 217 consecutive Chinese patients with isolated atherosclerotic popliteal artery lesions treated with atherectomy technique, DCB, and plain old balloon angioplasty from August 2017 to August 2022. There was no difference in the 48‐month patenc...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-11-01
|
| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14908 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849338243439394816 |
|---|---|
| author | Zhiyong Dong Lianrui Guo Zhu Tong Shijun Cui Xixiang Gao Chengchao Zhang Jianming Guo Yongquan Gu |
| author_facet | Zhiyong Dong Lianrui Guo Zhu Tong Shijun Cui Xixiang Gao Chengchao Zhang Jianming Guo Yongquan Gu |
| author_sort | Zhiyong Dong |
| collection | DOAJ |
| description | ABSTRACT We retrospectively reviewed the clinical data of 217 consecutive Chinese patients with isolated atherosclerotic popliteal artery lesions treated with atherectomy technique, DCB, and plain old balloon angioplasty from August 2017 to August 2022. There was no difference in the 48‐month patency rate between the atherectomy, DCB, and POBA groups (65%, 56%, and 51%, respectively; p = 0.3), as well as in adjusted Cox regression. Similarly, no difference was observed in the 48‐month clinically driven target lesion revascularization‐free (CDTLR‐free) rate among the groups (77%, 74%, and 65%; p = 0.34), confirmed by adjusted Cox regression. In the 48 months, a significant difference was observed in amputation‐free rates between the atherectomy, DCB, and POBA groups (97%, 91%, and 83%, respectively; p < 0.05). Adjusted Cox regression indicated POBA had worse outcomes than DCB and atherectomy. In the stenosis and occlusion subgroup, the 48‐month primary patency rates were 65%, 70%, and 54% (p > 0.9) and 65% versus 49% versus 49% (p = 0.3), showing no differences among the three groups. In the short lesion subgroup (<10 cm), the 48‐month primary patency rates were 65%, 66%, and 61% for atherectomy, DCB, and POBA, respectively (p = 0.7). In the long lesion subgroup (≥10 cm), the 48‐month patency rates were higher in the atherectomy and DCB groups compared to POBA (64%, 44%, and 34%), with no significant difference among the groups (p = 0.13). DCB and atherectomy demonstrate improved short‐ and mid‐term clinical outcomes compared to POBA in Chinese patients with popliteal artery disease. |
| format | Article |
| id | doaj-art-c760459cccba46d1afc42ae507d02591 |
| institution | Kabale University |
| issn | 1524-6175 1751-7176 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj-art-c760459cccba46d1afc42ae507d025912025-08-20T03:44:28ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762024-11-0126111264127310.1111/jch.14908A Retrospective Comparative Study of Mid‐Term Outcomes of Atherectomy, Drug‐Coating Balloon Angioplasty, and Plain Old Balloon Angioplasty for Isolated Atherosclerotic Popliteal Artery LesionsZhiyong Dong0Lianrui Guo1Zhu Tong2Shijun Cui3Xixiang Gao4Chengchao Zhang5Jianming Guo6Yongquan Gu7Department of Vascular Surgery Xuanwu Hospital and Institute of Vascular Surgery Capital Medical University Beijing ChinaDepartment of Vascular Surgery Xuanwu Hospital and Institute of Vascular Surgery Capital Medical University Beijing ChinaDepartment of Vascular Surgery Xuanwu Hospital and Institute of Vascular Surgery Capital Medical University Beijing ChinaDepartment of Vascular Surgery Xuanwu Hospital and Institute of Vascular Surgery Capital Medical University Beijing ChinaDepartment of Vascular Surgery Xuanwu Hospital and Institute of Vascular Surgery Capital Medical University Beijing ChinaDepartment of Vascular Surgery Xuanwu Hospital and Institute of Vascular Surgery Capital Medical University Beijing ChinaDepartment of Vascular Surgery Xuanwu Hospital and Institute of Vascular Surgery Capital Medical University Beijing ChinaDepartment of Vascular Surgery Xuanwu Hospital and Institute of Vascular Surgery Capital Medical University Beijing ChinaABSTRACT We retrospectively reviewed the clinical data of 217 consecutive Chinese patients with isolated atherosclerotic popliteal artery lesions treated with atherectomy technique, DCB, and plain old balloon angioplasty from August 2017 to August 2022. There was no difference in the 48‐month patency rate between the atherectomy, DCB, and POBA groups (65%, 56%, and 51%, respectively; p = 0.3), as well as in adjusted Cox regression. Similarly, no