Impact of Scoring Balloons on Percutaneous Transluminal Angioplasty Outcomes in Femoropopliteal Lesions

Impact of Scoring Balloons on Percutaneous Transluminal Angioplasty Outcomes in Femoropopliteal Lesions
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DOI:
10.1177/1526602820914618
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发表时间:
2020-04-06
影响因子:
2.6
通讯作者:
Inoue, Naoto
Inoue, Naoto
中科院分区:
医学2区
文献类型:
--
作者:
Horie, Kazunori;Tanaka, Akiko;Inoue, Naoto

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目的:旨在研究评分球囊在股腘动脉病变经皮腔内血管成形术(PTA)即刻成功中的有效性。材料和方法:2013年至2019年期间,在我院使用PTA治疗了398例新发股腘动脉病变的连续患者。在血液透析、跨大西洋学会共识II分级、外周动脉钙评分系统(PACSS)分级、病变长度和血管内超声使用1:1倾向评分匹配后,比较了使用与不使用评分球囊进行PTA的患者的手术成功率。倾向匹配产生了84名患者(平均年龄73.4 ± 8.3; 65名男性)接受了评分球囊治疗,84名患者(平均年龄75.6 ± 8.7; 56名男性)接受了普通球囊治疗。Kaplan-Meier分析研究了两组术后的通畅率;给出了估计值和95%置信区间(CI)。结果:残余狭窄
Purpose: To investigate the efficacy of scoring balloons for immediate success of percutaneous transluminal angioplasty (PTA) in femoropopliteal lesions. Materials and Methods: Between 2013 and 2019, 398 consecutive patients with de novo femoropopliteal lesions were treated using PTA in our hospital. The procedure success rate was compared among patients undergoing PTA with vs without scoring balloons after 1:1 propensity score matching on hemodialysis, TransAtlantic Inter-Society Consensus II classification, Peripheral Arterial Calcium Scoring System (PACSS) grade, lesion length, and use of intravascular ultrasound. Propensity matching produced 84 patients (mean age 73.4 +/- 8.3; 65 men) treated with scoring balloons and 84 patients (mean age 75.6 +/- 8.7; 56 men) treated with plain balloons. Kaplan-Meier analysis investigated patency after the procedure in both groups; estimates are given with the 95% confidence interval (CI). Results: Residual stenosis