Evidence map›Paper›PMID 37066103›Full record

ArticleJournal of critical limb ischemia2022

Outcomes of Orbital Atherectomy in Patients with Critical Limb Threatening Ischemia and Diabetes.

Momodou L Jammeh, Julia Suggs, George L Adams, Ehrin J Armstrong, Jihad Mustapha, Mohamed A Zayed

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of critical limb ischemia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01855412 (LIBERTY 360), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 66% 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.

NCT01855412 completednot on this map

LIBERTY 360: Prospective, Observational, Multi-Center Clinical Study to Evaluate Acute and Long Term Clinical and Economic Outcomes of Endovascular Device Intervention in Patients With Distal Outflow Peripheral Arterial Disease (PAD)

TypeobservationalSponsorAbbott Medical DevicesRan2013 to 2019Enrolled1,204ConditionsPeripheral Arterial Occlusive DiseaseArmsPAD endovascular treatments
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Momodou L JammehDepartment of Surgery, Section of Vascular Surgery, Washington University School of Medicine, St Louis, MO 63110.
Julia SuggsDepartment of Surgery, Section of Vascular Surgery, Washington University School of Medicine, St Louis, MO 63110.
George L AdamsUniversity of North Carolina at Chapel Hill Rex Health Care System, Raleigh, NC.
Ehrin J ArmstrongAdventist Health and Vascular Institute at Adventist Health, St. Helena, CA.
Jihad MustaphaAdvanced Cardiac & Vascular Centers for Amputation Prevention, Grand Rapids, MI.
Mohamed A ZayedDepartment of Surgery, Section of Vascular Surgery, Washington University School of Medicine, St Louis, MO 63110.
Washington University in St. Louis · US

Funding

PET Detection of CCR2 in Human AtherosclerosisR01HL150891 · NHLBI · WASHINGTON UNIVERSITY · PI GROPLER, ROBERT J., WOODARD, PAMELA K · 2020 to 2024
$3.7M
Regulation of Endothelial Lipid Metabolism in the Setting of Diabetes and Critical Limb Ischemia to Prevent Surgical ComplicationsR01HL153262 · NHLBI · WASHINGTON UNIVERSITY · PI ZAYED, MOHAMED A. · 2021 to 2024
$2.1M
Contrast Free MRI for Imaging Vascular Calcification in Diabetic Lower ExtremityR03EB028415 · NIBIB · WASHINGTON UNIVERSITY · PI ZHENG, JIE · 2019 to 2020
$157k
NHLBI NIH HHS R01 HL150891NHLBI NIH HHS R01 HL153262NIBIB NIH HHS R03 EB028415
6 · The paper itself

Abstract

Purpose: Patients with diabetes and critical limb threatening ischemia (CLTI) are at significantly higher risk of limb loss and death. Here we evaluate the outcomes of orbital atherectomy (OA) for treatment of CLTI in patients with and without diabetes. Methods: Retrospective analysis of the LIBERTY 360 study was performed to evaluate baseline demographics, and peri-procedural outcomes between patients with CLTI, and with and without diabetes. Hazard ratios (HRs) were determined with Cox regression to examine the impact of OA in patients with diabetes and CLTI over a 3-year follow-up. Results: A total of 289 patients (201 with diabetes, 88 without diabetes) with Rutherford classification 4-6 were included. Patients with diabetes had higher proportion of renal disease (48.3% vs 28.4%, p=0.002), prior minor/major limb amputation (26% vs 8%, p<0.005), and presence of wounds (63.2% vs 48.9%, p=0.027). Operative times, radiation dosage, and contrast volume were similar between groups. The rate of distal embolization was higher in patients with diabetes (7.8% vs 1.9%, p=0.01; OR 4.33 [0.99, 18.88], p=0.05). However, at 3-years post-procedure, patients with diabetes had no differences in freedom from target vessel/lesion revascularization (HR 1.09, p=0.73), major adverse events (MAE; HR 1.25, p=0.36), major target limb amputation (HR 1.74, p=0.39), and death (HR 1.11, p=0.72). Conclusion: The LIBERTY 360 observed high limb preservation and low MAEs in patients with diabetes and CLTI. Higher distal embolization was observed with OA in patients with diabetes, but OR did not indicate a significant difference in risk between groups.

Indexed as

amputationcritical limb threatening ischemiadiabetesendovascular revascularizationorbital atherectomy

Identifiers

PMID37066103
PMCPMC10103796
OpenAlexW4366083135

What OpenQuestion holds

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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.