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Endovascular balloon angioplasty versus stenting in patients with Takayasu arteritis: A meta-analysis.

Abstract Symptomatic or significant vascular lesions of Takayasu arteritis (TA) need interventions. Although percutaneous transluminal angioplasty with balloon is a less invasive and safe method, stent implantation in TA can be an alternative option. However, superiority between balloon angioplasty and stenting in TA is not conclusive.
PMID
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Authors

Mayor MeshTerms

Angioplasty, Balloon

Stents

Keywords
Journal Title medicine
Publication Year Start




PMID- 28723782
OWN - NLM
STAT- MEDLINE
DA  - 20170720
DCOM- 20170808
LR  - 20170808
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 29
DP  - 2017 Jul
TI  - Endovascular balloon angioplasty versus stenting in patients with Takayasu
      arteritis: A meta-analysis.
PG  - e7558
LID - 10.1097/MD.0000000000007558 [doi]
AB  - BACKGROUND: Symptomatic or significant vascular lesions of Takayasu arteritis
      (TA) need interventions. Although percutaneous transluminal angioplasty with
      balloon is a less invasive and safe method, stent implantation in TA can be an
      alternative option. However, superiority between balloon angioplasty and stenting
      in TA is not conclusive. METHODS: A meta-analysis comparing balloon angioplasty
      and stenting outcomes was performed using the MEDLINE and EMBASE databases.
      RESULTS: A total of 7 studies on 266 patients and 316 lesions were included.
      Balloon angioplasty was performed in 186 lesions and stenting in 130 lesions.
      There were no significant differences in the incidence of both restenosis and
      other complications between balloon angioplasty and stenting [odds ratio (OR) =
      2.39, 95% confidence interval (CI) = 0.66-8.66, P = .18; OR = 1.80, 95% CI =
      0.49-6.65, P = .38, respectively]. In the renal arteries, the risk of restenosis 
      in stenting was significantly higher than that in balloon angioplasty (OR = 4.40,
      95% CI = 2.14-9.02, P < .001). The clinical efficacy of improving renal
      hypertension between balloon angioplasty and stenting at the renal artery lesions
      was similar (OR = 0.65, 95% CI = 0.28-1.51, P = .31); however, acute vascular
      complications were significantly fewer in stenting than in balloon angioplasty
      (OR = 0.07, 95% CI = 0.02-0.29, P < .001). CONCLUSION: This meta-analysis found
      that balloon angioplasty can yield better results in renal artery interventions
      than stenting. Nonetheless, it is desirable to avoid vessel dissections during
      balloon angioplasty, which can eventually require stent implantations.
FAU - Jeong, Han Saem
AU  - Jeong HS
AD  - aDepartment of Cardiology, Cardiovascular Center, Korea University Anam Hospital 
      bDivision of Rheumatology, Department of Internal Medicine, Korea University Guro
      Hospital, Seoul cDivision of Rheumatology, Department of Internal Medicine, Korea
      University Ansan Hospital, Gyeonggi-do, Korea.
FAU - Jung, Jae Hyun
AU  - Jung JH
FAU - Song, Gwan Gyu
AU  - Song GG
FAU - Choi, Sung Jae
AU  - Choi SJ
FAU - Hong, Soon Jun
AU  - Hong SJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - *Angioplasty, Balloon/adverse effects
MH  - Humans
MH  - *Stents
MH  - Takayasu Arteritis/*surgery
PMC - PMC5521922
EDAT- 2017/07/21 06:00
MHDA- 2017/08/09 06:00
CRDT- 2017/07/21 06:00
AID - 10.1097/MD.0000000000007558 [doi]
AID - 00005792-201707210-00047 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(29):e7558. doi: 10.1097/MD.0000000000007558.