Baseline characteristics of a retrospective patient cohort in the Korean vascular intervention society endovascular therapy in lower limb artery diseases (K-VIS ELLA) registry

Young Guk Ko, Chul Min Ahn, Pil Ki Min, Jae Hwan Lee, Chang Hwan Yoon, Cheol Woong Yu, Seung Whan Lee, Sang Rok Lee, Seung Hyuk Choi, Yoon Seok Koh, In Ho Chae, Donghoon Choi

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Abstract

Background and Objectives: The Korean Vascular Intervention Society Endovascular Therapy in Lower Limb Artery Diseases (K-VIS ELLA) Registry is a multicenter observational study with retrospective and prospective cohorts of patients with lower extremity peripheral artery disease (PAD) undergoing endovascular treatment. In this study, we report the baseline characteristics of this retrospective cohort. Subjects and Methods: In the present study we analyzed datasets of 3073 patients with 3972 target limbs from a retrospective cohort treated with endovascular therapy in 31 Korean hospitals. Data regarding patient baseline clinical and lesion characteristics and postintervention medications were collected from electronic medical records. Results: The mean patient age was 68.3 }9.4 years. The majority were male (82.1%) with comorbidities such as diabetes mellitus (58.0%), hypertension (73.4%), and coronary artery disease (CAD; 55.3%). Patients more commonly presented with intermittent claudication (66.3%) than with critical limb ischemia (CLI; 33.7%). Femoropopliteal artery (41.2%) was the most common target vessel for endovascular treatment, followed by the aortoiliac (35.6%) and infrapopliteal arteries (23.2%). TransAtlantic Inter-Society Consensus for the Management of Peripheral Artery Disease (TASC II) type C/D aortoiliac (48.0%) or femoropopliteal lesions (60.2%) were frequent targets of endovascular treatment. At hospital discharge, only 73.1% of patients received dual antiplatelet therapy and 69.2% received a statin. Conclusion: The majority of Korean patients with PAD exhibited conventional risk factors, such as male sex, older age, diabetes, and hypertension with coexisting CAD. Complex lesions were frequently treated with endovascular therapy. However, the rate of adherence to guidelines regarding post-procedural medical treatment requires improvement.

Original languageEnglish
Pages (from-to)469-476
Number of pages8
JournalKorean Circulation Journal
Volume47
Issue number4
DOIs
Publication statusPublished - 2017 Jul 1

Fingerprint

Blood Vessels
Registries
Lower Extremity
Arteries
Peripheral Arterial Disease
Therapeutics
Extremities
Hypertension
Guideline Adherence
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Intermittent Claudication
Electronic Health Records
Multicenter Studies
Observational Studies
Comorbidity
Coronary Artery Disease
Diabetes Mellitus
Ischemia

Keywords

  • Endovascular therapy
  • Lower extremity
  • Peripheral artery disease
  • Risk factors

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Baseline characteristics of a retrospective patient cohort in the Korean vascular intervention society endovascular therapy in lower limb artery diseases (K-VIS ELLA) registry. / Ko, Young Guk; Ahn, Chul Min; Min, Pil Ki; Lee, Jae Hwan; Yoon, Chang Hwan; Yu, Cheol Woong; Lee, Seung Whan; Lee, Sang Rok; Choi, Seung Hyuk; Koh, Yoon Seok; Chae, In Ho; Choi, Donghoon.

In: Korean Circulation Journal, Vol. 47, No. 4, 01.07.2017, p. 469-476.

