Angioplasty and stenting for peripheral arterial disease of the lower limbs: an overview of Cochrane Reviews

Published on Feb 1, 2017in Cochrane Database of Systematic Reviews7.89
· DOI :10.1002/14651858.CD012542
Lindsay Robertson15
Estimated H-index: 15
(Freeman Hospital),
Lindsay Robertson22
Estimated H-index: 22
(Freeman Hospital)
+ 0 AuthorsMarlene C. W. Stewart20
Estimated H-index: 20
(Edin.: University of Edinburgh)
Sources
Abstract
This is a protocol for a Cochrane Review (Overview). The objectives are as follows: To summarise the evidence from relevant Cochrane Reviews regarding effectiveness of angioplasty and stenting for peripheral arterial disease of the lower limbs.
References55
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#1Risha Lane (Hull Royal Infirmary)H-Index: 2
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Background Exercise programmes are a relatively inexpensive, low-risk option compared with other more invasive therapies for leg pain on walking (intermittent claudication (IC)). This is an update of a review first published in 1998. Objectives The prime objective of this review was to determine whether an exercise programme in people with intermittent claudication was effective in alleviating symptoms and increasing walking treadmill distances and walking times. Secondary objectives were to det...
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BACKGROUND: Stents are placed in the femoropopliteal arteries for numerous reasons, such as atherosclerotic disease, the need for dissection, and perforation of the arteries, and can become stenosed with the passage of time. When a stent develops a flow-limiting stenosis, this process is known as "in-stent stenosis." It is thought that in-stent restenosis is caused by a process known as "intimal hyperplasia" rather than by the progression of atherosclerotic disease. Management of in-stent resten...
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#1Ahmed Kayssi (U of T: University of Toronto)H-Index: 10
#2Talal Al-Atassi (U of O: University of Ottawa)H-Index: 9
Last. Dheeraj K. Rajan (U of T: University of Toronto)H-Index: 33
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Background Atherosclerotic peripheral arterial disease (PAD) can lead to disabling ischemia and limb loss. Treatment modalities have included risk factor optimization through life-style modifications and medications, or operative approaches using both open and minimally invasive techniques, such as balloon angioplasty. Drug-eluting balloon (DEB) angioplasty has emerged as a promising alternative to uncoated balloon angioplasty for the treatment of this difficult disease process. By ballooning an...
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Last. Dimitris KarnabatidisH-Index: 28
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#1John R. Laird (UC Davis: University of California, Davis)H-Index: 31
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Abstract Background Evidence from large, randomized, controlled peripheral artery disease trials reporting long-term outcomes using drug-coated balloons (DCBs) is limited. Previously, the DCB showed favorable 1-year outcomes compared with conventional percutaneous transluminal angioplasty (PTA), yet durability of the treatment effect with DCBs remains unknown. Objectives This study sought to investigate the longer-term outcomes of a paclitaxel-eluting DCB compared to PTA for femoropopliteal lesi...
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#1Michael R. Jaff (Harvard University)H-Index: 89
#2Christopher J. White (UQ: University of Queensland)H-Index: 88
Last. Lars Norgren (Örebro University)H-Index: 61
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The Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC) guidelines were last updated in 2007 (TASC II) and represented the collaboration of international vascular specialties involved in the management of patients with peripheral arterial disease (PAD). Since the publication of TASC II, there have been innovations in endovascular revascularization strategies for patients with PAD. The intent of this publication is to provide a complete anatomic lower limb TASC lesion...
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#2Michael R. Jaff (Harvard University)H-Index: 89
#3Christopher J. White (UQ: University of Queensland)H-Index: 88
Last. Lars Norgren (Örebro University)H-Index: 61
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The Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC) guidelines were last updated in 2007 (TASC II) and represented the collaboration of international vascular specialties involved in the management of patients with peripheral arterial disease (PAD). Since the publication of TASC II, there have been innovations in endovascular revascularization strategies for patients with PAD. The intent of this publication is to provide a complete anatomic lower limb TASC lesion...
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BackgroundThe treatment of peripheral artery disease with percutaneous transluminal angioplasty is limited by the occurrence of vessel recoil and restenosis. Drug-coated angioplasty balloons deliver antiproliferative agents directly to the artery, potentially improving vessel patency by reducing restenosis. MethodsIn this single-blind, randomized trial conducted at 54 sites, we assigned, in a 2:1 ratio, 476 patients with symptomatic intermittent claudication or ischemic pain while at rest and an...
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Background Atherosclerosis of the iliac artery may result in a stenosis or occlusion, which is defined as iliac artery occlusive disease. A range of surgical and endovascular treatment options are available. Open surgical procedures have excellent patency rates but at the cost of substantial morbidity and mortality. Endovascular treatment has good safety and short-term efficacy with decreased morbidity, complications and costs compared with open surgical procedures. Both percutaneous translumina...
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#1Qing Li (SJTU: Shanghai Jiao Tong University)H-Index: 11
#1Qing Li (SJTU: Shanghai Jiao Tong University)H-Index: 61
Last. Weiping Jia (SJTU: Shanghai Jiao Tong University)H-Index: 80
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We assessed the association between high ankle–brachial index (ABI) and cardiovascular disease (CVD) and peripheral arterial disease (PAD) in Chinese patients with type 2 diabetes mellitus (T2DM). The ABI was measured, and foot inspection was performed in 2080 outpatients with T2DM. The clinical characters in different ABI levels were analyzed, and the diagnostic value of high ABI to CVD and PAD was determined. Compared with the normal ABI group, the high ABI (>1.3) group had a higher prevalence...
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Summary null null Peripheral artery disease (PAD) has a significant impact on human health, affecting 200 million people globally. Advanced PAD severely diminishes quality of life, affecting mobility, and in its most severe form leads to limb amputation and death. Treatment of PAD is among the least effective of all endovascular procedures in terms of long-term efficacy. Chronic inflammation is a key driver of PAD; however, stents and coated balloons eluting antiproliferative drugs are most comm...
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#1Papia Basuthakur (Indian Institute of Chemical Technology)H-Index: 2
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Ischemic diseases (CAD: coronary artery disease; CID: cerebral ischemic disease; PAD: peripheral artery disease and few others) are life-threatening problems and have become the most common cause of death worldwide. The conventional approaches (surgery, radiation therapy, chemotherapy, etc.) available in the market for the treatment and diagnosis of these diseases are associated with several limitations, including non-specificity to the targeted site, adverse effects to the surrounding normal ti...
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Summary. Background: The study aimed to evaluate the outcomes of percutaneous transluminal angioplasty (PTA) in lower-extremity peripheral artery disease (PAD) patients. Patients and methods: A mul...
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