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Growing Impact Of Restenosis On The Surgical Treatment Of Peripheral Arterial Disease, Douglas W. Jones, Andres Schanzer, Yuanyuan Zhao, Todd A. Mackenzie, Brian W. Nolan, Michael S. Conte, Philip P. Goodney
Growing Impact Of Restenosis On The Surgical Treatment Of Peripheral Arterial Disease, Douglas W. Jones, Andres Schanzer, Yuanyuan Zhao, Todd A. Mackenzie, Brian W. Nolan, Michael S. Conte, Philip P. Goodney
Andres Schanzer
BACKGROUND: Patients with peripheral arterial disease often experience treatment failure from restenosis at the site of a prior peripheral endovascular intervention (PVI) or lower extremity bypass (LEB). The impact of these treatment failures on the utilization and outcomes of secondary interventions is poorly understood. METHODS AND RESULTS: In our regional vascular quality improvement collaborative, we compared 2350 patients undergoing primary infrainguinal LEB with 1154 patients undergoing secondary infrainguinal LEB (LEB performed after previous revascularization in the index limb) between 2003 and 2011. The proportion of patients undergoing secondary LEB increased by 72% during the study period (22% of all LEBs …