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논문 기본 정보

자료유형
학술저널
저자정보
Jong-Il Park (Yeungnam University Medical Center) Young-Guk Ko (Severance Cardiovascular Hospital) Seung-Jun Lee (Severance Cardiovascular Hospital) Chul-Min Ahn (Severance Cardiovascular Hospital) Seung-Woon Rha (Korea University Guro Hospital) Cheol-Woong Yu (Korea University Anam Hospital) Jong Kwan Park (National Health Insurance Service Ilsan Hospital) Sang-Ho Park (Soonchunhyang University Cheonan Hospital) Jae-Hwan Lee (Chungnam National University Sejong Hospital) Su-Hong Kim (Busan Veterans Hospital) Yong-Joon Lee (Severance Cardiovascular Hospital) Sung-Jin Hong (Severance Cardiovascular Hospital) Jung-Sun Kim (Severance Cardiovascular Hospital) Byeong-Keuk Kim (Severance Cardiovascular Hospital) Myeong-Ki Hong (Severance Cardiovascular Hospital) Donghoon Choi (Severance Cardiovascular Hospital)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.54 No.8
발행연도
2024.8
수록면
454 - 465 (12page)
DOI
https://doi.org/10.4070/kcj.2024.0006

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Background and Objectives: The popliteal artery is generally regarded as a “no-stent zone”. Limited data are available on the outcomes of drug-coated balloons (DCBs) for popliteal artery disease. This study aimed to evaluate the 12-month clinical outcomes among patients who received DCB treatment for atherosclerotic popliteal artery disease. Methods: This prospective, multicenter registry study enrolled 100 patients from 7 Korean endovascular centers who underwent endovascular therapy using IN.PACT DCB (Medtronic) for symptomatic atherosclerotic popliteal artery disease. The primary endpoint was 12-month clinical primary patency and the secondary endpoint was clinically driven target lesion revascularization (TLR)–free rate. Results: The mean age of the study cohort was 65.7±10.8 years, and 77% of enrolled patients were men. The mean lesion length was 93.7±53.7 mm, and total occlusions were present in 45% of patients. Technical success was achieved in all patients. Combined atherectomy was performed in 17% and provisional stenting was required in 11%. Out of the enrolled patients, 91 patients completed the 12-month follow-up. Clinical primary patency and TLR-free survival rates at 12 months were 76.0% and 87.2%, respectively. A multivariate Cox regression analysis identified female and longer lesion length as the significant independent predictors of loss of patency. Conclusions: DCB treatment yielded favorable 12-month clinical primary patency and TLR-free survival outcomes in patients with popliteal artery disease.

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