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Monday, November 3, 2014

Meta-Analysis of Infrapopliteal Atherosclerotic Disease Treatment Shows Added Benefit with Drug-Eluting Stent Placement

There have been many advances in the treatment of critical limb ischemia, however, optimal management and factors affecting short and long-term procedural success have not been clearly elucidated. The authors performed a meta-analysis of 42 studies representing 3,660 unique patients. While the analysis focused primarily on short-term outcomes with a very heterogenous set of procedural and research methodologies, the manuscript found significant, device-dependent, differences. Technical success rates were higher with bare metal stents and drug-eluting stents than with atherectomy or percutaneous transluminal angioplasty. Further, DES use had higher primary patency rates than atherectomy, BMS, and PTA. In addition, the 30-day rate of TLR was significantly higher with PTA (8.1%) than with BMSs (2.2%; P < .05) and DESs (1.1%; P < .05).


Comments: 
While this study is limited due to a variety of factors, the analysis was surprising in the significant, device-dependent, differences that could be identified. While further research is necessary, the results support the use of DES in the setting of infrapopliteal disease to improve technical success, primary patency, and TLR rates.


Click here to see the full abstract




Artist rendition of a drug-eluting stent, reproduced via Vankatesh et al: http://www.slideshare.net/quizzito/bioabsorbable-drugeluting-cardiac-stent-analysis


Citation: Razavi MK, Mustapha JA, Miller LE. Contemporary Systematic Review and Meta-Analysis of Early Outcomes with Percutaneous Treatment for Infrapopliteal Atherosclerotic Disease. J Vasc Interv Radiol, 25 (2014) 1489-96.


Post author: Luke Wilkins, MD

16 comments:

  1. I was diagnose with genital warts since 2012 i have be taking lot treatment and all i got is outbreak. in 2015 I gave up the treatment because I can't continues wasting time and money on treatment at the end it will not cure me. about 6 weeks ago i did natural research online I had So many people talking good about natural remedy, after the research i was recommended to Dr onokun, And I wrote to him through his email and told him my problem after some conversations with him he gave me natural treatment after 1 week Dr onokun treated me i got cured permanently. and i went to see my doc he confirmed that the diseases has gone out from my body. every patients should know there is 100% natural hpv cure. contact Dr onokun his email address: dronokunherbalcure@gmail.com

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    Replies
    1. Thanks to Dr Azaka for the great work he did for me I was diagnosed of HPV human papillomavirus since 2012 and I was taking my
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    2. i already gave up on ever getting cured of HSV2 because i have try many treatment none of them work out for me i have go to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr ohunyom, in the net from a lady called Angela i contacted him and he reassured me with him herbal medicine which i took according to the way he instructed, that how i was cured. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under two weeks i was totally fee from #Herpes. i want to say a very big thank you to DR ohunyom for what he has done in my life. feel free to leave him a message on email drohunyom@gmail.com and also WhatsApp him +2349060579973..
      He can still be able to help you with this herbs medicine:
      1...ALS CURE/DIABETES CURE/EPILESY/HPV CURE/LUPUS/HEPATITIS/CANCER/GOUT      

      Delete
    3. Dr ohunyom herbal medicine is a good remedy for herpes simplex virus cure. My name is donald Joe  ,I just want to share this article about Dr ohunyom who helped me, i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by DR ohunyom, i visited different hospital but they gave me list of drugs like Familiar , Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how DR ohunyom cured them, when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without any problem, my HERPES result came out negative, I pray to God to never let me and my family forget you in our life,i am now cured permanently.you can also get your self cured, if you really need this dr's help,you can reach him now email:drohunyom@gmail. com Or whats app +2349060579973
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    4. Grateful to Dr LOSA for all his help for my life, my partner was having Herpes Simplex Virus, and we were planing on getting married on early December, when we decided to get ourselves tested first and we found out that my Girlfriend was HSV 2 Positive, my Girlfriend was so unhappy, because this was a barrier for us to get married, so i went out to search out a remedy for my partner, and it was so surprising how Dr LOSA has been a blessing and healing to the masses, after reading about his work on a blog i immediately emailed him: dr.losaherbalhome@gmail . com and he wrote back to me that my Girlfriend will be OK and that we we get married this same year, i couldn't believe it, after doing all that is needed to be done, i was surprise that after 2weeks of using his medicine my Girlfriend went to the doc and was diagnose negative. For more info contact his

