Determination of Risk Factors and Establishment of a Prediction Model for Immediate Technical Failure during Endovascular Treatment of Femoropopliteal Occlusive Disease

doi:10.1016/j.avsg.2017.09.024

科研成果详情

题名	Determination of Risk Factors and Establishment of a Prediction Model for Immediate Technical Failure during Endovascular Treatment of Femoropopliteal Occlusive Disease
作者	Qiu, Yi-Hui1; Yu, Guan-Feng1; Zhou, Huan-Hao 1; Xia, Hu-Wei1; Chen, Li 1; Chen, Hao-Tian1; Jiao, Yuan-Yong 2; Wu, Zi-Heng 3; Zheng, Xiang-Tao 1
发表日期	2018-04
发表期刊	ANNALS OF VASCULAR SURGERY 影响因子和分区
语种	英语
原始文献类型	Article
其他关键词	PERIPHERAL ARTERIAL-DISEASE ; REENTRY CATHETER ; RECANALIZATION ; INTERVENTION ; LESIONS ; SAFETY ; CLASSIFICATION ; MANAGEMENT ; CONVERSION ; MORTALITY
摘要	Background: For long femoropopliteal occlusive lesions, the immediate technical failure (ITF) of endovascular treatment (EVT) is relatively high. Therefore, this study aims to reveal risk factors and establish a prediction model of ITF of EVT in femoropopliteal occlusive disease (FPOD) patients based on preoperative clinical date that may be helpful to the clinical procedures. Methods: A retrospective analysis of 1,563 FPOD patients who underwent above-the-knee EVT was undertaken. Univariate analysis with chi-squared test was used to screen risk factors from preoperative clinical data. Multivariable analysis with logistic regression was used to generate a model for predicting the ITF rate of EVT, which was evaluated through the receiver operating characteristic curve and another independent cohort of 242 FPOD patients. Results: Risk factors for ITF during EVT in FPOD included age (>80 years, X-1), the absence of diabetes mellitus (X-2), low-density lipoprotein (>160 mg/dL, X-3), lesion calcification (X-4), lesion length (>20 cm, X-5), ostial occlusion of superficial femoral artery (SFA) (X-6), and SFA lesion involving the popliteal artery (X-7). A logistic regression model was established based on the equation: -6.504 + 1.236X(1) + 0.945X(2) + 1.406X(3) + 1.136X(4) + 1.059X(5) + 2.307X(6) + 2.194X(7). Scores were given to risk factors as follows: X-1 (yes = 12, no = 0), X-2 (yes = 9, no = 0), X-3 (yes = 14, no = 0), X-4 (yes = 11, no = 0), X-5 (yes = 11, no = 0), X-6 (yes = 23, no = 0), and X-7 (yes = 22, no = 0). We determined that the optimal comprehensive score for predicting EVT failure was 39, with a sensitivity of 0.847 and a specificity of 0.8. Among these 242 peripheral arterial disease patients, 12 of 14 patients who had failed EVT had a comprehensive score of >39. Conclusions: We identified a number of risk factors of ITF during the above-the-knee EVT and established a prediction model that may be used for guidance in clinical practice.
资助项目	National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81200233]; Zhejiang Medicine and Health Science and Technology Program [2014KYA080]; Natural Science Foundation of Zhejiang ProvinceNatural Science Foundation of Zhejiang Province [LY16H020004, LY17H020011]
出版者	ELSEVIER SCIENCE INC
出版地	NEW YORK
ISSN	0890-5096
EISSN	1615-5947
卷号	48 页码:35-44
DOI	10.1016/j.avsg.2017.09.024
页数	10
WOS类目	Surgery ; Peripheral Vascular Disease
WOS研究方向	Surgery ; Cardiovascular System & Cardiology
WOS记录号	WOS:000427574700002
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	29217435
SCOPUSEID	2-s2.0-85039149632
通讯作者地址	[Zheng, Xiang-Tao]Department of Vascular Surgery,The First Affiliated Hospital of Wenzhou Medical University,Nanbaixiang, Ouhai District,Wenzhou,325015,China
Scopus学科分类	Surgery;Cardiology and Cardiovascular Medicine
引用统计	被引频次：6[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/7388
专题	附属第一医院_血管外科
通讯作者	Zheng, Xiang-Tao
作者单位	1.Department of Vascular Surgery,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China; 2.Department of Vascular Surgery,The First Affiliated Hospital of Nanjing Medical University,Nanjing,China; 3.Department of Vascular Surgery,The First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,China
第一作者单位	附属第一医院; 第一临床医学院（信息与工程学院）、附属第一医院
通讯作者单位	附属第一医院; 第一临床医学院（信息与工程学院）、附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Qiu, Yi-Hui,Yu, Guan-Feng,Zhou, Huan-Hao,et al. Determination of Risk Factors and Establishment of a Prediction Model for Immediate Technical Failure during Endovascular Treatment of Femoropopliteal Occlusive Disease[J]. ANNALS OF VASCULAR SURGERY,2018,48:35-44.
APA	Qiu, Yi-Hui., Yu, Guan-Feng., Zhou, Huan-Hao., Xia, Hu-Wei., Chen, Li., ... & Zheng, Xiang-Tao. (2018). Determination of Risk Factors and Establishment of a Prediction Model for Immediate Technical Failure during Endovascular Treatment of Femoropopliteal Occlusive Disease. ANNALS OF VASCULAR SURGERY, 48, 35-44.
MLA	Qiu, Yi-Hui,et al."Determination of Risk Factors and Establishment of a Prediction Model for Immediate Technical Failure during Endovascular Treatment of Femoropopliteal Occlusive Disease".ANNALS OF VASCULAR SURGERY 48(2018):35-44.