Contemporary Outcomes After Endovascular Treatment for Aorto-Iliac Artery Disease
スポンサーリンク
概要
- 論文の詳細を見る
Background: The patency and complications in aorto-iliac (AI) stenting remain poorly understood. The aim of this paper was to investigate the safety and efficacy after AI stenting. Methods and Results: This study was performed as a large-scale multicenter, retrospective registry. A total of 2,147 consecutive patients with AI disease were enrolled. The safety endpoints were procedure success, complications and 30-day mortality. The efficacy endpoints were primary, assisted primary and secondary patency, overall survival, freedom from major adverse cardiovascular events (MACE; all-cause death, myocardial infarction and stroke), and major adverse cardiovascular and limb events (MACLE; any repeat revascularization for limb and leg amputation in addition to MACE). Procedure success, complication rate and 30-day mortality were 97.6%, 6.4% and 0.7%. Primary patency was 92.5%, 82.6% and 77.5% at 1, 3 and 5 years, assisted primary patency was 97.0%, 92.7% and 91.9% at 1, 3 and 5 years and secondary patency was 99.0%, 98.7% and 98.5% at 1, 3 and 5 years. The overall survival rate was 95.0%, 87.6%, and 79.3% at 1, 3 and 5 years. The cause of death was cardiovascular in 44.1%. Freedom from MACE (MACLE) was 93.3% (89.9%), 84.4% (76.7%), and 74.9% (66.8%) at 1, 3 and 5 years. Female gender, diabetes, renal failure, absence of aspirin, reference vessel diameter <8.0mm and outflow lesion were found to be independent predictors of primary patency. Conclusions: The safety and efficacy after AI stenting are feasible compared to surgical reconstruction. (Circ J 2012; 76: 2697–2704)
- 2012-10-25
著者
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Miyashita Yusuke
Department of Cardiology, Shonan Kamakura General Hospital
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Tazaki Junichi
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
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Suematsu Nobuhiro
Department of Bioclimatology and Medicine, Medical Institute of Bioregulation, Kyushu University
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Iida Osamu
Cardiovascular Center Kansai Rosai Hospital
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Koshida Ryoji
Department Of Cardiovascular Medicine
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Okazaki Shinya
Department Of Applied Chemistry & Biochemistry Faculty Of Engineering Kumamoto University
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Tsuchiya Taketsugu
Division of Cardiology, Kanazawa Cardiovascular Hospital
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Takahashi Hiroki
Department Of Cardiology Pulmonology And Nephrology Yamagata University School Of Medicine
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Kawasaki Daizo
Cardiovascular Division Department Of Internal Medicine Hyogo College Of Medicine
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Shintani Yoshiaki
Department of Cardiology, Shin-Koga Hospital
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Hirano Keisuke
Department Of Applied Chemistry Graduate School Of Engineering Osaka University
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Kamoi Daisuke
Department Of Cardiology Kokura Memorial Hospital
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Soga Yoshimitsu
Department Of Cardiology Hyogo Prefectural Amagasaki Hospital
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Yamaoka Terutoshi
Department Of Surgery Matsuyama Red Cross Hospital
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Higashitani Michiaki
Department Of Cardiology Saitama Cardiovascular Respiratory Center
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Shinozaki Norihiko
Department Of Cardiac Surgery And Cardiology Cardiovascular Center Shinonoi General Hospital
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Suzuki Kenji
Department Of Anesthesia Kitakami Saiseikai Hospital
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Iida Osamu
Cardiovascular Center, Kansai Rosai Hospital
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SHINOZAKI Norihiko
Department of Cardiology, Tokai University Hospital
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YAMAUCHI Yasutaka
Department of Cardiology, Kikuna Memorial Hospital
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HIGASHITANI Michiaki
Department of Cardiology, Tokyo Women's Medical University
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KAMOI Daisuke
Department of Cardiology, Nagoya Kyoritsu Hospital
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HIRANO Keisuke
Department of Cardiology, Saiseikai Yokohama-city Eastern Hospital
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MIYASHITA Yusuke
Department of Advanced PAD Therapeutics, Shinshu University
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TSUCHIYA Taketsugu
Division of Cardiovascular Trans-catheter Therapeutics, Kanazawa Medical University Hospital
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SUZUKI Kenji
Department of Cardiology, Sendai Kosei Hospital
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KOSHIDA Ryoji
Department of Cardiology, Tokeidai Memorial Hospital
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Shintani Yoshiaki
Department Cardiology, Sinkoga Hospital, Japan
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