Balloon Dilation and Stent Implantation for Treatment of Femoropopliteal Arterial Disease: Meta-Analysis

Abstract

Balloon dilation and stent implantation for claudication and stenosis yield similar long-term patency rates. For more severe femoropopliteal disease, the results of stent implantation seem more favorable. Publication bias could not be ruled out.

Cryoplasty Versus Conventional Balloon Angioplasty of the Femoropopliteal Artery in Diabetic Patients: Long-Term Results from a Prospective Randomized Single-Center Controlled Trial

“…Long-term primary patency probability rates of almost 60% in both groups (59% in group CRYO vs. 55% in group COBA at 3 years) are similar to previously published data of endovascular SFA treatment [10,11,13,14,29]. We believe that these results are in line with the fact that the majority of the included patients suffered from severe intermittent claudication as well as high TASC grade and increased calcification of the treated lesions [10,11,37].…”

“…We believe that these results are in line with the fact that the majority of the included patients suffered from severe intermittent claudication as well as high TASC grade and increased calcification of the treated lesions [10,11,37]. Furthermore, multivariable analysis with the Cox model isolated de novo atheromatous lesions, with almost two times higher risk of reocclusion, as a strong independent predictor of decreased vascular primary patency.…”

“…Despite their safety and versatility, current results of minimally invasive endovascular techniques for atherosclerotic lesions in the superficial femoral (SFA) and popliteal (PA) arteries remain mediocre, with reported 2-year patency rates between 40 and 60% [10,11]. Low primary patency and increased repeat intervention rates, mainly due to vascular restenosis by means of intimal hyperplasia and negative vessel wall remodelling, has orientated modern cardiovascular research toward new alternative techniques, such as atherectomy, laser-assisted angioplasty, covered stent-grafts, brachytherapy, and cryoplasty [12][13][14].…”

Standards of Practice for Superficial Femoral and Popliteal Artery Angioplasty and Stenting

“…The technical success and clinical improvement rates following angioplasty or stenting of the femoropopliteal axis well exceed 95 % (range 98-100 %) in case of stenosis and are around 85 % (range, 81-94 %) in case of CTOs [71]. Primary patency at 1 year is expected to be within the 70-80 % range, at 3 years within 60-70 %, and at 5 years *50 % [71].…”

Desarrollo de un sistema de telemetría para el seguimiento postoperatorio de procedimientos en cirugía vascular: modelo in vitro

“…La revascularización endovascular es la técnica de elección en el caso de lesiones cortas del sector fémoro-poplíteo debido a los excelentes resultados y a la baja morbimortalidad asociada a estos procedimientos (1) . La tabla 2 muestra los resultados de la revascularización endovascular del sector fémoro-poplíteo en términos de permeabilidad (22) . Sin embargo, según un estudio randomizado, la tasa de reestenosis a los 12 meses de las técnicas endovasculares infrainguinales alcanza el 37% por lo que es necesario un seguimiento exhaustivo de estos procedimientos (23) .…”