Research output: Contribution to journalArticle

Ko, Young Guk ; Ahn, Chul Min ; Min, Pil Ki ; Lee, Jae Hwan ; Yoon, Chang Hwan ; Yu, Cheol Woong ; Lee, Seung Whan ; Lee, Sang Rok ; Choi, Seung Hyuk ; Koh, Yoon Seok ; Chae, In Ho ; Choi, Donghoon. / Baseline characteristics of a retrospective patient cohort in the Korean vascular intervention society endovascular therapy in lower limb artery diseases (K-VIS ELLA) registry. In: Korean Circulation Journal. 2017 ; Vol. 47, No. 4. pp. 469-476.
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abstract = "Background and Objectives: The Korean Vascular Intervention Society Endovascular Therapy in Lower Limb Artery Diseases (K-VIS ELLA) Registry is a multicenter observational study with retrospective and prospective cohorts of patients with lower extremity peripheral artery disease (PAD) undergoing endovascular treatment. In this study, we report the baseline characteristics of this retrospective cohort. Subjects and Methods: In the present study we analyzed datasets of 3073 patients with 3972 target limbs from a retrospective cohort treated with endovascular therapy in 31 Korean hospitals. Data regarding patient baseline clinical and lesion characteristics and postintervention medications were collected from electronic medical records. Results: The mean patient age was 68.3 }9.4 years. The majority were male (82.1{\%}) with comorbidities such as diabetes mellitus (58.0{\%}), hypertension (73.4{\%}), and coronary artery disease (CAD; 55.3{\%}). Patients more commonly presented with intermittent claudication (66.3{\%}) than with critical limb ischemia (CLI; 33.7{\%}). Femoropopliteal artery (41.2{\%}) was the most common target vessel for endovascular treatment, followed by the aortoiliac (35.6{\%}) and infrapopliteal arteries (23.2{\%}). TransAtlantic Inter-Society Consensus for the Management of Peripheral Artery Disease (TASC II) type C/D aortoiliac (48.0{\%}) or femoropopliteal lesions (60.2{\%}) were frequent targets of endovascular treatment. At hospital discharge, only 73.1{\%} of patients received dual antiplatelet therapy and 69.2{\%} received a statin. Conclusion: The majority of Korean patients with PAD exhibited conventional risk factors, such as male sex, older age, diabetes, and hypertension with coexisting CAD. Complex lesions were frequently treated with endovascular therapy. However, the rate of adherence to guidelines regarding post-procedural medical treatment requires improvement.",
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AU - Ahn, Chul Min

AU - Min, Pil Ki

AU - Lee, Jae Hwan

AU - Yoon, Chang Hwan

AU - Yu, Cheol Woong

AU - Lee, Seung Whan

AU - Lee, Sang Rok

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AU - Chae, In Ho

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AB - Background and Objectives: The Korean Vascular Intervention Society Endovascular Therapy in Lower Limb Artery Diseases (K-VIS ELLA) Registry is a multicenter observational study with retrospective and prospective cohorts of patients with lower extremity peripheral artery disease (PAD) undergoing endovascular treatment. In this study, we report the baseline characteristics of this retrospective cohort. Subjects and Methods: In the present study we analyzed datasets of 3073 patients with 3972 target limbs from a retrospective cohort treated with endovascular therapy in 31 Korean hospitals. Data regarding patient baseline clinical and lesion characteristics and postintervention medications were collected from electronic medical records. Results: The mean patient age was 68.3 }9.4 years. The majority were male (82.1%) with comorbidities such as diabetes mellitus (58.0%), hypertension (73.4%), and coronary artery disease (CAD; 55.3%). Patients more commonly presented with intermittent claudication (66.3%) than with critical limb ischemia (CLI; 33.7%). Femoropopliteal artery (41.2%) was the most common target vessel for endovascular treatment, followed by the aortoiliac (35.6%) and infrapopliteal arteries (23.2%). TransAtlantic Inter-Society Consensus for the Management of Peripheral Artery Disease (TASC II) type C/D aortoiliac (48.0%) or femoropopliteal lesions (60.2%) were frequent targets of endovascular treatment. At hospital discharge, only 73.1% of patients received dual antiplatelet therapy and 69.2% received a statin. Conclusion: The majority of Korean patients with PAD exhibited conventional risk factors, such as male sex, older age, diabetes, and hypertension with coexisting CAD. Complex lesions were frequently treated with endovascular therapy. However, the rate of adherence to guidelines regarding post-procedural medical treatment requires improvement.

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