Reporting standards for lower extremity arterial endovascular procedures

Ss, Ahn; Rb, Rutherford; Gj, Becker; Aj, Comerota; Kw, Johnston; Gk, McClean; Jm, Seeger; St, String; Ra, White; Ad, Whittemore

doi:10.1067/mva.1993.45889

Cited by 27 publications

(3 citation statements)

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“…These shortcomings in methodology and reporting make it difficult to compare results, and made us decide not to perform any meta-analysis. Therefore, we like to stress the importance of using standards for reporting results of treatment for peripheral arterial disease and, especially, for lower-extremity arterial endovascular procedures, to facilitate future meta-analyses [37, 38]. …”

Section: Discussionmentioning

confidence: 99%

Subintimal Angioplasty for Peripheral Arterial Occlusive Disease: A Systematic Review

Met

Lienden

Koelemay

et al. 2008

Cardiovasc Intervent Radiol

174

107

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The objective of this study was to summarize outcomes of subintimal angioplasty (SA) for peripheral arterial occlusive disease. The Cochrane Library, Medline and Embase databases were searched to perform a systematic review of the literature from 1966 through May 2007 on outcomes of SA for peripheral arterial occlusive disease of the infrainguinal vessels. The keywords “percutaneous intentional extraluminal revascularization,” “subintimal angioplasty,” “peripheral arterial disease,” “femoral artery,” “popliteal artery,” and “tibial artery” were used. Assessment of study quality was done using a form based on a checklist of the Dutch Cochrane Centre. The recorded outcomes were technical and clinical success, primary (assisted) patency, limb salvage, complications, and survival, in relation to the clinical grade of disease (intermittent claudication or critical limb ischemia [CLI] or mixed) and location of lesion (femoropopliteal, crural, or mixed). Twenty-three cohort studies including a total of 1549 patients (range, 27 to 148) were included in this review. Methodological and reporting quality were moderate, e.g., there was selection bias and reporting was not done according to the reporting standards. These and significant clinical heterogeneity obstructed a meta-analysis. Reports about length of the lesion and TASC classification were too various to summarize or were not mentioned at all. The technical success rates varied between 80% and 90%, with lower rates for crural lesions compared with femoral lesions. Complication rates ranged between 8% and 17% and most complications were minor. After 1 year, clinical success was between 50% and 70%, primary patency was around 50% and limb salvage varied from 80% to 90%. In conclusion, taking into account the methodological shortcomings of the included studies, SA can play an important role in the treatment of peripheral arterial disease, especially in the case of critical limb ischemia. Despite the moderate patency rates after one year, SA may serve as a “temporary bypass” to provide wound healing and limb salvage.

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Section: Discussionmentioning

confidence: 99%

Subintimal Angioplasty for Peripheral Arterial Occlusive Disease: A Systematic Review

Met

Lienden

Koelemay

et al. 2008

Cardiovasc Intervent Radiol

174

107

View full text Add to dashboard Cite

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“…All the patients had evidence of chronic limb ischaemia classified according to Rutherford. The patients’ demographic data, procedural and lesion-specific factors, outcomes and complications were defined according to the criteria prepared and revised by the Ad Hoc Committee on Reporting Standards [ 10 , 11 ].…”

Section: Methodsmentioning

confidence: 99%

Comparison of results of endovascular stenting and bypass grafting for TransAtlantic Inter-Society (TASC II) type B, C and D iliac occlusive disease

Benetis

Kavaliauskienė

Antuševas

et al. 2016

aoms

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IntroductionThe priority use of endovascular techniques in the management of aortoiliac occlusive disease has increased in the last decade. The aim of the present article is to report 1- and 2-year results of iliac artery stenting (IAS) and aortoiliac grafting in the management of patients with TASC II type B, C and D iliac lesions and chronic limb ischaemia.Material and methodsIn this prospective, non-randomised, one-centre clinical study, iliac artery stents and vascular grafts used for the treatment of patients with symptomatic lesions in the iliac artery were evaluated. This study enrolled 2 groups: 54 patients in the stent group and 47 patient in the surgery group.ResultsThe primary patency rates at 1 and 2 years were 83% and 79.9% after IAS and 97.1% and 97.1% after surgical reconstruction, respectively (p = 0.015). The assisted primary stent patency at 1 and 2 years was 87.9% and 78.2%, respectively. The complication rate was 7.4% in the stent group and 6.3% in the surgery group. There was no perioperative mortality in either group.ConclusionsOur results reveal that patients with severe aortoiliac occlusive disease (TASC II types B, C and D) can be treated with IAS or surgically with satisfactory results. Iliac artery stenting is associated with decreased primary patency compared with the surgery group. Iliac artery stenting should be considered with priority in elderly patients or in patients with severe comorbidities.

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“…All patients treated with balloon angioplasty of the iliac arteries as a primary therapeutic procedure were included; primary stent placement was performed. When either both the common iliac and external iliac arteries in one patient were treated or bilateral artery treatment was performed, each treated artery was counted separately, per Society for Vascular Surgery reporting standards [17]; however, patient mortality was based only on patients treated. Exclusion criteria included patients with aneurysmal disease and patients who underwent hybrid treatments during the same procedure (e.g., a concomitant open procedure at the same setting), as well as patients who planned to undergo staged subsequent procedures, including revascularization distal to the iliac arteries.…”

Section: Methodsmentioning

confidence: 99%

Advanced Age and Disease Predict Lack of Satisfaction After Iliac Stent Placement

Assi

Brownson

Hall

et al. 2014

Journal of Surgical Research

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Reporting standards for lower extremity arterial endovascular procedures

Cited by 27 publications

References 0 publications

Subintimal Angioplasty for Peripheral Arterial Occlusive Disease: A Systematic Review

Subintimal Angioplasty for Peripheral Arterial Occlusive Disease: A Systematic Review

Comparison of results of endovascular stenting and bypass grafting for TransAtlantic Inter-Society (TASC II) type B, C and D iliac occlusive disease

Advanced Age and Disease Predict Lack of Satisfaction After Iliac Stent Placement

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