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Vascular Pathology and Impact of Stent Eccentricity for Stent Restenosis in Femoropopliteal Endovascular Therapy
DC Field | Value | Language |
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dc.contributor.author | 최동훈 | - |
dc.date.accessioned | 2023-03-21T07:30:19Z | - |
dc.date.available | 2023-03-21T07:30:19Z | - |
dc.date.issued | 2022-09 | - |
dc.identifier.issn | 1051-0443 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193409 | - |
dc.description.abstract | Purpose: To explore the clinical features associated with stent eccentricity and reveal the impact of stent eccentricity on the risk of 1-year restenosis after femoropopliteal stent implantation for symptomatic atherosclerotic peripheral artery disease (PAD). Materials and methods: The clinical database of a multicenter prospective study was used. It registered 2,018 limbs of 1,766 patients in whom intravascular ultrasound (IVUS)-supported femoropopliteal endovascular therapy (EVT) for symptomatic atherosclerotic PAD was planned from November 2015 to June 2017. The study included 1,233 limbs of 1,088 patients implanted with a bare nitinol stent, drug-eluting stent (DES), or stent graft and administered ≥2 antithrombotic drugs. The stent eccentricity was evaluated using IVUS, calculated as [(maximum diameter) / (minimum diameter) - 1] at the cross-sectional segment with the lowest lumen area after stent implantation. Results: Chronic total occlusion and bilateral arterial calcification (peripheral artery calcification scoring system Grades 3 and 4) were positively associated with stent eccentricity, whereas renal failure while receiving dialysis, DES use, and stent graft use were negatively associated with stent eccentricity (all P < .05). Stent eccentricity was associated with an increased risk of 1-year restenosis (odds ratio [OR], 1.18; 95% CI, 1.01-1.37; P = .034). However, after adjustment for lesion severity and implanted stent types, the association was no longer significant (OR, 1.07; 95% CI, 0.91-1.24; P = .43). Conclusions: Stent eccentricity was not significantly associated with the risk of 1-year restenosis after femoropopliteal EVT. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Society of Cardiovascular and Interventional Radiology | - |
dc.relation.isPartOf | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Constriction, Pathologic / etiology | - |
dc.subject.MESH | Cross-Sectional Studies | - |
dc.subject.MESH | Drug-Eluting Stents* | - |
dc.subject.MESH | Endovascular Procedures* / adverse effects | - |
dc.subject.MESH | Femoral Artery / diagnostic imaging | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Peripheral Arterial Disease* / diagnostic imaging | - |
dc.subject.MESH | Peripheral Arterial Disease* / therapy | - |
dc.subject.MESH | Popliteal Artery / diagnostic imaging | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Prosthesis Design | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Stents | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Vascular Patency | - |
dc.title | Vascular Pathology and Impact of Stent Eccentricity for Stent Restenosis in Femoropopliteal Endovascular Therapy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Tomoaki Mochidome | - |
dc.contributor.googleauthor | Mitsuyoshi Takahara | - |
dc.contributor.googleauthor | Takashi Miura | - |
dc.contributor.googleauthor | Yoshimitsu Soga | - |
dc.contributor.googleauthor | Masahiko Fujihara | - |
dc.contributor.googleauthor | Daizo Kawasaki | - |
dc.contributor.googleauthor | Keisuke Hirano | - |
dc.contributor.googleauthor | Donghoon Choi | - |
dc.contributor.googleauthor | Osamu Iida | - |
dc.identifier.doi | 10.1016/j.jvir.2022.05.021 | - |
dc.contributor.localId | A04053 | - |
dc.relation.journalcode | J01922 | - |
dc.identifier.eissn | 1535-7732 | - |
dc.identifier.pmid | 35671987 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1051044322009794 | - |
dc.contributor.alternativeName | Choi, Dong Hoon | - |
dc.contributor.affiliatedAuthor | 최동훈 | - |
dc.citation.volume | 33 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1089 | - |
dc.citation.endPage | 1096 | - |
dc.identifier.bibliographicCitation | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.33(9) : 1089-1096, 2022-09 | - |
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