血管内超声引导下定向斑块旋切术与血管造影引导下定向斑块旋切术治疗股腘动脉支架内再狭窄的比较
Intravascular ultrasound guided directional atherectomy versus directional atherectomy guided by angiography for the treatment of femoropopliteal in-stent restenosis.
作者信息
Krishnan Prakash, Tarricone Arthur, K-Raman Purushothaman, Majeed Farhan, Kapur Vishal, Gujja Karthik, Wiley Jose, Vasquez Miguel, Lascano Rheoneil A, Quiles Katherine G, Distin Tashanne, Fontenelle Ran, Atallah-Lajam Farah, Kini Annapoorna, Sharma Samin
机构信息
Mount Sinai Medical Center, 1 Gustave l Levy Place, Box 1080, New York, 10026, NY, USA.
Mount Sinai Hospital, New York, NY, USA.
出版信息
Ther Adv Cardiovasc Dis. 2018 Jan;12(1):17-22. doi: 10.1177/1753944717745509.
Abstract
BACKGROUND
The aim of this study was to compare 1-year outcomes for patients with femoropopliteal in-stent restenosis using directional atherectomy guided by intravascular ultrasound (IVUS) versus directional atherectomy guided by angiography.
METHODS AND RESULTS
This was a retrospective analysis for patients with femoropopliteal in-stent restenosis treated with IVUS-guided directional atherectomy versus directional atherectomy guided by angiography from a single center between March 2012 and February 2016. Clinically driven target lesion revascularization was the primary endpoint and was evaluated through medical chart review as well as phone call follow up.
CONCLUSIONS
Directional atherectomy guided by IVUS reduces clinically driven target lesion revascularization for patients with femoropopliteal in-stent restenosis.
摘要
背景
本研究旨在比较血管内超声（IVUS）引导下的定向斑块旋切术与血管造影引导下的定向斑块旋切术治疗股腘动脉支架内再狭窄患者的1年预后。
方法与结果
这是一项对2012年3月至2016年2月期间在单一中心接受IVUS引导下定向斑块旋切术或血管造影引导下定向斑块旋切术治疗的股腘动脉支架内再狭窄患者的回顾性分析。临床驱动的靶病变血运重建是主要终点，通过病历审查和电话随访进行评估。
结论
IVUS引导下的定向斑块旋切术可减少股腘动脉支架内再狭窄患者临床驱动的靶病变血运重建。
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