Outcomes of endovascular treatment for infrapopliteal peripheral artery disease based on the updated TASC II classification
Muller AM, Rapple V, Bradaric C, Koppara T, Kehl V, Fusaro M, Cassese S, Ott I, Kastrati A, Laugwitz KL, Ibrahim T (2021)
Publication Type: Journal article
Publication year: 2021
Journal
Book Volume: 26
Pages Range: 18-25
Journal Issue: 1
Abstract
We retrospectively analyzed all endovascular procedures of infrapopliteal arterial lesions (n = 383) performed in 270 patients at our institution between December 2008 and January 2018. The overall technical success rate was 97% and yielded 98% for stenoses (n = 214) and 95% for occlusions (n = 169). Trans-Atlantic Inter-Society Consensus (TASC II) classification had no impact on success rates (TASC A + B vs C + D; 96.5% vs 96.9%, p = 0.837). Freedom from clinically driven target lesion revascularization (TLR) after 6 and 12 months was 88.3% and 77.2%. TLR was comparable for TASC A to C lesions and no difference was observed comparing groups of moderately complex TASC A/B lesions and more complex TASC C/D lesions (TASC A + B vs C + D; 78.5% vs 74.2%, p = 0.457). Freedom from TLR was significantly lower in very complex TASC D lesions (TASC A + B + C vs D; 79.7% vs 42.5%, p < 0.001). Multivariate analysis identified TASC D lesions (hazard ratio D/A: 1.5; overall p = 0.002), Fontaine class III and IV (hazard ratio III or IV/IIa or IIb: 2.4; p = 0.041), and occlusive lesions (hazard ratio occlusion/stenosis: 2.4; p = 0.026) as predictors for TLR. In conclusion, endovascular therapy for infrapopliteal artery disease was safe and accompanied with a promising long-term outcome.
Involved external institutions
Germany (DE)How to cite
APA:
Muller, A.M., Rapple, V., Bradaric, C., Koppara, T., Kehl, V., Fusaro, M.,... Ibrahim, T. (2021). Outcomes of endovascular treatment for infrapopliteal peripheral artery disease based on the updated TASC II classification. Vascular Medicine, 26(1), 18-25. https://doi.org/10.1177/1358863X20967091
MLA:
Muller, Arne M., et al. "Outcomes of endovascular treatment for infrapopliteal peripheral artery disease based on the updated TASC II classification." Vascular Medicine 26.1 (2021): 18-25.
BibTeX: Download