Angioplasty versus bare metal stenting for superficial femoral artery lesions
Información
- DOI:
- https://doi.org/10.1002/14651858.CD006767.pub3Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 24 junio 2014see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Vascular
- Copyright:
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- Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Autores
Contributions of authors
MMC selected trials, assessed the methodological quality of trials, extracted data and analysed results.
CPT selected trials, assessed the methodological quality of trials, extracted data and analysed results.
MMC and CPT ranked the allocation concealment of the trials and checked the completed manuscript.
ADM checked the selection of trials, cross checked data extraction and resolved any disagreements.
Sources of support
Internal sources
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No sources of support supplied
External sources
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Chief Scientist Office, Scottish Government Health Directorates, The Scottish Government, UK.
The PVD Group editorial base is supported by the Chief Scientist Office.
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National Institute for Health Research (NIHR), UK.
The PVD Group editorial base is supported by a programme grant from the NIHR.
Declarations of interest
MMC: none known
ADM: I act as a consultant to LeMaitre vascular and have presented at their sales meetings. This is compliant with US legislation. LeMaitre vascular makes grafts for bypass surgery. The aortic intervention division of Cook Medical supported my attendance at the Veith meeting in November 2013 by paying for flights, accommodation and meeting fee. I am the examinations director and a member of the executive committee of UEMS Section and Board of Vascular Surgery. They have paid my travel expenses to committee meetings and to run the European Exam in vascular surgery (FEBVS).
CPT: none known
Version history
| Published | Title | Stage | Authors | Version |
| 2014 Jun 24 | Angioplasty versus bare metal stenting for superficial femoral artery lesions | Review | Mohammed M Chowdhury, Alexander D McLain, Christopher P Twine | |
| 2009 Apr 15 | Angioplasty versus stenting for superficial femoral artery lesions | Review | Christopher P Twine, James Coulston, Ahmed Shandall, Alexander D McLain | |
| 2007 Oct 17 | Angioplasty versus stenting for superficial femoral artery lesions | Protocol | Christopher Twine, James Coulston, Ahmed Shandall, David McLain | |
Differences between protocol and review
We assessed clinical outcome as a secondary outcome to allow the assessment of ankle brachial index (ABI) and treadmill walking distance.
We could not stratify data for whether the interventions tested were performed for claudication or for critical limb ischaemia, as RCTs did not report individual data.
We assessed the methodological quality of the included studies using the 'Risk of bias' tool from The Cochrane Collaboration (Higgins 2011).
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Aged; Female; Humans; Male;
PICO
Study flow diagram.
Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
Forest plot of comparison: 1 Angioplasty versus stenting at 6 months, outcome: 1.1 Duplex patency.
Forest plot of comparison: 1 Angioplasty versus stenting at 6 months, outcome: 1.2 Angiographic patency.
Forest plot of comparison: 2 Angioplasty versus stenting at 12 months, outcome: 2.1 Duplex patency.
Forest plot of comparison: 2 Angioplasty versus stenting at 12 months, outcome: 2.2 Angiographic patency.
Funnel plot of comparison: 2 Angioplasty versus stenting at 12 months, outcome: 2.1 Duplex patency.
Comparison 1 Angioplasty versus stenting at 6 months, Outcome 1 Duplex patency.
Comparison 1 Angioplasty versus stenting at 6 months, Outcome 2 Angiographic patency.
Comparison 1 Angioplasty versus stenting at 6 months, Outcome 3 Ankle brachial index.
Comparison 1 Angioplasty versus stenting at 6 months, Outcome 4 Treadmill walking distance.
Comparison 1 Angioplasty versus stenting at 6 months, Outcome 5 Quality of life.
Comparison 2 Angioplasty versus stenting at 12 months, Outcome 1 Duplex patency.
Comparison 2 Angioplasty versus stenting at 12 months, Outcome 2 Angiographic patency.
Comparison 2 Angioplasty versus stenting at 12 months, Outcome 3 Ankle brachial index.
Comparison 2 Angioplasty versus stenting at 12 months, Outcome 4 Treadmill walking distance.
Comparison 2 Angioplasty versus stenting at 12 months, Outcome 5 Quality of life.
Comparison 3 Angioplasty versus stenting at 24 months, Outcome 1 Duplex patency.
Comparison 3 Angioplasty versus stenting at 24 months, Outcome 2 Angiographic patency.
Comparison 3 Angioplasty versus stenting at 24 months, Outcome 3 Ankle brachial index.
Comparison 3 Angioplasty versus stenting at 24 months, Outcome 4 Treadmill walking distance.
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Duplex patency Show forest plot | 6 | 578 | Odds Ratio (M‐H, Random, 95% CI) | 2.90 [1.17, 7.18] |
| 2 Angiographic patency Show forest plot | 4 | 329 | Odds Ratio (M‐H, Fixed, 95% CI) | 2.49 [1.49, 4.17] |
| 3 Ankle brachial index Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 4 Treadmill walking distance Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 5 Quality of life Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 5.1 Physical quality of life | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 5.2 Mental quality of life | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Duplex patency Show forest plot | 9 | 858 | Odds Ratio (M‐H, Random, 95% CI) | 1.78 [1.02, 3.10] |
| 2 Angiographic patency Show forest plot | 5 | 384 | Odds Ratio (M‐H, Fixed, 95% CI) | 1.30 [0.84, 2.00] |
| 3 Ankle brachial index Show forest plot | 4 | 441 | Mean Difference (IV, Random, 95% CI) | 0.03 [‐0.05, 0.11] |
| 4 Treadmill walking distance Show forest plot | 2 | 240 | Mean Difference (IV, Random, 95% CI) | 41.72 [‐102.34, 185.78] |
| 5 Quality of life Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 5.1 Physical quality of life | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| 5.2 Mental quality of life | 1 | Mean Difference (IV, Fixed, 95% CI) | 0.0 [0.0, 0.0] | |
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Duplex patency Show forest plot | 3 | 188 | Odds Ratio (M‐H, Fixed, 95% CI) | 1.67 [0.91, 3.07] |
| 2 Angiographic patency Show forest plot | 2 | 74 | Odds Ratio (M‐H, Fixed, 95% CI) | 0.70 [0.28, 1.77] |
| 3 Ankle brachial index Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| 4 Treadmill walking distance Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
