Evidence map›Paper›PMID 28411244›Full record

Trial reportJournal of the American Heart Association2017

Long-Term Follow-up of the PADI Trial: Percutaneous Transluminal Angioplasty Versus Drug-Eluting Stents for Infrapopliteal Lesions in Critical Limb Ischemia.

Marlon I Spreen, Jasper M Martens, Bob Knippenberg, Lukas C van Dijk, Jean-Paul P M de Vries, Jan Albert Vos, Gert Jan de Borst, Evert-Jan P A Vonken, Okker D Bijlstra, Jan J Wever and 3 more

2 registry-linked trialsOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00471289 phase2 / phase3unknown statusnot on this map

Percutaneous Transluminal Balloon Angioplasty (PTA) and Drug Eluting Stents for Infrapopliteal Lesions in Critical Limb Ischemia

TypeinterventionalSponsorNetherlands Society for Interventional RadiologyRan2007 to 2023Enrolled144ConditionsPeripheral Vascular DiseaseArmsPTA with placement of paclitaxel-eluting stent, PTA
NCT03551496 phase3completednot on this mapstarted 2018, after this paper: background citation

A Randomized Trial Comparing the Drug-Eluting Stent (DES) Below-the-Knee (BTK) Vascular Stent System (DES BTK Vascular Stent System) vs Percutaneous Transluminal Angioplasty (PTA) Treating Infrapopliteal Lesions in Subjects With Critical Limb Ischemia

TypeinterventionalSponsorBoston Scientific CorporationRan2018 to 2023Enrolled201ConditionsCritical Limb IschemiaArmsDrug Eluting Stent - Below the Knee, Standard PTA Control Arm
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Atherectomy for peripheral arterial disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. Intravascular Ultrasound in Chronic Limb-Threatening Ischemia Endovascular Revascularization: A Multidisciplinary Survey of Clinical Practices and Operator Perceptions.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  8. Article
  9. Article
  10. Nationwide Study of the Outcome of Treatment of Lower Extremity Atherosclerotic Lesions With Endovascular Surgery With or Without Drug Eluting Methods in Patients With Diabetes.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2025
    Observational
  11. Review
  12. Outcomes and Patency of Endovascular Infrapopliteal Reinterventions in Patients With Chronic Limb-Threatening Ischemia.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2024
    Article
  13. Drug-eluting devices for lower limb peripheral arterial disease.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Review
  14. Article
  15. Rationale and Design of the Latin-American Registry of Peripheral Interventions: Insights From SOLACI Peripheral.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  16. Review
  17. Surgical and Endovascular Therapies for Below-the-Knee Peripheral Arterial Disease: A Contemporary Review.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Review
  18. Article
  19. Drug-Eluting Stents.Seminars in interventional radiology · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Marlon I SpreenDepartment of Radiology, Haga Teaching Hospital, The Hague, The Netherlands.
Jasper M MartensDepartment of Radiology, Haga Teaching Hospital, The Hague, The Netherlands.
Bob KnippenbergDepartment of Vascular Surgery, Haga Teaching Hospital, The Hague, The Netherlands.
Lukas C van DijkDepartment of Radiology, Haga Teaching Hospital, The Hague, The Netherlands.
Jean-Paul P M de VriesDepartment of Vascular Surgery, Sint Antonius Hospital, Nieuwegein, The Netherlands.
Jan Albert VosDepartment of Radiology, Sint Antonius Hospital, Nieuwegein, The Netherlands.
Gert Jan de BorstDepartment of Vascular Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Evert-Jan P A VonkenDepartment of Radiology, University Medical Centre Utrecht, Utrecht, The Netherlands.
Okker D BijlstraFaculty of Medicine, Leiden University, Leiden, The Netherlands.
Jan J WeverDepartment of Vascular Surgery, Haga Teaching Hospital, The Hague, The Netherlands.
Randolph G Statius van EpsDepartment of Vascular Surgery, Haga Teaching Hospital, The Hague, The Netherlands.
Willem P Th M MaliDepartment of Radiology, University Medical Centre Utrecht, Utrecht, The Netherlands.
Hendrik van OverhagenDepartment of Radiology, Haga Teaching Hospital, The Hague, The Netherlands h.voverhagen@hagaziekenhuis.nl.
Haga Hospital · NLUniversity Medical Center Utrecht · NLSt. Antonius Ziekenhuis · NLLeiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical outcomes reported after treatment of infrapopliteal lesions with drug-eluting stents (DESs) have been more favorable compared with percutaneous transluminal angioplasty with a bailout bare metal stent (PTA-BMS) through midterm follow-up in patients with critical limb ischemia. In the present study, long-term results of treatment of infrapopliteal lesions with DESs are presented. METHODS AND

resultsAdults with critical limb ischemia (Rutherford category ≥4) and infrapopliteal lesions were randomized to receive PTA-BMS or DESs with paclitaxel. Long-term follow-up consisted of annual assessments up to 5 years after treatment or until a clinical end point was reached. Clinical end points were major amputation (above ankle level), infrapopliteal surgical or endovascular reintervention, and death. Preserved primary patency (≤50% restenosis) of treated lesions was an additional morphological end point, assessed by duplex sonography. In total, 74 limbs (73 patients) were treated with DESs and 66 limbs (64 patients) were treated with PTA-BMS. The estimated 5-year major amputation rate was lower in the DES arm (19.3% versus 34.0% for PTA-BMS;

conclusionsBoth clinical and morphological long-term results after treatment of infrapopliteal lesions in patients with critical limb ischemia are improved with DES compared with PTA-BMS. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. Unique identifier: NCT00471289.

Indexed as

Drug-Eluting StentsPopliteal ArteryAmputation, SurgicalAngioplasty, BalloonCardiovascular AgentsCritical IllnessDisease-Free SurvivalHumansIschemiaKaplan-Meier EstimateLimb SalvageLower ExtremityNetherlandsPaclitaxelPeripheral Arterial DiseaseProsthesis DesignCardiovascular AgentsPaclitaxelcritical limb ischemiadrug‐eluting stentendovascular treatmentperipheral artery disease

Identifiers

PMID28411244
PMCPMC5533004
OpenAlexW2606253692

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.