Efficacy and Safety of Endovascular Therapy for Aortoiliac TASC D Lesions
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 cate...
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| Veröffentlicht in: | Angiology 2017-01, Vol.68 (1), p.67-73 |
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| creator | 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 |
| description | 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. |
| doi_str_mv | 10.1177/0003319716638005 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1855079969</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0003319716638005</sage_id><sourcerecordid>1826661938</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-9b019e08d6b2812e905b00f6c6bfd952772c8c54883e5bef5686d23ead7a0bfa3</originalsourceid><addsrcrecordid>eNqNkD1PwzAURS0EoqWwMyGPLIHnuP4aq1KgUiWGljlyHBtSpXGxE6T8exK1MCAhMT093XPvcBC6JnBHiBD3AEApUYJwTiUAO0FjoqaQECamp2g8xMmQj9BFjNv-ZQT4ORqlXEkQgo3RcuFcabTpsK4LvNbONh32Di_qwn_qaNpKB7x5t0HvO-x8wDMfGl9WpTZ4M1vP8QNe2Vj6Ol6iM6eraK-Od4JeHxeb-XOyenlazmerxFABTaJyIMqCLHieSpJaBSwHcNzw3BWKpUKkRho2lZJallvHuORFSq0uhIbcaTpBt4fdffAfrY1NtiujsVWla-vbmBHJGAiluPoHmnLOiaKyR-GAmuBjDNZl-1DudOgyAtngOvvtuq_cHNfbfGeLn8K33B5IDkDUbzbb-jbUvZi_B78AbXKEEw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1826661938</pqid></control><display><type>article</type><title>Efficacy and Safety of Endovascular Therapy for Aortoiliac TASC D Lesions</title><source>MEDLINE</source><source>SAGE Journals Online</source><creator>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</creator><creatorcontrib>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</creatorcontrib><description>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.</description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/0003319716638005</identifier><identifier>PMID: 26980775</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Angioplasty, Balloon - adverse effects ; Angioplasty, Balloon - methods ; Arterial Occlusive Diseases - physiopathology ; Arterial Occlusive Diseases - surgery ; Endovascular Procedures - adverse effects ; Female ; Femoral Artery - surgery ; Humans ; Iliac Artery - physiopathology ; Iliac Artery - surgery ; Male ; Middle Aged ; Peripheral Arterial Disease - physiopathology ; Peripheral Arterial Disease - surgery ; Prosthesis Design ; Risk Factors ; Treatment Outcome ; Vascular Patency - physiology</subject><ispartof>Angiology, 2017-01, Vol.68 (1), p.67-73</ispartof><rights>The Author(s) 2016</rights><rights>The Author(s) 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-9b019e08d6b2812e905b00f6c6bfd952772c8c54883e5bef5686d23ead7a0bfa3</citedby><cites>FETCH-LOGICAL-c370t-9b019e08d6b2812e905b00f6c6bfd952772c8c54883e5bef5686d23ead7a0bfa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003319716638005$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003319716638005$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26980775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suzuki, Kenji</creatorcontrib><creatorcontrib>Mizutani, Yukiko</creatorcontrib><creatorcontrib>Soga, Yoshimitsu</creatorcontrib><creatorcontrib>Iida, Osamu</creatorcontrib><creatorcontrib>Kawasaki, Daizo</creatorcontrib><creatorcontrib>Yamauchi, Yasutaka</creatorcontrib><creatorcontrib>Hirano, Keisuke</creatorcontrib><creatorcontrib>Koshida, Ryouji</creatorcontrib><creatorcontrib>Kamoi, Daisuke</creatorcontrib><creatorcontrib>Tazaki, Junichi</creatorcontrib><creatorcontrib>Higashitani, Michiaki</creatorcontrib><creatorcontrib>Shintani, Yoshiaki</creatorcontrib><creatorcontrib>Yamaoka, Terutoshi</creatorcontrib><creatorcontrib>Okazaki, Shinya</creatorcontrib><creatorcontrib>Suematsu, Nobuhiro</creatorcontrib><creatorcontrib>Tsuchiya, Taketsugu</creatorcontrib><creatorcontrib>Miyashita, Yusuke</creatorcontrib><creatorcontrib>Shinozaki, Norihiko</creatorcontrib><creatorcontrib>Takahashi, Hiroki</creatorcontrib><creatorcontrib>Inoue, Naoto</creatorcontrib><title>Efficacy and Safety of Endovascular Therapy for Aortoiliac TASC D Lesions</title><title>Angiology</title><addtitle>Angiology</addtitle><description>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.