Evidence map›Paper›PMID 38780638›Full record

ArticleHeart and vessels2024

Clinical outcomes and risk factors associated with drug-coated balloon treatment for femoropopliteal artery disease in patients on maintenance hemodialysis.

Ryuta Ito, Hideki Ishii, Satoru Oshima, Takuya Nakayama, Takashi Sakakibara, Motohiko Kakuno, Toyoaki Murohara

Abstract read
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In one paragraph

Article in Heart and vessels, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Observational
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.

Ryuta ItoDepartment of Cardiology, Nagoya Kyoritsu Hospital, 1-172 Hokke, Nakagawa-Ku, Nagoya, Aichi, 454-0933, Japan. r-ito@kaikou.or.jp.ORCID http://orcid.org/0000-0001-5111-3361
Hideki IshiiDepartment of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan.
Satoru OshimaDepartment of Cardiology, Nagoya Kyoritsu Hospital, 1-172 Hokke, Nakagawa-Ku, Nagoya, Aichi, 454-0933, Japan.
Takuya NakayamaDepartment of Cardiovascular Surgery, Nagoya Kyoritsu Hospital, Nagoya, Japan.
Takashi SakakibaraDepartment of Cardiology, Nagoya Kyoritsu Hospital, 1-172 Hokke, Nakagawa-Ku, Nagoya, Aichi, 454-0933, Japan.
Motohiko KakunoDepartment of Cardiology, Nagoya Kyoritsu Hospital, 1-172 Hokke, Nakagawa-Ku, Nagoya, Aichi, 454-0933, Japan.
Toyoaki MuroharaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of drug-coated balloons (DCB) on hemodialysis (HD) in patients with femoropopliteal (FP) disease remains uncertain. This study aimed to investigate the outcomes of DCB therapy in patients with FP artery disease on HD. A total of 185 patients with FP lesions (140 HD patients) who underwent DCB treatment were included in the study. The incidence of restenosis and target lesion revascularization (TLR) at 12 months were measured. Risk factors for TLR were also investigated. The mean age was 71.7 years, and diabetes was observed in 82.3% of patients. The mean duration of receiving dialysis was 8.8 years. The mean lesion length was 11.0 cm, and approximately half of the lesions were severely calcified. Severe dissection after DCB therapy was observed in 19.5% of patients. During the follow-up period, 74 restenosis, 68 TLRs, 8 major amputations, and 28 deaths were observed. The freedom rates from restenosis and TLR at 12 months were 63.8% and 71.3%, respectively. The freedom rates after low- and high-dose DCB at 12 months were 61.9% and 70.6% for restenosis (P = 0.49) and 66.4% and 79.4% for TLR (P = 0.095), respectively. Independent risk factors for TLR at 12 months of age were diabetes, chronic limb-threatening ischemia, and severe calcification. When patients were divided into four groups according to the number of these three risk factors, the rates of freedom from TLR at 12 months were 100%, 94.8%, 76.7%, and 30.3% in the groups with no risk factors, any one risk factor, any two risk factors, and all risk factors, respectively (P < 0.0001). Clinical outcomes after endovascular therapy in HD patients with FP disease remain unsatisfactory, even if they are treated with DCB. In particular, patients on HD with diabetes, chronic limb-threatening ischemia, and severe calcification have poor outcomes.

Indexed as

Angioplasty, BalloonCoated Materials, BiocompatibleFemoral ArteryPeripheral Arterial DiseasePopliteal ArteryRenal DialysisAgedAged, 80 and overFemaleHumansLimb SalvageMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsCoated Materials, BiocompatibleDrug-coated balloonFemoropopliteal diseaseHemodialysisLower extremity artery disease

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Registered trials

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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.