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- Title
Efficacy and Safety of Drug-Coated Balloon in Elderly Patients with Intrastent Restenosis After Lower Extremity Arteriosclerotic Obliterans After Rotarex Thrombus Removal.
- Authors
Shoutian Lv; Gang Wei; Xueyan Shi; Qiong Xu; Xueli Li
- Abstract
Objective • This study aims to compare the efficacy and safety of drug-coated balloon (DCB) and standard angioplasty balloon (SAB) in the treatment of intrastent restenosis (ISR) after lower extremity ASO following rotarex thrombus removal. Methods • 94 patients with ISR after lower extremity ASO were selected and divided into DCB group (47 cases) and SAB group (47 cases). After patients were treated with DCB and SAB methods, six months after discharge care, the therapeutic effect, lower extremity dorsal arterial blood flow, ankle-brachial index, lameness distance, hemorheology, endothelial function indexes, and lipid levels were measured. Results • DCB group showed significantly higher effective rate compared to SAB group (P < .05). After treatment, posttreatment improvements in dorsalis arterial blood flow, ankle-brachial index intermittent claudicity distance, highdensity lipoprotein cholesterol (HDL-C) and nitric oxide (NO) contents were more pronounced in the DCB group than SAB group (P < .05).Indexes of hemorheology and the contents of total cholesterol (TC), triglyceride (TG), lowdensity lipoprotein cholesterol (LDL-C), and endothelin-1 (ET-1) levels significantly decreased after treatment, with greater reduction observed in DCB group (P < .05). In addition, No significant change in adverse reactions between groups, but DCB group had lower adverse drug reaction rate. Conclusions • Overall, DCB demonstrated superior efficacy in treating ISR after lower extremity ASO, offering a promising option for improving patient outcomes.
- Subjects
ARTERIOSCLEROSIS obliterans; OLDER patients; THROMBOSIS; LIPOPROTEINS; PREPROENDOTHELIN
- Publication
Alternative Therapies in Health & Medicine, 2024, Vol 30, Issue 2, p178
- ISSN
1078-6791
- Publication type
Article