Clinical outcomes of subintimal vs. Intraluminal revascularization approaches for long femoropopliteal occlusions in a korean multicenter retrospective registry cohort

Kyu Kim, Young Guk Ko, Chul Min Ahn, Pil Ki Min, Jae Hwan Lee, Chang Hwan Yoon, Cheol Woong Yu, Seung Whan Lee, Sang Rok Lee, Seung Hyuk Choi, Yoon Seok Koh, In Ho Chae, Donghoon Choi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: There are limited data comparing the outcomes of subintimal vs. intraluminal approach in the treatment of long femoropopliteal artery occlusions. The objective of this study was to investigate the efficacy and safety of the subintimal approach for long femoropopliteal artery occlusions. Methods and Results: From a multicenter retrospective registry cohort, we included a total of 461 patients with 487 femoropopliteal artery occlusions classified as Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC) II C/D for this analysis. We compared the immediate and mid-term outcomes of subintimal vs. intraluminal approaches. There were 228 patients with 243 limbs in the subintimal group, and 233 patients with 244 limbs in the intraluminal group. Baseline clinical and lesion characteristics were comparable between the 2 groups. The technical success rate was significantly higher in the subintimal group than in the intraluminal group (95.1% vs. 89.8%, P=0.041). The clinical primary patency (67.5% vs. 73.4% at 12 months, 54.0% vs. 61.3% at 24 months; P=0.086) and target lesion revascularization (TLR)-free survival (89.5% vs. 86.3% at 12 months, 77.6% vs. 76.0% at 24 months; P=0.710) did not differ significantly between the subintimal and the intraluminal groups. Conclusions: In long femoropopliteal occlusions, the subintimal approach achieved a higher technical success rate and similar mid-term primary patency and TLR-free survival compared with intraluminal approach.

Original languageEnglish
Pages (from-to)1900-1907
Number of pages8
JournalCirculation Journal
Volume82
Issue number7
DOIs
Publication statusPublished - 2018 Jan 1

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Registries
Arteries
Extremities
Survival
Peripheral Arterial Disease
Safety
Therapeutics

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Kim, Kyu ; Ko, Young Guk ; Ahn, Chul Min ; Min, Pil Ki ; Lee, Jae Hwan ; Yoon, Chang Hwan ; Yu, Cheol Woong ; Lee, Seung Whan ; Lee, Sang Rok ; Choi, Seung Hyuk ; Koh, Yoon Seok ; Chae, In Ho ; Choi, Donghoon. / Clinical outcomes of subintimal vs. Intraluminal revascularization approaches for long femoropopliteal occlusions in a korean multicenter retrospective registry cohort. In: Circulation Journal. 2018 ; Vol. 82, No. 7. pp. 1900-1907.
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title = "Clinical outcomes of subintimal vs. Intraluminal revascularization approaches for long femoropopliteal occlusions in a korean multicenter retrospective registry cohort",
abstract = "Background: There are limited data comparing the outcomes of subintimal vs. intraluminal approach in the treatment of long femoropopliteal artery occlusions. The objective of this study was to investigate the efficacy and safety of the subintimal approach for long femoropopliteal artery occlusions. Methods and Results: From a multicenter retrospective registry cohort, we included a total of 461 patients with 487 femoropopliteal artery occlusions classified as Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC) II C/D for this analysis. We compared the immediate and mid-term outcomes of subintimal vs. intraluminal approaches. There were 228 patients with 243 limbs in the subintimal group, and 233 patients with 244 limbs in the intraluminal group. Baseline clinical and lesion characteristics were comparable between the 2 groups. The technical success rate was significantly higher in the subintimal group than in the intraluminal group (95.1{\%} vs. 89.8{\%}, P=0.041). The clinical primary patency (67.5{\%} vs. 73.4{\%} at 12 months, 54.0{\%} vs. 61.3{\%} at 24 months; P=0.086) and target lesion revascularization (TLR)-free survival (89.5{\%} vs. 86.3{\%} at 12 months, 77.6{\%} vs. 76.0{\%} at 24 months; P=0.710) did not differ significantly between the subintimal and the intraluminal groups. Conclusions: In long femoropopliteal occlusions, the subintimal approach achieved a higher technical success rate and similar mid-term primary patency and TLR-free survival compared with intraluminal approach.",
author = "Kyu Kim and Ko, {Young Guk} and Ahn, {Chul Min} and Min, {Pil Ki} and Lee, {Jae Hwan} and Yoon, {Chang Hwan} and Yu, {Cheol Woong} and Lee, {Seung Whan} and Lee, {Sang Rok} and Choi, {Seung Hyuk} and Koh, {Yoon Seok} and Chae, {In Ho} and Donghoon Choi",
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Clinical outcomes of subintimal vs. Intraluminal revascularization approaches for long femoropopliteal occlusions in a korean multicenter retrospective registry cohort. / Kim, Kyu; Ko, Young Guk; Ahn, Chul Min; Min, Pil Ki; Lee, Jae Hwan; Yoon, Chang Hwan; Yu, Cheol Woong; Lee, Seung Whan; Lee, Sang Rok; Choi, Seung Hyuk; Koh, Yoon Seok; Chae, In Ho; Choi, Donghoon.

