Abstract
Background - Treatment for symptomatic peripheral artery disease includes lower extremity bypass surgery (LEB) and peripheral endovascular interventions (PVIs); however, limited comparative effectiveness data exist between the 2 therapies. We assessed the safety and effectiveness of LEB and PVI in patients with symptomatic claudication and critical limb ischemia. Methods and Results - In a community-based clinical registry at 2 large integrated healthcare delivery systems, we compared 883 patients undergoing PVI and 975 patients undergoing LEB between January 1, 2005 and December 31, 2011. Rates of target lesion revascularization were greater for PVI than for LEB in patients presenting with claudication (12.3±2.7% and 19.0±3.5% at 1 and 3 years versus 5.2±2.4% and 8.3±3.1%, log-rank P
Original language | English (US) |
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Pages (from-to) | 1999-2011 |
Number of pages | 13 |
Journal | Circulation |
Volume | 132 |
Issue number | 21 |
DOIs | |
State | Published - Nov 24 2015 |
Keywords
- comparative effectiveness research
- lower extremity bypass surgery
- peripheral arterial disease
ASJC Scopus subject areas
- Physiology (medical)
- Cardiology and Cardiovascular Medicine