PMID- 35289552
OWN - NLM
STAT- MEDLINE
DCOM- 20220317
LR  - 20220531
IS  - 0023-1207 (Print)
IS  - 0023-1207 (Linking)
IP  - 3
DP  - 2022
TI  - [Endovascular interventions in patients with glass iii infrainguinal arterial 
      disease: 2-year results].
PG  - 70-78
LID - 10.17116/hirurgia202203170 [doi]
AB  - OBJECTIVE: To evaluate the results of endovascular surgery in patients with 
      chronic limb-threatening ischemia (CLTI) with infrainguinal arterial disease 
      GLASS III. MATERIAL AND METHODS: Treatment outcomes were analyzed for the period 
      2017-2018. Inclusion criteria were age over 18 years, CLTI, extended (>20 cm) 
      stenosis de novo and occlusion of femoropopliteal segment (FPS) combined with 
      occlusive lesion of tibial arteries. We analyzed 147 patients divided into 2 
      groups depending on stenting strategy. FPS-1-TA included 53 patients who 
      underwent angioplasty (+/- stenting) of femoropopliteal arteries and lower leg 
      arteries resulted at least one patent tibial artery. FPS-2-TA enrolled 94 
      patients who underwent angioplasty of femoropopliteal arteries and lower leg 
      arteries resulted >/=2 patent tibial arteries. Mean age was 71.0+/-9.8 years. There 
      were 75 men. Demographics and clinical characteristics of patients were similar. 
      RESULTS: Technical success rate was 100%. Mean length of stenting was 203 +/- 99 
      mm. Occlusion of all 3 leg arteries correlated with high incidence of 
      femoropopliteal stenting. In the FPS-1-TA group, stents were implanted in 39 
      patients, in the FPS-2-TA group - in 71 patients (73.6% and 75.5%, respectively, 
      p=0.8). Braided nitinol stents were used for stenting of the lower third of 
      superficial femoral artery and p1-p3 segments. Mean follow-up period was 22.6+/-1.1 
      months. Two-year results were not age-specific in our study. Kaplan-Meier overall 
      survival, freedom from amputation and amputation-free survival for the entire 
      sample were 79.6%, 81.0%, and 66.7%, respectively. We compared these values in 
      both groups using Mantel-Cox log-rank test and obtained significant differences 
      (67.9% vs 86.2%, p=0.004; 64.2% vs 90%, p<0.0001; 47.2% vs 77.7%, p<0.0001, 
      respectively). CONCLUSION: Our results are comparable with literature data 
      regarding freedom from amputation and amputation-free survival. We obtained 
      significant differences in overall survival and freedom from amputation depending 
      on endovascular strategy for tibial arteries. Correction of distal vessels with 
      recanalization of at least two tibial arteries is advisable for endovascular 
      treatment of diffuse complex lesions.
FAU - Tarabrin, A S
AU  - Tarabrin AS
AUID- ORCID: 0000-0002-7386-2141
AD  - Bauman Moscow City Hospital No. 29, Moscow, Russia.
AD  - People' Friendship University of Russia, Moscow, Russia.
FAU - Maksimkin, D A
AU  - Maksimkin DA
AUID- ORCID: 0000-0002-3593-436X
AD  - People' Friendship University of Russia, Moscow, Russia.
FAU - Pavkina, A A
AU  - Pavkina AA
AUID- ORCID: 0000-0002-1933-2131
AD  - Pirogov Russian National Research Medical University, Moscow, Russia.
FAU - Khovalkin, R G
AU  - Khovalkin RG
AUID- ORCID: 0000-0001-7826-4768
AD  - Bauman Moscow City Hospital No. 29, Moscow, Russia.
FAU - Zheltov, N Yu
AU  - Zheltov NY
AUID- ORCID: 0000-0003-1104-1126
AD  - Bauman Moscow City Hospital No. 29, Moscow, Russia.
FAU - Shugushev, Z Kh
AU  - Shugushev ZK
AUID- ORCID: 0000-0002-5335-5062
AD  - People' Friendship University of Russia, Moscow, Russia.
LA  - rus
PT  - Journal Article
TT  - Endovaskulyarnye interventsii u patsientov s infraingvinal'nymi porazheniyami 
      GLASS III stepeni: rezul'taty dvukhletnego nablyudeniya.
PL  - Russia (Federation)
TA  - Khirurgiia (Mosk)
JT  - Khirurgiia
JID - 0412765
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Angioplasty/adverse effects
MH  - Female
MH  - Femoral Artery/diagnostic imaging/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Peripheral Arterial Disease/diagnosis/surgery
MH  - *Popliteal Artery/diagnostic imaging/surgery
MH  - Vascular Patency
OTO - NOTNLM
OT  - CLTI
OT  - GLASS
OT  - WIfI
OT  - angioplasty of lower leg arteries
OT  - diabetic foot
OT  - femoropopliteal bypass grafting
OT  - femoropopliteal segment
OT  - infrainguinal angioplasty
OT  - stenting
EDAT- 2022/03/16 06:00
MHDA- 2022/03/18 06:00
CRDT- 2022/03/15 09:48
PHST- 2022/03/15 09:48 [entrez]
PHST- 2022/03/16 06:00 [pubmed]
PHST- 2022/03/18 06:00 [medline]
AID - 10.17116/hirurgia202203170 [doi]
PST - ppublish
SO  - Khirurgiia (Mosk). 2022;(3):70-78. doi: 10.17116/hirurgia202203170.