{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T18:41:43Z","timestamp":1775932903374,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T00:00:00Z","timestamp":1694649600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003399","name":"Science and Technology Commission of Shanghai Municipality","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003399","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Endovascular recanalizaiton (ER) has been proven to be a feasible method for Thromboangiitis Obliterans (TAO). The aims of this study were to evaluate the effectiveness and safety of atherectomy for TAO compared to nonatherectomy ER in our center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients diagnosed as TAO were reviewed from January 2016 to June 2021 in our center. Basic characteristics of patients before ER and perioperative data were collected and compared between the atherectomy and nonatherectomy groups. The vascular event\u2010free survival and limb salvage were calculated to evaluate the prognosis of TAO patients after ERs. Logistic Regression and Cox Regression were used to identify the risk factors for technical failure and prognosis, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010two TAO patients with 79 lower limbs who met the criteria were included in this report. Compared with the nonatherectomy group, no significant improvement was identified in ER technical success, vascular event\u2010free survival, or limb salvage in the atherectomy group. The total technical success rate was 91.1% (atherectomy group, 95.2%; nonatherectomy group, 89.7%), and the multiple limb involvement (<jats:italic>p<\/jats:italic>\u2009=\u20090.005; odds ratio [OR], 28.16; confidence interval [CI], 3.28\u2212241.55) was the independent risk factor for technical failure. The total vascular event\u2010free survival proportion was 66.05% and 58.40% at 1 and 3 years, respectively. Technical failure (OR, 5.61; 95% CI, 1.57\u221220.04; <jats:italic>p<\/jats:italic>\u2009=\u20090.008), and runoff grade 0 (OR, 3.28; 95% CI, 1.09\u22129.85; <jats:italic>p<\/jats:italic>\u2009=\u20090.034) were independent risk factors for vascular events. The total limb salvage proportion at 1 and 3 years was 95.84% and 92.53%, respectively. Technical failure (OR, 8.54; 95% CI, 1.71\u221240.73; <jats:italic>p<\/jats:italic>\u2009=\u20090.02) was identified as an independent risk factor for above ankle amputation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No significant difference in prognosis was found between the atherectomy group and the nonatherectomy group during a midterm follow\u2010up. The technical success of ER was crucial for TAO prognosis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30801","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T17:35:28Z","timestamp":1694712928000},"page":"713-720","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Assessment of atherectomy treatment for Thromboangiitis Obliterans: A single center experience"],"prefix":"10.1002","volume":"102","author":[{"given":"Song","family":"Xue","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery Shanghai Ninth People's Hospital Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Shanghai Ninth People's Hospital Shanghai 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