difference was observed in the 48‐month clinically driven target lesion revascularization‐free (CDTLR‐free) rate among the groups (77%, 74%, and 65%; p = 0.34), confirmed by adjusted Cox regression. In the 48 months, a significant difference was observed in amputation‐free rates between the atherectomy, DCB, and POBA groups (97%, 91%, and 83%, respectively; p < 0.05). Adjusted Cox regression indicated POBA had worse outcomes than DCB and atherectomy. In the stenosis and occlusion subgroup, the 48‐month primary patency rates were 65%, 70%, and 54% (p > 0.9) and 65% versus 49% versus 49% (p = 0.3), showing no differences among the three groups. In the short lesion subgroup (<10 cm), the 48‐month primary patency rates were 65%, 66%, and 61% for atherectomy, DCB, and POBA, respectively (p = 0.7). In the long lesion subgroup (≥10 cm), the 48‐month patency rates were higher in the atherectomy and DCB groups compared to POBA (64%, 44%, and 34%), with no significant difference among the groups (p = 0.13). DCB and atherectomy demonstrate improved short‐ and mid‐term clinical outcomes compared to POBA in Chinese patients with popliteal artery disease.https://doi.org/10.1111/jch.14908amputation‐freeatherectomydrug‐coating balloonendovascularpatency ratepopliteal artery |
| spellingShingle | Zhiyong Dong Lianrui Guo Zhu Tong Shijun Cui Xixiang Gao Chengchao Zhang Jianming Guo Yongquan Gu A Retrospective Comparative Study of Mid‐Term Outcomes of Atherectomy, Drug‐Coating Balloon Angioplasty, and Plain Old Balloon Angioplasty for Isolated Atherosclerotic Popliteal Artery Lesions The Journal of Clinical Hypertension amputation‐free atherectomy drug‐coating balloon endovascular patency rate popliteal artery |
| title | A Retrospective Comparative Study of Mid‐Term Outcomes of Atherectomy, Drug‐Coating Balloon Angioplasty, and Plain Old Balloon Angioplasty for Isolated Atherosclerotic Popliteal Artery Lesions |
| title_full | A Retrospective Comparative Study of Mid‐Term Outcomes of Atherectomy, Drug‐Coating Balloon Angioplasty, and Plain Old Balloon Angioplasty for Isolated Atherosclerotic Popliteal Artery Lesions |
| title_fullStr | A Retrospective Comparative Study of Mid‐Term Outcomes of Atherectomy, Drug‐Coating Balloon Angioplasty, and Plain Old Balloon Angioplasty for Isolated Atherosclerotic Popliteal Artery Lesions |
| title_full_unstemmed | A Retrospective Comparative Study of Mid‐Term Outcomes of Atherectomy, Drug‐Coating Balloon Angioplasty, and Plain Old Balloon Angioplasty for Isolated Atherosclerotic Popliteal Artery Lesions |
| title_short | A Retrospective Comparative Study of Mid‐Term Outcomes of Atherectomy, Drug‐Coating Balloon Angioplasty, and Plain Old Balloon Angioplasty for Isolated Atherosclerotic Popliteal Artery Lesions |
| title_sort | retrospective comparative study of mid term outcomes of atherectomy drug coating balloon angioplasty and plain old balloon angioplasty for isolated atherosclerotic popliteal artery lesions |
| topic | amputation‐free atherectomy drug‐coating balloon endovascular patency rate popliteal artery |
| url | https://doi.org/10.1111/jch.14908 |
| work_keys_str_mv | AT zhiyongdong aretrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT lianruiguo aretrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT zhutong aretrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT shijuncui aretrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT xixianggao aretrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT chengchaozhang aretrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT jianmingguo aretrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT yongquangu aretrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT zhiyongdong retrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT lianruiguo retrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT zhutong retrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT shijuncui retrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT xixianggao retrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT chengchaozhang retrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT jianmingguo retrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions AT yongquangu retrospectivecomparativestudyofmidtermoutcomesofatherectomydrugcoatingballoonangioplastyandplainoldballoonangioplastyforisolatedatheroscleroticpoplitealarterylesions |