Majd, P. and Brunkwall, J. (2018). What have we learned from the prospective randomized studies on PAOD? Gefasschirurgie, 23 (5). S. 359 - 365. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1434-3932
Full text not available from this repository.Abstract
Peripheral arterial occlusive disease confronts us daily with challenges that we master with our knowledge and ability and offer our patients an individual therapeutic concept. Prospective randomized studies can help us with the decision. A search in PubMed (including the years 1990 until the end of 2017) was carried out for this purpose. In summary, we divided the lesions in the lower extremities into three sections: 1. Aortoiliac segment: according to the studies available stent implantation shows a better technical success compared to PTA only. Covered stents have superior patency rates after 5 years compared to bare-metal stents; however, there are no studies comparing open surgery with endovascular techniques. 2. Femoropopliteal segment: bypass surgery could demonstrate superiority over percutaneous transluminal angioplasty (PTA) and stenting but did not differ from the covered stent. Stent placement demonstrated superiority versus PTA and drug-eluting stents (DES) showed a good primary patency rate after 12 months. 3. Popliteocrural segment: for this section, the subanalysis of the BASIL study should be mentioned as an open method in which patients recover more quickly from resting pain. Further comparisons are however missing. Thus, open surgery, DES, PTA and possibly stenting remain the methods of choice for critical limb ischemia (CLI).
| Item Type: | Journal Article | ||||||||||||
| Creators: |
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| URN: | urn:nbn:de:hbz:38-175371 | ||||||||||||
| DOI: | 10.1007/s00772-018-0426-4 | ||||||||||||
| Journal or Publication Title: | Gefasschirurgie | ||||||||||||
| Volume: | 23 | ||||||||||||
| Number: | 5 | ||||||||||||
| Page Range: | S. 359 - 365 | ||||||||||||
| Date: | 2018 | ||||||||||||
| Publisher: | SPRINGER HEIDELBERG | ||||||||||||
| Place of Publication: | HEIDELBERG | ||||||||||||
| ISSN: | 1434-3932 | ||||||||||||
| Language: | German | ||||||||||||
| Faculty: | Unspecified | ||||||||||||
| Divisions: | Unspecified | ||||||||||||
| Subjects: | no entry | ||||||||||||
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| Refereed: | Yes | ||||||||||||
| URI: | http://kups.ub.uni-koeln.de/id/eprint/17537 |
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