Comparative performance analysis of interventional devices for the treatment of ischemic disease in below-the-knee lesions: a systematic review and meta-analysis.
Comparative performance analysis of interventional devices for the treatment of ischemic disease in below-the-knee lesions: a systematic review and meta-analysis.
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DOI：
10.1007/s12928-021-00758-7
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发表时间：
2022-01
影响因子：
3.2
通讯作者：
Iwasaki K
中科院分区：
文献类型：
--
作者：
Matsuoka EK;Hasebe T;Ishii R;Miyazaki N;Soejima K;Iwasaki K
本荟萃分析旨在评价传统球囊导管（POBA）、药物涂层球囊（DCB）、裸金属支架（BMS）和药物洗脱支架（DES）在膝下（BTK）缺血性病变中的病变特征方面的器械性能。对每种测试设备进行了PubMed、Web of Science和科克伦数据库（2010-2019年）的在线搜索。使用随机效应荟萃分析模型分析每种器械使用后1年的一期通畅率（pp）和大截肢率。进行荟萃回归分析，以测试结果和病变特征之间的关联。该分析包括18项研究，报告了24个单独的队列，包括2，438名患者。DES在试验器械中表现出最佳pp（83.6%; 95%置信区间= 78.4- 88.8%，研究= 8; I2 = 66%，P = 0.005）。病变长度与pp之间存在负相关（P = 0.002）。严重肢体缺血（CLI）患者的比例影响截肢率（P = 0.031），而两种器械之间无统计学显著差异。DES在BTK病变中显示出有利的pp;然而，由于使用DES的病变长度较短，因此仍需要评价长病变中的pp。较短的病变获得了更好的pp。CLI患者比例较高导致截肢率增加。
This meta-analysis aimed to evaluate the device performance of conventional balloon catheters (POBA), drug-coated balloons (DCB), bare-metal stents (BMS), and drug-eluting stents (DES) in below-the-knee (BTK) ischemic lesions with regard to lesion characteristics. Online searches of PubMed, Web of Science, and Cochrane databases (2010–2019) were conducted for each of the test devices. Primary patency rates (pp) and major amputation rates 1 year after the use of each device were analyzed using a random-effects meta-analysis model. Meta-regression analysis was conducted to test associations between the outcomes and lesion characteristics. The analysis included 18 studies reporting on 24 separate cohorts comprising 2,438 patients. DES demonstrated the best pp among the test devices (83.6%; 95% confidence interval = 78.4–88.8%, studies = 8; I2 = 66%, P = 0.005). A negative coefficient between lesion length and pp (P = 0.002) was obtained. The ratio of critical limb ischemia (CLI) patients impacted the amputation rates (P = 0.031), whereas no statistically significant difference was found between the devices. DES showed favorable pp in BTK lesions; however, as the lesion lengths using DES were short, pp in long lesions still needs to be evaluated. Shorter lesions gained better pp. A higher ratio of CLI patients resulted in increased amputation rates.
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DOI：
10.1016/j.jvir.2010.09.011
发表时间：
2010-12-01
影响因子：
2.9
作者：
McMillan, William D.;Leville, Chris D.;Schultz, Scott R.
通讯作者：
Schultz, Scott R.
影响因子：
0.2
作者：
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通讯作者：
Uryniak, Adam
影响因子：
2.6
作者：
Singh, Gagan D.;Brinza, Ellen K.;Armstrong, Ehrin J.
通讯作者：
Armstrong, Ehrin J.
影响因子：
11.3
作者：
Zeller, Thomas;Beschorner, Ulrich;Brodmann, Marianne
通讯作者：
Brodmann, Marianne
影响因子：
3.5
作者：
Gerhard-Herman, Marie;Gardin, Julius M.;Naqvi, Tasneem Z.
通讯作者：
Naqvi, Tasneem Z.