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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
RODOPLU, Orhan; ER, Zafer; ERDINC, Ibrahim and OZTURK, Cuneyd. Atherectomy followed by drug-coated balloon angioplasty for below knee lesions in diabetic patients. Cir. cir. [online]. 2022, vol.90, suppl.2, pp.29-35. Epub Dec 20, 2023. ISSN 2444-054X. https://doi.org/10.24875/ciru.22000131.
Objective:
The aim of this study was to compare the long-term outcomes of below the knee revascularization with percutaneous atherectomy followed by drug-coated balloon and revascularization with drug-coated balloon alone for symptomatic diabetic patients with peripheral arterial disease.
Patients and methods:
Between April 2015 and January 2020, total of 128 patients and 228 below the knee procedures were enrolled into this retrospective study. Sixty-five patients were treated with atherectomy followed by drug-coated balloon and 63 patients were treated solely with drug-coated balloon.
Results:
Technical success rates were similar in the AT+DCB group and DCB group. Target lesion revascularization (TLR) was found similar in both groups at 6-month follow-up. Clinically, driven repeat endovascular and surgical limb revascularization rates were also significantly lower at 12 and 24 months.
Conclusion:
Combined usage of rotational atherectomy and drug-coated balloons for the treatment of diabetic patients with below-the knee arterial lesions and critical limb ischemia is associated with reduced long-term TLR rates and improved the long-term outcomes.
Keywords : Atherectomy; Below the knee peripheral artery disease; Chronic limb-threatening ischemia.