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      Grateful to Dr LOSA for all his help for my life, my partner was having Herpes Simplex Virus, and we were planing on getting married on early December, when we decided to get ourselves tested first and we found out that my Girlfriend was HSV 2 Positive, my Girlfriend was so unhappy, because this was a barrier for us to get married, so i went out to search out a remedy for my partner, and it was so surprising how Dr LOSA has been a blessing and healing to the masses, after reading about his work on a blog i immediately emailed him: dr.losaherbalhome@gmail . com and he wrote back to me that my Girlfriend will be OK and that we we get married this same year, i couldn't believe it, after doing all that is needed to be done, i was surprise that after 2weeks of using his medicine my Girlfriend went to the doc and was diagnose negative. For more info contact his

      Whatsapp 2349056464736.OR

      email dr.losaherbalhome@gmail . com and you will get your illness cure and also beware of scams Good Luck

      He cure listed diseases

      CANCER

      HEPATITIS A AND B

      DIABETIC.

      HERPES

      https://drlosaherbslhome.wordpress.com




























      Grateful to Dr LOSA for all his help for my life, my partner was having Herpes Simplex Virus, and we were planing on getting married on early December, when we decided to get ourselves tested first and we found out that my Girlfriend was HSV 2 Positive, my Girlfriend was so unhappy, because this was a barrier for us to get married, so i went out to search out a remedy for my partner, and it was so surprising how Dr LOSA has been a blessing and healing to the masses, after reading about his work on a blog i immediately emailed him: dr.losaherbalhome@gmail . com and he wrote back to me that my Girlfriend will be OK and that we we get married this same year, i couldn't believe it, after doing all that is needed to be done, i was surprise that after 2weeks of using his medicine my Girlfriend went to the doc and was diagnose negative. For more info contact his

      Whatsapp 2349056464736.OR

      email dr.losaherbalhome@gmail . com and you will get your illness cure and also beware of scams Good Luck

      He cure listed diseases

      CANCER

      HEPATITIS A AND B

      DIABETIC.

      HERPES

      https://drlosaherbslhome.wordpress.com

      Delete
  2. Hi, I am Patrice cythia, from Houston, Texas, USA. I was living with HPV(human papilloma virus) for almost 2 years, i was not myself, my body was always inching with pains until i was on the internet searching for a remedy. So luckily, i was reading testimonials of clients who was cured of herpes by the amazing spell caster named Dr idedia, an ancient spell doctor from West Africa.I contacted him by email, and within 15 minutes he got back to me and ask of my details which i provide to him, he consulted his oracle and told me the solution to my problem and how to go about it, i did is he told me and about the two days i got the cure which he prepared and send to me through DHL service, i took the cure as instructed by him getting to two days i was cured, my HPV(human papilloma virus) was cured up. All thanks to the superb healing herbs of Dr idedia.
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  4. I want to share a testimony of how Dr UDI herbal mixture cream saved me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing ,and i was also having weak erection problem i had so many relationship called off because of my situation, i have used so many product which i found online but none could offer me the help i searched for Which was very painful and then i saw some few testimonies about this herbal specialist called Dr UDI and decided to email him on so I gave his herbal product a try. i emailed him and he got back to me and we discussed, he gave me some comforting words and encouraged me also ans then gave me his herbal pills and cream for Penis Enlargement Within 1 week of it, i began to feel the enlargement of my penis, " and now it just 2 weeks of using his products my penis is about 10 inches longer and am so happy contact Dr UDI via (drudiherbalhome@gmail.com) Via whatapp on this number +2348051243538

