Evidence map›Paper›PMID 36725018›Full record

Observational studyJournal of atherosclerosis and thrombosis2023

Clinical Impact of Additional Cilostazol Treatment on Restenosis Risk following Heparin-Bonded Stent Graft Implantation: Sub-Analysis from the Viabahn Stent-Graft Placement for Femoropopliteal Diseases Requiring Endovascular Therapy (VANQUISH) Study.

Kazuki Tobita, Mitsuyoshi Takahara, Osamu Iida, Yoshimitsu Soga, Terutoshi Yamaoka, Shigeo Ichihashi, Shigeru Saito

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of atherosclerosis and thrombosis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 22% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 5 institutions in 1 country.

Kazuki TobitaDepartment of Cardiology, Shonan Kamakura General Hospital.
Mitsuyoshi TakaharaDepartment of Diabetes Care Medicine and Department of Metabolic Medicine, Osaka University Graduate School of Medicine.
Osamu IidaCardiovascular Center, Kansai Rosai Hospital.
Yoshimitsu SogaDepartment of Cardiology, Kokura Memorial Hospital.
Terutoshi YamaokaDepartment of Vascular Surgery, Matsuyama Red Cross Hospital.
Shigeo IchihashiDepartment of Vascular Surgery, Matsuyama Red Cross Hospital.
Shigeru SaitoDepartment of Cardiology, Shonan Kamakura General Hospital.
Matsuyama Red Cross Hospital · JPShonan Kamakura General Hospital · JPKansai Rosai Hospital · JPKokura Memorial Hospital · JPThe University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe present study investigated the effects of additional cilostazol administration on the 12-month risk of restenosis after femoropopliteal heparin-bonded stent graft implantation.

methodsThis study was a sub-analysis of the Viabahn stent graft placement for femoropopliteal disease reQUIring endovaScular tHerapy (VANQUISH) study, which was a prospective multicenter study investigating patients who received Viabahn stent graft (W.L. Gore & Associates, Flagstaff, AZ, USA) and dual-antiplatelet therapy with aspirin and a thienopyridine. The comparison of clinical outcomes between subgroups with and without cilostazol treatment were performed using the propensity score-matching method to minimize the intergroup differences in baseline characteristics.

resultsCilostazol-treated patients had a lower 12-month proportion of restenosis than cilostazol-free patients (8.2% vs 27.3%). The odds ratio of cilostazol for the 12-month restenosis was 0.27 [95% CI, 0.08 to 0.97] (p=0.045). Furthermore, the cumulative incidence rates of surgical reconstruction, target lesion revascularization and acute thrombotic occlusion (p values by the log-rank test) were 2.6% versus 1.8% (P=0.43), 5.3% versus 20.5% (P=0.067), and 0.0% versus 11.8% (P=0.0499), respectively. The rates of surgical reconstruction and target lesion revascularization (TLR) were not significantly different between both groups.

conclusionsOur study revealed the clinical impact of additional cilostazol treatment on the risk of restenosis and acute thrombotic occlusion following heparin-bonded stent graft implantation, while TLR and surgical reconstruction were not significantly different.

Indexed as

Blood Vessel Prosthesis ImplantationCilostazolEndovascular ProceduresGraft Occlusion, VascularPeripheral Arterial DiseasePlatelet Aggregation InhibitorsAgedFemaleFemoral ArteryFollow-Up StudiesHeparinHumansMaleMiddle AgedPopliteal ArteryProspective StudiesCilostazolHeparinPlatelet Aggregation InhibitorsAntiplatelet therapyCilostazolCovered stentEndoluminal bypassEndovascular therapyFemoropopliteal segment

Identifiers

PMID36725018
PMCPMC10564643
OpenAlexW4318823908

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.