Article ; Online: Retrospective Multicenter Comparison of S.M.A.R.T. CONTROL and MISAGO Stents in Treatment of Femoropopliteal Lesions.
Journal of vascular and interventional radiology : JVIR
2016 Volume 27, Issue 11, Page(s) 1642–1649
Abstract: ... retrospective study included 240 cases with MISAGO stent implantation and 1,265 cases with S.M.A.R.T. stent ... implantation. The S.M.A.R.T. group had more Trans-Atlantic Inter-Society of Consensus (TASC) II class C/D ... P < .001).: Results: Kaplan-Meier estimates of 2-year primary patency after S.M.A.R.T. and MISAGO ...
Abstract | Purpose: To compare primary patency between MISAGO (Terumo Corporation, Tokyo, Japan) and S.M.A.R.T. CONTROL (Cordis Corporation, Miami Lakes, Florida), second-generation and first-generation nitinol stents, in femoropopliteal lesions. Materials and methods: This multicenter, retrospective study included 240 cases with MISAGO stent implantation and 1,265 cases with S.M.A.R.T. stent implantation. The S.M.A.R.T. group had more Trans-Atlantic Inter-Society of Consensus (TASC) II class C/D lesions (53% vs 41%, P = .001) and smaller reference vessel diameter (RVD) (5.3 mm ± 0.9 vs 5.5 mm ± 0.9, P < .001). Results: Kaplan-Meier estimates of 2-year primary patency after S.M.A.R.T. and MISAGO stent implantation were 67% and 55% (P = .007). Interaction analysis revealed that TASC II classification and RVD had a significant influence on the association of MISAGO versus S.M.A.R.T. stents with the outcome. The study population was stratified according to TASC II classification and RVD, and MISAGO and S.M.A.R.T. stents were compared after propensity score matching. There was no significant difference in 2-year patency between the 2 stents in the subgroup with TASC II class A/B and RVD ≥ 5 mm (S.M.A.R.T. 82% ± 4 vs MISAGO 74% ± 5, P = .480). MISAGO stents had lower primary patency than S.M.A.R.T. stents in cases with TASC II class C/D or RVD < 5 mm (S.M.A.R.T. 62% ± 6 vs MISAGO 25% ± 6, P = .015). Conclusions: S.M.A.R.T. and MISAGO stents had similar patency in simple lesions, but MISAGO stents had lower patency than S.M.A.R.T. stents in more complex lesions. |
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MeSH term(s) | Aged ; Aged, 80 and over ; Alloys ; Constriction, Pathologic ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Female ; Femoral Artery/diagnostic imaging ; Femoral Artery/physiopathology ; Humans ; Japan ; Kaplan-Meier Estimate ; Logistic Models ; Male ; Middle Aged ; Peripheral Arterial Disease/diagnostic imaging ; Peripheral Arterial Disease/physiopathology ; Peripheral Arterial Disease/therapy ; Popliteal Artery/diagnostic imaging ; Popliteal Artery/physiopathology ; Propensity Score ; Proportional Hazards Models ; Prosthesis Design ; Prosthesis Failure ; Recurrence ; Retrospective Studies ; Self Expandable Metallic Stents ; Time Factors ; Treatment Outcome ; Vascular Patency |
Chemical Substances | Alloys ; nitinol (2EWL73IJ7F) |
Language | English |
Publishing date | 2016-11 |
Publishing country | United States |
Document type | Comparative Study ; Journal Article ; Multicenter Study |
ZDB-ID | 1137756-2 |
ISSN | 1535-7732 ; 1051-0443 |
ISSN (online) | 1535-7732 |
ISSN | 1051-0443 |
DOI | 10.1016/j.jvir.2016.05.042 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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