title: Efficacy and safety of endovascular treatment for femoropopliteal lesions of TASC II type C and D compared with TASC II type A and B in Korea.
abstract: Objective To compare the long-term safety and clinical efficacy of endovascular treatment for TASC-II type C/D femoropopliteal lesion compared with TASC-II type A/B femoropopliteal lesion in Korea. Methods A total of 179 limbs [TASC-II A/B femoropopliteal lesion (group I, n = 105 limbs) and TASC-II C/D (group II, n = 74 limbs)] were retrospectively analyzed from patients who underwent angioplasty with or without primary stent implantation between February 2008 and November 2012 at two medical centers in South Korea. The major adverse limb event was defined as a composite of target lesion revascularization, symptom relapse with abnormal ankle brachial index, and major amputation. Results Immediate procedural success rates were not significantly different (96.2% vs. 95.7%, p = 0.450). Although major adverse limb event, mainly driven by symptom relapse with abnormal ankle brachial index, were significantly higher in group II ( p = 0.013), the incidence of major amputation was very low and similar in both groups. Conclusion Even though there were higher incidences of overall procedural complication and major adverse limb event, the technical success rate of endovascular treatment for TASC-II C/D femoropopliteal lesion was comparable to endovascular treatment for TASC-II A/B FPL without an increase in major procedural complications or serious clinical events during follow-up.
authors.affiliation: 1 Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea.
authors.forename: Hyung Joon
authors.initials: HJ
authors.lastname: Joo
authors.affiliation: 2 Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital, Bucheon, Korea.
authors.forename: Duck Hyun
authors.initials: DH
authors.lastname: Jang
authors.affiliation: 1 Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea.
authors.forename: Cheol Woong
authors.initials: CW
authors.lastname: Yu
authors.affiliation: 2 Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital, Bucheon, Korea.
authors.forename: Young Jin
authors.initials: YJ
authors.lastname: Choi
authors.affiliation: 2 Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital, Bucheon, Korea.
authors.forename: Jinsik
authors.initials: J
authors.lastname: Park
authors.affiliation: 2 Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital, Bucheon, Korea.
authors.forename: Hyun Jong
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: 1 Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea.
authors.forename: Jae Hyoung
authors.initials: JH
authors.lastname: Park
authors.affiliation: 1 Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea.
authors.forename: Soon Jun
authors.initials: SJ
authors.lastname: Hong
authors.affiliation: 1 Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea.
authors.forename: Do Sun
authors.initials: DS
authors.lastname: Lim
mesh_terms: D000046:Academic Medical Centers; D000368:Aged; D000671:Amputation, Surgical; D055109:Ankle Brachial Index; D057510:Endovascular Procedures / Q000009:adverse effects; D005260:Female; D005263:Femoral Artery / Q000503:physiopathology; D006801:Humans; D053208:Kaplan-Meier Estimate; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D011150:Popliteal Artery / Q000503:physiopathology; D016016:Proportional Hazards Models; D012008:Recurrence; D056910:Republic of Korea; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
keywords: Endovascular procedures; peripheral arterial disease; treatment outcome