Evidence map›Paper›PMID 28451834›Full record

ArticleHeart and vessels2017

Penetration rate of the placement of a drug-eluting stent for the treatment of superficial femoral artery lesions in Japan.

Shinsuke Mori, Keisuke Hirano, Yasutaka Yamauchi, Eijiro Hayashi, Tatsuki Doijiri, Takeshi Takamura, Atsuo Maeda, Jun Okuda, Koichi Mizuno, Yuko Onishi and 8 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 41% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
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

18 authors at 14 institutions in 1 country.

Shinsuke MoriDepartment of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan. hello_morisun@yahoo.co.jp.
Keisuke HiranoDepartment of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan.
Yasutaka YamauchiCardiovascular Center, Takatsu General Hospital, Kawasaki, Japan.
Eijiro HayashiCardiovascular Center, Synthesis Shinkawabashi Hospital, Kawasaki, Japan.
Tatsuki DoijiriDepartment of Cardiology, Yamato-Seiwa Hospital, Yamato, Japan.
Takeshi TakamuraDepartment of Cardiology, Nagatsuda Welfare General Hospital, Yokohama, Japan.
Atsuo MaedaDepartment of Cardiology, Showa University Fujigaoka Hospital, Yokohama, Japan.
Jun OkudaDepartment of Cardiology, Yokosuka City Hospital, Yokosuka, Japan.
Koichi MizunoDepartment of Cardiology, Kawasaki Municipal Tama Hospital, Kawasaki, Japan.
Yuko OnishiDepartment of Cardiology, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Taku IwakiDepartment of Cardiology, Yokohama Sakae Kyosai Hospital, Yokohama, Japan.
Kengo TsukaharaCardiovascular Center, Yokohama City University Medical Center, Yokohama, Japan.
Norihiko ShinozakiDivision of Cardiology, Tokai University School of Medicine, Isehara, Japan.
Hiroshi ArakiDivision of Cardiology and Catheterization Laboratories, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Ken KongojiDepartment of Cardiology, St. Marianna University School of Medicine, Kawasaki, Japan.
Teruyasu SuganoDepartment of Cardiology, Yokohama City University Hospital, Yokohama, Japan.
Akira MiyamotoCardiovascular Center, Takatsu General Hospital, Kawasaki, Japan.
Ichiro MichishitaDepartment of Cardiology, Yokohama Sakae Kyosai Hospital, Yokohama, Japan.
Saiseikai Yokohama Eastern Hospital · JPTakatsuki General Hospital · JPYokohama Sakae Kyosai Hospital · JPHiratsuka City Hospital · JPHiratsuka Kyosai Hospital · JPKawasaki Municipal Hospital · JPNaga Municipal Hospital · JPSeiwa Hospital · JPShowa University Fujigaoka Hospital · JPShowa University Northern Yokohama Hospital · JPSt. Marianna University School of Medicine · JPTokai University · JPYokohama City University Hospital · JPYokohama City University Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stent placement for treating superficial femoral artery (SFA) lesions has been approved. The Zilver PTX stent, a drug-eluting stent (DES) for treating SFA lesions, has been available in Japan since 2012. However, the penetration rate of this DES has not yet been reported. This prospective multicenter registry study enrolled 314 patients (354 limbs) to be treated by stent placement in 2014 (UMIN000011551). The primary endpoint was the measurement of the penetration rate of the DES. The secondary endpoints were measuring the freedom from restenosis, freedom from target lesion revascularization (TLR), freedom from major adverse limb event (MALE), and the survival rate at 12 months postoperatively. Female patients comprised 28% participants. The mean age was 73.1 ± 9.2 years. A total of 56% patients had diabetes mellitus (DM), 36% patients were receiving hemodialysis, and 30% used cilostazol at baseline. The mean lesion length was 156 ± 101 mm, and the percentage of TASC II C/D lesions was 58%. Critical limb ischemia (CLI) was observed in 32% limbs. The penetration rates of the Zilver PTX stent were only 8%. The primary patency rate was similar between DES and bare-metal stents (BMS) at 12 months postoperatively (77 vs. 84%, p = 0.52). In this study, the rates of freedom from restenosis, freedom from TLR, freedom from MALE, and the survival rate at 12 months postoperatively were 83, 86, 85, and 89%, respectively. The penetration rate of a first-generation DES placement for treating SFA lesions is low in Japan. On the other hand, BMS is well utilized and its primary patency is acceptable.

Indexed as

Drug-Eluting StentsVascular PatencyAgedDisease-Free SurvivalEndovascular ProceduresFemaleFemoral ArteryFollow-Up StudiesHumansIncidenceJapanMalePeripheral Arterial DiseaseProspective StudiesProsthesis DesignTreatment OutcomeBare-metal stentDrug-eluting stentEndovascular therapyPenetrationSuperficial femoral artery

Identifiers

PMID28451834
OpenAlexW2607547419

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.