International Cross-Sectional Survey ON TReatment Of Occluded Femoro-Popliteal Stents (SUNROOF)

Autores da FMUP

• João Manuel Palmeira Rocha Neves

  Autor

Participantes de fora da FMUP

• Bertagna, G
• Troisi, N
• Lepidi, S
• Patrone, L
• Yeung, KK
• Berchiolli, R
• Angiletta, D
• Antonello, M
• Asciutto, G
• Bafile, G
• Bahaa, N
• Bellosta, R
• Benedetto, F
• Bertoglio, L
• Bissacco, D
• Bosiers, M
• Bracale, UM
• Migliara, B
• Costas, R
• Pereira, TC
• Cvjetko, I
• D?Oria, M
• de Donato, G
• Deloose, K
• Digvijay, S
• Dorigo, W
• Dua, A
• Hussein, E
• Freyrie, A
• Garelli, G
• Gargiulo, M
• Shantonu, KG
• Isernia, G
• Mufty, H
• Ippoliti, A
• Kahlberg, A
• Korosoglou, G
• Kwok, R
• Langhoff, R
• Liapis, C
• Lichtenberg, M
• Maene, L
• Mansour, W
• Manzi, M
• Martelli, M
• Moreira, R
• Nikolov, N
• Oddi, FM
• Palena, LM
• Patelis, N
• Cebri?n, JP
• Piffaretti, G
• Pratesi, G
• Pulli, R
• Robinson, S
• Giudice, R
• Ruffino, MA
• Melo, R
• Saab, F
• Siani, A
• Sirignano, P
• Spiliopoulos, S
• Stavroulakis, K
• Tinelli, G
• Torsello, G
• Trimarchi, S
• Ucci, A
• van den Berg, JC
• van den Heuvel, D
• Van Herzeele, I
• Venermo, M
• Veraldi, GF
• Veroux, P
• Verzini, F
• Ysa, A
• Zayed, H
• Zlatanovic, P

Unidades de investigação

• Biomedicina

Abstract

<jats:sec><jats:title>Purpose:</jats:title><jats:p> The aim of this project is to explore practice patterns of experienced vascular specialists involved in the treatment of patients with arterial femoro-popliteal in-stent occlusion (ISO) and to understand key concepts and shared thoughts, throughout an international cross-sectional survey. </jats:p></jats:sec><jats:sec><jats:title>Materials and Methods:</jats:title><jats:p> The web-based survey was in English and included 31 questions. One-hundred experts were invited by email to fill in the survey anonymously on Google Forms using a dedicated link. Reminders were sent after the first 2 weeks. In addition to reporting of pooled responses, subanalyses of answers were also performed, according to country of origin (European vs non-European), years of experience (?20 years vs gt;20 years), and type of institution (Academic/University vs Non-academic/Private). </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 77 physicians from 22 countries completed the survey. Most responders were males (70/77, 91%). Most of the participants were vascular surgeons (58/77, 75%). Endovascular therapy was the preferred option in patients presenting with either acute limb ischemia, disabling intermittent claudication, or chronic limb-threatening ischemia. Atherectomy/thrombectomy+Drug-Coated Balloon (DCB) was the preferred endovascular modality (32/77, 42%). No differences between country of origin, years of experience, and type of institution of the participants were found. </jats:p></jats:sec><jats:sec><jats:title>Conclusions:</jats:title><jats:p> The international SUrvey oN TReatment Of Occluded Femoro-Popliteal Stent (SUNROOF) survey has suggested that endovascular therapy is the preferred method for the treatment of femoro-popliteal ISO. This survey could represent a good starting point for future research on comparison between open and endovascular approach and different devices, which currently lacks good-level scientific evidence and appropriate guidelines. </jats:p></jats:sec><jats:sec><jats:title>Clinical Impact</jats:title><jats:p> The international SUNROOF survey included 31 questions. It was performed by 77 vascular physicians from 22 countries. More than a half of respondents considered an endovascular approach as the preferred treatment modality in acute limb ischemia, disabling intermittent claudication, or chronic limb-threatening ischemia. Most responders agreed they would intensify the follow-up protocol and anti-thrombotic medications regimen after a first in-stent occlusion episode. This survey could represent a good starting point for future research on comparison between open and endovascular approach and different devices, which currently lacks of good level scientific evidence and appropriate guidelines. </jats:p></jats:sec>

Keywords

• occluded femoro-popliteal stent; peripheral arterial disease