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  5. Useful post. I have been also suffering from penis problem like Morgan mentioned in his comments. I feel very shame for my problem but I can't tell anybody even my close friend. Lately I have visited many websites like 조루수술 to get a perfect solution whether it is surgery way or herbal method. But still i am in confused what to do and how to do it. Reading this precious and helpful article I got a new light to solve my problem. I appreciate your great work and of course for sharing it I would like to say cordial thanks. Love your work.

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  6. I found out, that taking herbal treatment is the best to get rid of (HPV) as soon as i feel the symptoms of (HPV) is appearing, i took the healing process by contacting Dr uza for natural treatment it works wonders, amazingly ever since I had the herbal treatment i have not feel these horrible disease anymore and my doc told me the virus is gone, i am glad i finally got cured out from this horrible disease. every (HPV) or herpes patients should also get in touch with this herbalist Dr to get ride of these disease forever his email address;druzaherbalcure@gmail.com

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  8. I has suffered for Human papillomavirus HPV) for 2years, I was given some tablets at the hospital but I refused to take it, They said I have to be on it for life so I don't want take a drugs everyday for life. No point in taking medicine everyday when u won't get cure from it and I was advice to seek for natural herbal cure, after some time I found dr onokun is the most trustful herbalist that have herbs to cure wicked symptom's,I emailed dr onokun, for 2weeks been his patient he cured my (HPV) with his herbal. I only used his natural herbs for two weeks it was 100% cure. I'm not (HPV) patient anymore. I'm happy about it i finally got cured out of this mess been in my body for 2years. I also recommend you if you're living with (HPV) or herpes symptoms i also want you to be free contact dr onokun with the email attach to my post. Dronokunherbalcure@gmail.com

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  10. I want to testify of how i got cured from Herpes By Dr Ofua Ofure, I have been living with this disease for the past 11months, i have done all i can to cure this disease but all my efforts proved abortive until i met an old friend of mine who told me about a herbalist from Africa who cures several types of diseases such as hepatitis A B and C, Human Papillomavirus (HPV),Herpes and so many more. though i have doubt about it,I decided to give it a try when i contacted this herbalist,he helped me cast a healing spell and send me a herbal medicine which i make use of according to his instructions and now behold the herpes is gone and i now have my life back,If you are out there living with this disease i will like you to get cure today by Contacting this great herbalist on his email: thegreatherbalhealinghome@gmail.com
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  11. i already gave up on ever getting cured of HSV2 because i have try many treatment none of them work out for me i have go to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr ohunyom, in the net from a lady called Angela i contacted him and he reassured me with him herbal medicine which i took according to the way he instructed, that how i was cured. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under two weeks i was totally fee from #Herpes. i want to say a very big thank you to DR ohunyom for what he has done in my life. feel free to leave him a message on email drohunyom@gmail.com and also WhatsApp him +2349060579973..
    He can still be able to help you with this herbs medicine:
    1...ALS CURE/DIABETES CURE/EPILESY/HPV CURE/LUPUS/HEPATITIS/CANCER/GOUT      

    ReplyDelete
    Replies
    1. Dr ohunyom herbal medicine is a good remedy for herpes simplex virus cure. My name is donald Joe  ,I just want to share this article about Dr ohunyom who helped me, i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by DR ohunyom, i visited different hospital but they gave me list of drugs like Familiar , Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how DR ohunyom cured them, when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without any problem, my HERPES result came out negative, I pray to God to never let me and my family forget you in our life,i am now cured permanently.you can also get your self cured, if you really need this dr's help,you can reach him now email:drohunyom@gmail. com Or whats app +2349060579973
      This is real,
      He also has herbal cure for the Following DISEASES, eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer ETC

      Delete