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Drug‐eluting balloon angioplasty versus uncoated balloon angioplasty for the treatment of in‐stent restenosis of the femoropopliteal arteries

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Appendices

Appendix 1. CENTRAL search strategy

#1

MESH DESCRIPTOR Arteriosclerosis

#2

MESH DESCRIPTOR Arteriosclerosis Obliterans

#3

MESH DESCRIPTOR Atherosclerosis

#4

MESH DESCRIPTOR Arterial Occlusive Diseases

#5

MESH DESCRIPTOR Intermittent Claudication

#6

MESH DESCRIPTOR Ischemia

#7

MESH DESCRIPTOR Peripheral Vascular Diseases EXPLODE ALL TREES

#8

MESH DESCRIPTOR Leg EXPLODE ALL TREES WITH QUALIFIERS BS

#9

MESH DESCRIPTOR Iliac Artery

#10

MESH DESCRIPTOR Popliteal Artery

#11

MESH DESCRIPTOR Femoral Artery

#12

MESH DESCRIPTOR Tibial Arteries

#13

(atherosclero* or arteriosclero* or PVD or PAOD or PAD ):TI,AB,KY

#14

((arter* or vascular or vein* or veno* or peripher*) near3 (occlus* or reocclus* or re‐occlus* or steno* or restenos* or obstruct* or lesio* or block* or harden* or stiffen* or obliter*) ):TI,AB,KY

#15

(peripheral near3 dis*):TI,AB,KY

#16

(claudic* or IC):TI,AB,KY

#17

(isch* or CLI):TI,AB,KY

#18

arteriopathic:TI,AB,KY

#19

dysvascular*:TI,AB,KY

#20

leg:TI,AB,KY

#21

(lower limb):TI,AB,KY

#22

(lower extrem*):TI,AB,KY

#23

(above knee):TI,AB,KY

#24

(below knee):TI,AB,KY

#25

(femor* or iliac or popliteal or fempop* or crural or poplite* or infrapopliteal or inguinal or femdist* or infrainquinal or tibial):TI,AB,KY

#26

restenosis:TI,AB,KY

#27

#1 OR #2 OR #3 OR #4 OR #5 OR #6 OR #7 OR #8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14 OR #15 OR #16 OR #17 OR #18 OR #19 OR #20 OR #21 OR #22 OR #23 OR #24 OR #25 OR #26

#28

MESH DESCRIPTOR Angioplasty EXPLODE ALL TREES

#29

MESH DESCRIPTOR Endovascular Procedures

#30

(angioplas* or percutan* or PTA):TI,AB,KY

#31

valvuloplasty:TI,AB,KY

#32

(recanali* or revascular*):TI,AB,KY

#33

dilat*:TI,AB,KY

#34

(balloon or baloon):TI,AB,KY

#35

endovascular:TI,AB,KY

#36

#28 OR #29 OR #30 OR #31 OR #32 OR #33 OR #34 OR #35

#37

MESH DESCRIPTOR Paclitaxel

#38

(coated or uncoated):TI,AB,KY

#39

(drug and (elut* or releas*)):TI,AB,KY

#40

DEB:TI,AB,KY

#41

POBA:TI,AB,KY

#42

paclitax*:TI,AB,KY

#43

sirolimus:TI,AB,KY

#44

zotarolimus:TI,AB,KY

#45

rapalog:TI,AB,KY

#46

(IN.PACT or MOXY or Paseo or Lutonix or Paccoca or PANTERA or ELUTAX or DIOR or FREEWAY or SeQuent or GENIE):TI,AB,KY

#47

#37 OR #38 OR #39 OR #40 OR #41 OR #42 OR #43 OR #44 OR #45 OR #46

#48

#27 AND #36 AND #47

Table 1. Example summary of findings for the main comparison

Drug‐eluting balloon compared with uncoated balloon angioplasty

Patient or population: people with in‐stent restenosis of the femoropopliteal vessels
Setting: hospital
Intervention: drug‐eluting balloon angioplasty
Comparison: uncoated balloon angioplasty

Outcomes

Anticipated absolute effects* (95% CI)

Relative effect
(95% CI)

№ of participants
(studies)

Quality of the evidence
(GRADE)

Comments

Risk with uncoated balloon angioplasty

Risk with drug‐eluting balloon angioplasty

Amputation

Study population

not estimable

( studies)

0 per 1000

0 per 1000
(0 to 0)

Primary vessel patency

Study population

not estimable

( studies)

0 per 1000

0 per 1000
(0 to 0)

Target lesion revascularization

Study population

not estimable

( studies)

0 per 1000

0 per 1000
(0 to 0)

Binary restenosis

Study population

not estimable

( studies)

0 per 1000

0 per 1000
(0 to 0)

Death

Study population

not estimable

( studies)

0 per 1000

0 per 1000
(0 to 0)

Change in Rutherford category

The mean change in Rutherford category was 0

The mean change in Rutherford category in the intervention group was 0 undefined (0 to 0 )

( studies)

Change in ankle brachial index

The mean change in ankle brachial index was 0

The mean change in ankle brachial index in the intervention group was 0 undefined (0 to 0 )

( studies)

*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: Confidence interval; RR: Risk ratio

GRADE Working Group grades of evidence
High quality: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

Figures and Tables -
Table 1. Example summary of findings for the main comparison