</description><subject>Aged</subject><subject>Angioplasty, Balloon - adverse effects</subject><subject>Angioplasty, Balloon - methods</subject><subject>Arterial Occlusive Diseases - physiopathology</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Female</subject><subject>Femoral Artery - surgery</subject><subject>Humans</subject><subject>Iliac Artery - physiopathology</subject><subject>Iliac Artery - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Peripheral Arterial Disease - physiopathology</subject><subject>Peripheral Arterial Disease - surgery</subject><subject>Prosthesis Design</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Patency - physiology</subject><issn>0003-3197</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1PwzAURS0EoqWwMyGPLIHnuP4aq1KgUiWGljlyHBtSpXGxE6T8exK1MCAhMT093XPvcBC6JnBHiBD3AEApUYJwTiUAO0FjoqaQECamp2g8xMmQj9BFjNv-ZQT4ORqlXEkQgo3RcuFcabTpsK4LvNbONh32Di_qwn_qaNpKB7x5t0HvO-x8wDMfGl9WpTZ4M1vP8QNe2Vj6Ol6iM6eraK-Od4JeHxeb-XOyenlazmerxFABTaJyIMqCLHieSpJaBSwHcNzw3BWKpUKkRho2lZJallvHuORFSq0uhIbcaTpBt4fdffAfrY1NtiujsVWla-vbmBHJGAiluPoHmnLOiaKyR-GAmuBjDNZl-1DudOgyAtngOvvtuq_cHNfbfGeLn8K33B5IDkDUbzbb-jbUvZi_B78AbXKEEw</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Suzuki, Kenji</creator><creator>Mizutani, Yukiko</creator><creator>Soga, Yoshimitsu</creator><creator>Iida, Osamu</creator><creator>Kawasaki, Daizo</creator><creator>Yamauchi, Yasutaka</creator><creator>Hirano, Keisuke</creator><creator>Koshida, Ryouji</creator><creator>Kamoi, Daisuke</creator><creator>Tazaki, Junichi</creator><creator>Higashitani, Michiaki</creator><creator>Shintani, Yoshiaki</creator><creator>Yamaoka, Terutoshi</creator><creator>Okazaki, Shinya</creator><creator>Suematsu, Nobuhiro</creator><creator>Tsuchiya, Taketsugu</creator><creator>Miyashita, Yusuke</creator><creator>Shinozaki, Norihiko</creator><creator>Takahashi, Hiroki</creator><creator>Inoue, Naoto</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>201701</creationdate><title>Efficacy and Safety of Endovascular Therapy for Aortoiliac TASC D Lesions</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-9b019e08d6b2812e905b00f6c6bfd952772c8c54883e5bef5686d23ead7a0bfa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon - adverse effects</topic><topic>Angioplasty, Balloon - methods</topic><topic>Arterial Occlusive Diseases - physiopathology</topic><topic>Arterial Occlusive Diseases - surgery</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Female</topic><topic>Femoral Artery - surgery</topic><topic>Humans</topic><topic>Iliac Artery - physiopathology</topic><topic>Iliac Artery - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Peripheral Arterial Disease - physiopathology</topic><topic>Peripheral Arterial Disease - surgery</topic><topic>Prosthesis Design</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Patency - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suzuki, Kenji</creatorcontrib><creatorcontrib>Mizutani, Yukiko</creatorcontrib><creatorcontrib>Soga, Yoshimitsu</creatorcontrib><creatorcontrib>Iida, Osamu</creatorcontrib><creatorcontrib>Kawasaki, Daizo</creatorcontrib><creatorcontrib>Yamauchi, Yasutaka</creatorcontrib><creatorcontrib>Hirano, Keisuke</creatorcontrib><creatorcontrib>Koshida, Ryouji</creatorcontrib><creatorcontrib>Kamoi, Daisuke</creatorcontrib><creatorcontrib>Tazaki, Junichi</creatorcontrib><creatorcontrib>Higashitani, Michiaki</creatorcontrib><creatorcontrib>Shintani, Yoshiaki</creatorcontrib><creatorcontrib>Yamaoka, Terutoshi</creatorcontrib><creatorcontrib>Okazaki, Shinya</creatorcontrib><creatorcontrib>Suematsu, Nobuhiro</creatorcontrib><creatorcontrib>Tsuchiya, Taketsugu</creatorcontrib><creatorcontrib>Miyashita, Yusuke</creatorcontrib><creatorcontrib>Shinozaki, Norihiko</creatorcontrib><creatorcontrib>Takahashi, Hiroki</creatorcontrib><creatorcontrib>Inoue, Naoto</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suzuki, Kenji</au><au>Mizutani, Yukiko</au><au>Soga, Yoshimitsu</au><au>Iida, Osamu</au><au>Kawasaki, Daizo</au><au>Yamauchi, Yasutaka</au><au>Hirano, Keisuke</au><au>Koshida, Ryouji</au><au>Kamoi, Daisuke</au><au>Tazaki, Junichi</au><au>Higashitani, Michiaki</au><au>Shintani, Yoshiaki</au><au>Yamaoka, Terutoshi</au><au>Okazaki, Shinya</au><au>Suematsu, Nobuhiro</au><au>Tsuchiya, Taketsugu</au><au>Miyashita, Yusuke</au><au>Shinozaki, Norihiko</au><au>Takahashi, Hiroki</au><au>Inoue, Naoto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy and Safety of Endovascular Therapy for Aortoiliac TASC D Lesions</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>2017-01</date><risdate>2017</risdate><volume>68</volume><issue>1</issue><spage>67</spage><epage>73</epage><pages>67-73</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>26980775</pmid><doi>10.1177/0003319716638005</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; SAGE Journals Online |
| subjects | Aged Angioplasty, Balloon - adverse effects Angioplasty, Balloon - methods Arterial Occlusive Diseases - physiopathology Arterial Occlusive Diseases - surgery Endovascular Procedures - adverse effects Female Femoral Artery - surgery Humans Iliac Artery - physiopathology Iliac Artery - surgery Male Middle Aged Peripheral Arterial Disease - physiopathology Peripheral Arterial Disease - surgery Prosthesis Design Risk Factors Treatment Outcome Vascular Patency - physiology |
| title | Efficacy and Safety of Endovascular Therapy for Aortoiliac TASC D Lesions |
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