In: Circulation Journal, Vol. 82, No. 7, 01.01.2018, p. 1900-1907.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Clinical outcomes of subintimal vs. Intraluminal revascularization approaches for long femoropopliteal occlusions in a korean multicenter retrospective registry cohort

AU - Kim, Kyu

AU - Ko, Young Guk

AU - Ahn, Chul Min

AU - Min, Pil Ki

AU - Lee, Jae Hwan

AU - Yoon, Chang Hwan

AU - Yu, Cheol Woong

AU - Lee, Seung Whan

AU - Lee, Sang Rok

AU - Choi, Seung Hyuk

AU - Koh, Yoon Seok

AU - Chae, In Ho

AU - Choi, Donghoon

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: There are limited data comparing the outcomes of subintimal vs. intraluminal approach in the treatment of long femoropopliteal artery occlusions. The objective of this study was to investigate the efficacy and safety of the subintimal approach for long femoropopliteal artery occlusions. Methods and Results: From a multicenter retrospective registry cohort, we included a total of 461 patients with 487 femoropopliteal artery occlusions classified as Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC) II C/D for this analysis. We compared the immediate and mid-term outcomes of subintimal vs. intraluminal approaches. There were 228 patients with 243 limbs in the subintimal group, and 233 patients with 244 limbs in the intraluminal group. Baseline clinical and lesion characteristics were comparable between the 2 groups. The technical success rate was significantly higher in the subintimal group than in the intraluminal group (95.1% vs. 89.8%, P=0.041). The clinical primary patency (67.5% vs. 73.4% at 12 months, 54.0% vs. 61.3% at 24 months; P=0.086) and target lesion revascularization (TLR)-free survival (89.5% vs. 86.3% at 12 months, 77.6% vs. 76.0% at 24 months; P=0.710) did not differ significantly between the subintimal and the intraluminal groups. Conclusions: In long femoropopliteal occlusions, the subintimal approach achieved a higher technical success rate and similar mid-term primary patency and TLR-free survival compared with intraluminal approach.

AB - Background: There are limited data comparing the outcomes of subintimal vs. intraluminal approach in the treatment of long femoropopliteal artery occlusions. The objective of this study was to investigate the efficacy and safety of the subintimal approach for long femoropopliteal artery occlusions. Methods and Results: From a multicenter retrospective registry cohort, we included a total of 461 patients with 487 femoropopliteal artery occlusions classified as Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC) II C/D for this analysis. We compared the immediate and mid-term outcomes of subintimal vs. intraluminal approaches. There were 228 patients with 243 limbs in the subintimal group, and 233 patients with 244 limbs in the intraluminal group. Baseline clinical and lesion characteristics were comparable between the 2 groups. The technical success rate was significantly higher in the subintimal group than in the intraluminal group (95.1% vs. 89.8%, P=0.041). The clinical primary patency (67.5% vs. 73.4% at 12 months, 54.0% vs. 61.3% at 24 months; P=0.086) and target lesion revascularization (TLR)-free survival (89.5% vs. 86.3% at 12 months, 77.6% vs. 76.0% at 24 months; P=0.710) did not differ significantly between the subintimal and the intraluminal groups. Conclusions: In long femoropopliteal occlusions, the subintimal approach achieved a higher technical success rate and similar mid-term primary patency and TLR-free survival compared with intraluminal approach.

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U2 - 10.1253/circj.CJ-17-1464

DO - 10.1253/circj.CJ-17-1464

M3 - Article

C2 - 29681585

AN - SCOPUS:85049056130

VL - 82

SP - 1900

EP - 1907

JO - Circulation Journal

JF - Circulation Journal

SN - 1346-9843

IS - 7

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