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Stent placement versus balloon angioplasty for the treatment of obstructive lesions of the popliteal artery: a prospective, multicenter, randomized trial.

Author: BaumgartnerIris, BlessingErwin, GißlerMartin, KrankenbergHans, LammerJohannes, Müller-HülsbeckStefan, NeumannFranz-Josef, NooryElias, PilgerErnst, RastanAljoscha, ScheinertDierk, ZellerThomas

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Multicenter StudyResearch conducted in collaboration with multiple research institutions. It aims to collect a wide range of data and obtain more generalizable results.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Overview

Primary nitinol stent placement for obstructive lesions of the popliteal artery achieves superior acute technical success and higher 1-year primary patency only if provisional stenting is considered target-lesion revascularization. Provisional stenting as part of a percutaneous transluminal balloon angioplasty strategy has equivalent 1-year patency and should be preferred over primary stenting.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Stenting has been shown to improve patency after femoral artery revascularization compared with balloon angioplasty. Limited data are available evaluating endovascular treatment for obstructive lesions of the popliteal artery. METHODS AND RESULTS: This prospective, randomized, multicent...See full text at original site
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引用元：
https://doi.org/10.1161/CIRCULATIONAHA.113.001849

データ提供：米国国立医学図書館（NLM）

Stent Placement vs. Balloon Angioplasty for Popliteal Artery Lesions

Treating blocked arteries in the legs can feel like navigating a treacherous desert, with each step requiring careful consideration. This research compares two common endovascular procedures, stent placement and balloon angioplasty, for treating obstructive lesions in the popliteal artery. The researchers conducted a prospective, randomized trial to assess the long-term outcomes of each approach.

Stent Placement: A Stronger Path in the Artery Desert

The study found that primary nitinol stent placement resulted in significantly higher primary patency rates at one year compared to balloon angioplasty. However, the researchers also found that provisional stenting, a technique that involves using a stent only if needed, achieved similar patency rates, suggesting that primary stenting may not always be necessary.

Navigating the Sands of Peripheral Artery Disease

This research provides valuable insights into the management of peripheral artery disease, highlighting the importance of considering the individual patient and their specific needs. The study suggests that while stent placement may offer a more robust solution, provisional stenting can be a viable option in certain cases. As we continue to explore the best ways to treat peripheral artery disease, it's crucial to adapt our approaches based on the evolving landscape of endovascular technology and individual patient factors.

Dr.Camel's Conclusion

This research provides a valuable roadmap for navigating the desert of peripheral artery disease. The study shows that while stent placement may offer a sturdier path, provisional stenting can be a valuable alternative. Like a seasoned camel driver, skilled clinicians can choose the most appropriate route based on the individual patient's needs, ensuring the most successful and comfortable journey.

Date :
  1. Date Completed 2013-09-25
  2. Date Revised 2016-11-25
Further Info :

Pubmed ID

23694965

DOI: Digital Object Identifier

10.1161/CIRCULATIONAHA.113.001849

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SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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