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논문 기본 정보

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학술저널
저자정보
고영국 (연세대학교) 안철민 (연세대학교) 민필기 (연세대학교) 이재환 (충남대학교) 윤창환 (서울대학교) 유철웅 (고려대학교) 이승환 (아산병원) 이상록 (전북대학교) 최승혁 (성균관대학교) 고윤석 (가톨릭대학교) 채인호 (서울대학교) 최동훈 (연세대학교) K-VIS investigators (K-VIS investigators)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.47 No.4
발행연도
2017.1
수록면
469 - 476 (8page)

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Background and Objectives: The Korean Vascular Intervention Society Endovascular Therapy in Lower Limb Artery Diseases (K-VIS ELLA) Registry is a multicenter observational study with retrospective and prospective cohorts of patients with lower extremity peripheral artery disease (PAD) undergoing endovascular treatment. In this study, we report the baseline characteristics of this retrospective cohort. Subjects and Methods: In the present study we analyzed datasets of 3073 patients with 3972 target limbs from a retrospective cohort treated with endovascular therapy in 31 Korean hospitals. Data regarding patient baseline clinical and lesion characteristics and postintervention medications were collected from electronic medical records. Results: The mean patient age was 68.3±9.4 years. The majority were male (82.1%) with comorbidities such as diabetes mellitus (58.0%), hypertension (73.4%), and coronary artery disease (CAD; 55.3%). Patients more commonly presented with intermittent claudication (66.3%) than with critical limb ischemia (CLI; 33.7%). Femoropopliteal artery (41.2%) was the most common target vessel for endovascular treatment, followed by the aortoiliac (35.6%) and infrapopliteal arteries (23.2%). TransAtlantic Inter-Society Consensus for the Management of Peripheral Artery Disease (TASC II) type C/D aortoiliac (48.0%) or femoropopliteal lesions (60.2%) were frequent targets of endovascular treatment. At hospital discharge, only 73.1% of patients received dual antiplatelet therapy and 69.2% received a statin. Conclusion: The majority of Korean patients with PAD exhibited conventional risk factors, such as male sex, older age, diabetes, and hypertension with coexisting CAD. Complex lesions were frequently treated with endovascular therapy. However, the rate of adherence to guidelines regarding post-procedural medical treatment requires improvement.

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참고문헌 (20)

참고문헌 신청
Norgren L / 2007 / Inter-society consensus for the management of peripheral arterial disease (TASC II) / J Vasc Surg 45(Suppl S):S5~S67 google schola European Stroke Organisation / 2011 / ESC guidelines on the diagnosis and treatment of peripheral artery diseases: document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the task force on the diagnosis and treatment of peripheral artery diseases of the European Society of Cardiology (ESC) / Eur Heart J 32:2851~2906 google schola Hirsch AT / 2006 / ACC/AHA 2005 practice guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA task force on practice guidelines (writing committee to develop guidelines for the management of patients with peripheral arterial disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-society Consensus; and Vascular Disease Foundation / Circulation 113:e463~e654 google schola Bhatt DL / 2006 / International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis / JAMA 295:180~189 google schola Heald CL / 2006 / Ankle Brachial Index Collaboration. Risk of mortality and cardiovascular disease associated with the ankle-brachial index: systematic review / Atherosclerosis 189:61~69 google schola

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