Evidence map›Paper›PMID 31824991›Full record

ReviewArchives of medical sciences. Atherosclerotic diseases2019

Atherectomy-assisted versus percutaneous angioplasty interventions for treatment of symptomatic infra-inguinal peripheral arterial disease.

Obai Abdullah, Jad Omran, Ashraf S Al-Dadah, Kul Aggarwal, Tariq Enezate

Open access · diamondAbstract readReview
In one paragraph

Review in Archives of medical sciences. Atherosclerotic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Comparative Analysis of Mortality and Amputation Rates in Patients Undergoing Atherectomy for Infra-Popliteal Peripheral Arterial Disease: Insight From the VQI.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2025
    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

5 authors at 3 institutions in 1 country.

Obai AbdullahCardiovascular Medicine Department, University of Missouri, Columbia School of Medicine, USA.
Jad OmranDivision of Cardiovascular Medicine, University of California, San Diego, USA.
Ashraf S Al-DadahPrairie Heart Institute, O'fallon, IL, United States.
Kul AggarwalCardiovascular Medicine Department, University of Missouri, Columbia School of Medicine, USA.
Tariq EnezateCardiovascular Medicine Department, University of Missouri, Columbia School of Medicine, USA.
University of Missouri Hospital · USPrairie Vascular Institute · USUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe role of atherectomy (ATHERO) for the treatment of symptomatic infra-inguinal arterial lesions remains controversial. We evaluated the effectiveness and safety of atherectomy-assisted endovascular interventions in comparison with percutaneous angioplasty (PTA). MATERIAL AND

methodsA systematic search utilizing MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials was conducted for studies comparing ATHERO with PTA from February 1995 to May 2018. Only studies comparing ATHERO to PTA for symptomatic infra-inguinal disease were included. Random-effects meta-analysis was used to pool the data and endpoints across studies. Study endpoints included vessel dissection, distal embolization, residual stenosis (> 30%), vessel patency at 6 months, target lesion revascularization (TLR) at 12 months and major amputation rates at 1, 6, and 12 months.

resultsA total of 2923 patients were included from 8 studies. PTA was associated with higher vessel dissection (OR = 4.00, 95% CI: 1.15-13.86) and lower 12-month major amputation rates (OR = 0.73, 95% CI: 0.59-0.90). There was no significant difference between ATHERO and PTA groups in terms of distal embolization (OR = 0.45, 95% CI: 0.04-4.63), residual stenosis (OR = 1.28, 95% CI: 0.58-2.80), vessel patency at 6 months (OR = 1.27, 95% CI: 0.50-3.22), TLR at 12 months (OR = 1.07, 95% CI: 0.46-2.51), or limb amputation at 1 month (OR = 0.69, 95% CI: 0.44-1.07) or 6 months (OR = 1.54, 95% CI: 0.38-6.15).

conclusionsIn patients undergoing infra-inguinal endovascular interventions, PTA was associated with higher peri-procedural vessel dissection and lower 12-month major amputation rates. Both modalities were associated with similar distal embolization, residual stenosis, and 6-month vessel patency and amputation rates.

Indexed as

atherectomyinfra-inguinal diseasepercutaneous angioplastyperipheral interventions

Identifiers

PMID31824991
PMCPMC6900743
OpenAlexW2991971650

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.