Comparison of clinical outcomes in patients with acute lower limb ischaemia undergoing endovascular therapy and open surgical revascularisation: a large scale analysis in Japan
Selected in ESVS Journal by Hortense Chalret
This publication review evaluates treatment trends for acute limb ischemia (ALI) in Japan, comparing the efficacy and safety of endovascular therapy (EVT) versus open surgical revascularization (OSR) using data from the JROAD-DPC database. The study found that, overall, EVT was less effective than OSR for ALI, except in patients with peripheral artery disease (PAD).
References:
Authors: Takaaki Ozawa, Kenji Yanishi, Ayumu Fujioka, Tomotsugu Seki, Kan Zen, Satoaki Matoba
Reference: Ozawa and al. European Journal of Vascular and Endovascular Surgery, 2024 Aug 30:S1078-5884(24)00781-0
DOI: 10.1016/j.ejvs.2024.08.039
Read the abstractObjectives:
The objective is to evaluate the contemporary trends in ALI treatment in Japan and to compare the efficacy and safety of EVT with that of OSR using data from the JROAD-DPC database.
Population:
10,977 patients with ALI were extracted from the database and after propensity score matching each group comprised 4 075 patients.
Endpoints:
The primary clinical outcomes were death during hospitalisation (in hospital death), major amputation, and bleeding complications (anaemia requiring transfusion or endoscopic haemostasis).
Outcomes and conclusion:
In Japan, EVT was a less effective primary treatment for patients with ALI than OSR, except for those with PAD.
Comments:
This study evaluates the treatment trends for acute limb ischemia (ALI) in Japan, comparing the efficacy and safety of endovascular treatment (EVT) and open surgical revascularization (OSR) using the JROAD-DPC database. The findings suggest that EVT is less effective than OSR for ALI patients, except for those with peripheral artery disease (PAD).