Comparison of paclitaxel eluting balloon angioplasty combined with directional atherectomy and self expandable nitinol stent implantation in treatment of calcified stenotic superficial femoral artery lesions

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dc.authorscopusid14008084500
dc.authorscopusid10139012600
dc.authorscopusid6506413443
dc.contributor.authorGürkan S.
dc.contributor.authorGür Ö.
dc.contributor.authorYüksel V.
dc.date.accessioned2024-06-12T10:25:46Z
dc.date.available2024-06-12T10:25:46Z
dc.date.issued2019
dc.description.abstractAim: The frequency and variety of endovascular interventions have increased with the rise in peripheral arterial occlusive disease incidence and to lessen undesirable outcomes after peripheral vascular surgery. Extensive calcific stenotic lesions affect patency rates of endovascular interventions and enhance complication rates. In this study we aimed to compare paclitaxel eluting balloon angioplasty (PEBA) combined with directional atherectomy (DA) with self expandable nitinol stent (SENS) implantation in terms of patency rates. Material and Methods: Fifty-six patients (28 patients in each group) underwent endovascular interventions for calcific stenotic superficial femoral artery lesions between March 2013 and May 2014 at Cardiovascular Surgery clinic in Namik Kemal University Hospital were included in the study. Mean age was 65.4±7.6 and male to female ratio was 46/10. Patients were followed up with ankle brachial index (ABI), Rutherford score (RS) and Doppler ultrasonography (DUSG) from the pre-intervention period to sixth month after intervention. Results: Mean lesion length in DA and PEBA group was 66.4±24.8 mm and 65.0±20.6 mm in SENS group. Primary and secondary patency rates were 85.7% and 92.9% in DA and PEBA group, and 57.1% and 71.4% in SENS group in six months follow up. There was a statistically significant difference between groups. Significant improvement was detected in terms of ABI and RS in both groups. Conclusion: We conclude from this study results that PEBA combined with DA is better than SENS implantation, because of its successful early-term results, no intravascular foreign bodies, and continues the chance of surgery without affecting the anastomosis field. © 2019, Duzce University Medical School. All rights reserved.en_US
dc.identifier.doi10.18678/dtfd.474548
dc.identifier.endpage13en_US
dc.identifier.issn1307-671X
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85073768202en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage9en_US
dc.identifier.trdizinid385996en_US
dc.identifier.urihttps://doi.org/10.18678/dtfd.474548
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/385996
dc.identifier.urihttps://hdl.handle.net/20.500.14551/16500
dc.identifier.volume21en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherDuzce University Medical Schoolen_US
dc.relation.ispartofDuzce Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAtherectomy; Calcification; Stenten_US
dc.subjectAcetylsalicylic Acid; Clopidogrel; Adult; Aged; Ankle Brachial Index; Aortic Calcification; Aortic Stenosis; Article; Clinical Outcome; Comparative Study; Computed Tomographic Angiography; Directional Atherectomy; Doppler Ultrasonography; Dual Antiplatelet Therapy; False Aneurysm; Female; Femoral Artery; Follow Up; Human; Incidence; Male; Percutaneous Transluminal Angioplastyen_US
dc.titleComparison of paclitaxel eluting balloon angioplasty combined with directional atherectomy and self expandable nitinol stent implantation in treatment of calcified stenotic superficial femoral artery lesionsen_US
dc.title.alternativeKalsifiye stenotik süperfisyal femoral arter lezyonlarinin tedavisinde direksiyonel aterektomi ile kombine edilmiş paklitaksel salinimli balon anjioplasti ve kendiliğinden açilan nitinol stent uygulamasinin karşilaştirilmasien_US
dc.typeArticleen_US

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