{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T07:00:51Z","timestamp":1771225251495,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T00:00:00Z","timestamp":1754956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T00:00:00Z","timestamp":1754956800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With endovascular treatment (EVT) becoming the preferred approach for long femoro\u2010popliteal (FP) lesions, stent\u2010grafts (SGs) have seen increased use in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study assessed the efficacy of combining SGs with other scaffold devices in treating long FP lesions in patients with symptomatic lower extremity arterial disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study retrospectively reviewed 3132 patients treated with EVT for FP lesions at seven cardiovascular centers in eastern Japan between January 2017 and February 2021. Acute limb ischemia treatments were excluded from this analysis. We performed propensity score matching to compare patency rates between cases treated with SGs combined with other scaffold devices and those treated with SGs alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study enrolled 291 participants. We assigned 81 cases to the combined\u2010use group and 210 to the SG\u2010alone group. Propensity score matching yielded 41 matched pairs exhibiting no significant differences in baseline characteristics, including lesion length (28.4\u2009\u00b1\u200910.3 vs. 27.7\u2009\u00b1\u20099.3\u2009cm). The 1\u2010year rate of freedom from restenosis was 71.6% in the combined\u2010use group compared with 84.6% in the SG\u2010alone group; the corresponding 3\u2010year rate was 64.4% versus 72.6% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.83). No statistically significant differences were observed between the two groups in terms of freedom from target lesion revascularization, occlusive restenosis, or acute limb ischemia (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.99, 0.72, and 0.11, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both treatment strategies yielded acceptable outcomes in the management of complex FP lesions. Although the combined\u2010use group experienced an earlier decline in patency than the SG\u2010alone group, this difference was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Since this study is a retrospective analysis from a multicenter registry, trial registration is unnecessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70093","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T13:49:01Z","timestamp":1755006541000},"page":"2495-2503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Combined Therapy of Stent\u2010Grafts With Other Scaffolds in Femoro\u2010Popliteal Artery"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6969-4456","authenticated-orcid":false,"given":"Yo","family":"Iwata","sequence":"first","affiliation":[{"name":"Department of Cardiology Funabashi Municipal Medical Center Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5105-041X","authenticated-orcid":false,"given":"Mitsuyoshi","family":"Takahara","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine Osaka University Graduate School of Medicine Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1913-6894","authenticated-orcid":false,"given":"Kazuki","family":"Tobita","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shonan Kamakura General Hospital Kamakura Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4168-2808","authenticated-orcid":false,"given":"Naoki","family":"Hayakawa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Asahi General Hospital Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9037-867X","authenticated-orcid":false,"given":"Shinsuke","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Cardiology Yokohama\u2010City Tobu Hospital Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8614-7729","authenticated-orcid":false,"given":"Kazunori","family":"Horie","sequence":"additional","affiliation":[{"name":"Department of Cardiology Sendai Kousei Hospital Sendai 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