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- Title
Efficacy and Safety of Endovascular Therapy for Aortoiliac TASC D Lesions.
- Authors
Suzuki, Kenji; Mizutani, Yukiko; Soga, Yoshimitsu; Iida, Osamu; Kawasaki, Daizo; Yamauchi, Yasutaka; Hirano, Keisuke; Koshida, Ryouji; Kamoi, Daisuke; Tazaki, Junichi; Higashitani, Michiaki; Shintani, Yoshiaki; Yamaoka, Terutoshi; Okazaki, Shinya; Suematsu, Nobuhiro; Tsuchiya, Taketsugu; Miyashita, Yusuke; Shinozaki, Norihiko; Takahashi, Hiroki; Inoue, Naoto
- Abstract
Background: Although there is increasing evidence of the effectiveness of endovascular therapy for complex aortoiliac (AI) occlusive disease, it is not universally applied to TASC D lesions. Methods: A total of 2096 patients, 2601 limbs with AI occlusive disease, were enrolled. The lesions were categorized as TASC D (395) or TASC A-C (2206), and we compared baseline data, procedure, and follow-up result between the 2 groups. Results: The success rate of the procedure was significantly lower in the TASC D group (91.6% vs 99.3%, P < .01), and more procedure complications occurred in the TASC D group (11.1% vs 5.2%, P < .01). The results of a 5-year follow-up revealed no significant difference in primary patency (77.9% vs 77.1%, P = .17) and major adverse cardiovascular and limb events (MACLE; 30.5% vs 33.4%, P = .42) between the 2 groups. A multivariate analysis revealed complications and critical limb ischemia are independent predictors of MACLE in the TASC D group. Conclusion: The success rate of the procedure was lower in the TASC D group. Complications were more frequent in the TASC D group, and they were related to MACLE.
- Subjects
JAPAN; ACADEMIC medical centers; CARDIOVASCULAR diseases; CHI-squared test; REPORTING of diseases; MULTIVARIATE analysis; PATIENT safety; PROBABILITY theory; SURGICAL complications; T-test (Statistics); SECONDARY analysis; TREATMENT effectiveness; PROPORTIONAL hazards models; DATA analysis software; DESCRIPTIVE statistics; KAPLAN-Meier estimator; LOG-rank test; MANN Whitney U Test
- Publication
Angiology, 2017, Vol 68, Issue 1, p67
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/0003319716638005