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Association between post-balloon angioplasty dissection and primary patency in complex femoropopliteal artery disease: 2-year clinical outcomes of the AcoArt I trial
| Content Provider | SAGE Publishing |
|---|---|
| Author | Ren, Hao Liu, Jie Zhang, Jiwei Zhuang, Baixi Fu, Weiguo Wu, Danming Wang, Feng Zhao, Yu Guo, Pingfan Bi, Wei Wang, Shenming Guo, Wei |
| Copyright Year | 2021 |
| Abstract | ObjectiveTo assess the association between post-balloon angioplasty dissection and the mid-term results of the AcoArt I trial evaluating complex femoropopliteal artery disease.MethodsThe outcome data for 144 patients from the AcoArt 1 trial were reanalysed. These patients were randomly divided into percutaneous transluminal angioplasty (PTA) and drug-coated balloons (DCB) groups. The primary endpoint was the primary patency (PP) rate and clinically-driven target lesion revascularisation at 24 months.ResultsAfter 24 months of follow-up, the PP rate of dissection cases in the PTA group was lower vs non-dissection cases. In patients receiving a bailout stent for dissection, the PP rate in the PTA group was lower vs the DCB group. Cox regression analysis showed that dissection decreased the PP rate; mild dissection reduced the PP rate as follows: 52%, PTA group and 19%, DCB group. With severe dissection, the PP rate reduction was as follows: 75%, PTA group and 73%, DCB group.ConclusionsThe mid-term follow-up showed that post-balloon angioplasty dissection reduced the PP rate in the PTA group but not in the DCB group. Additionally, in patients receiving a bailout stent for dissection, the DCB group had a better PP rate than the PTA group. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/03000605211006546?download=true |
| ISSN | 03000605 |
| Issue Number | 4 |
| Volume Number | 49 |
| Journal | Journal of International Medical Research (IMR) |
| e-ISSN | 14732300 |
| DOI | 10.1177/03000605211006546 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2021-04-29 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2021 |
| Subject Keyword | Balloon angioplasty dissection femoropopliteal artery disease drug-coated balloon primary patency percutaneous transluminal angioplasty |
| Content Type | Text |
| Resource Type | Article |
| Subject | Biochemistry (medical) Cell Biology Biochemistry |
