A Quantitative Angiographic Comparison of Restenotic Tissue Following Placement of Drug-Eluting Stents and Bare Metal Stents in Symptomatic Patients with Femoropopliteal Disease

Gary M. Ansel, Michael R. Jaff, Jeffrey J. Popma, Anthony J. Battisti, Aaron E. Lottes, Paul Harnish, Michael D. Dake

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Purpose: To evaluate the patterns of in-stent restenosis (ISR) within femoropopliteal bare metal stents (BMS) and drug-eluting stents (DES) as determined by quantitative angiographic analysis. Methods: Utilizing results from independent core laboratory angiographic imaging analysis, quantitative assessment of the restenotic tissue burden was evaluated in 33 patients with symptomatic femoropopliteal ISR, including 20 lesions in 19 patients (mean age 71.5±8.1 years; 11 men) treated with DES and 14 lesions in 14 patients (mean age 70.6±9.2 years; 9 men) treated with BMS. Results: The average time to target lesion revascularization was similar (8.7 months) for the DES and BMS groups. The DES group had significantly less recurrent disease burden (17.1%) compared with the BMS group (27.8%, p=0.03), representing a 39% relative reduction. Conclusion: Reduced restenotic tissue after endovascular intervention is associated with improved hemodynamics and fewer clinical symptoms and may explain the reduced need for reintervention in restenotic lesions initially treated with DES as compared with BMS. Further study of treatment failure modes may lead to improved device selection criteria to treat patients with peripheral artery disease.

Original languageEnglish (US)
Pages (from-to)499-503
Number of pages5
JournalJournal of Endovascular Therapy
Volume24
Issue number4
DOIs
StatePublished - Aug 1 2017
Externally publishedYes

Keywords

  • bare metal stent
  • drug-eluting stent
  • femoropopliteal segment
  • in-stent restenosis
  • paclitaxel
  • peripheral artery disease
  • restenosis

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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