{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T04:03:44Z","timestamp":1793246624278,"version":"4.5.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100004320","name":"Philips","doi-asserted-by":"publisher","award":["Research grant from Philips to GRN (GK)"],"award-info":[{"award-number":["Research grant from Philips to GRN (GK)"]}],"id":[{"id":"10.13039\/100004320","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Med"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Endarterectomy (open repair) represents the gold-standard for common femoral atherosclerotic disease (CFAD) treatment. However, with developments like atherectomy, endovascular therapy (endovascular revascularization) may offer an alternative option. The aim of the present study was to evaluate the safety and effectiveness of endovascular versus open therapy for the CFAD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The ARISTON (AtheRectomy-assIsted endovaScular Therapy versus OpeN) study was an 11-center research collaborative in which data from consecutive patients with symptomatic CFAD were analyzed. Retrospective matching was performed for patient-specific characteristics, including age, cardiovascular risk factors and comorbidities, and lesion-specific variables, including lesion calcification and complexity. Primary endpoints were all-cause mortality and freedom from clinically driven target lesion revascularization (CD-TLR). Amputation-free survival (AFS) was a secondary endpoint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      From 2015 to 2022, 826 patients undergoing endovascular (\n                      <jats:italic>n<\/jats:italic>\n                      = 213 [25.8%]) versus open therapy (\n                      <jats:italic>n<\/jats:italic>\n                      = 613 [74.2%]) were analyzed. The total number of procedural complications was higher with open therapy, whereas hospital stay was shorter with endovascular therapy (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.0001 for both). Major adverse cardiac and limb events at 30-day outcomes were, however, not statistically different (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.06). Bail-out stent rates with atherectomy-assisted endovascular therapy were 5.1%. After matching and during 1.72 (0.9\u20133.3) years of follow up, all-cause mortality, AFS, and CD-TLR were not statistically different in endovascular versus open therapy (HR = 0.68, 95% CI 0.36\u20131.29; HR = 1.5, 95% CI 0.59\u20133.77; and HR = 1.46, 95% CI 0.61\u20133.49,\n                      <jats:italic>p<\/jats:italic>\n                      = NS for all).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Endovascular and open therapy exhibit comparable outcomes for the treatment of patients with symptomatic CFAD, including similar CD-TLR in patients with claudication and AFS in patients with chronic limb-threatening ischemia, during short-term follow up. Atherectomy-assisted endovascular therapy may therefore provide a useful alternative for patients who are unfit for surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1358863x251323508","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T10:06:34Z","timestamp":1741860394000},"page":"170-182","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Atherectomy-assisted endovascular therapy versus open repair for atherosclerotic common femoral artery disease: The multicenter ARISTON study"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6038-2253","authenticated-orcid":false,"given":"Grigorios","family":"Korosoglou","sequence":"first","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Weinheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason T","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Stanford University Medical Center, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Andrassy","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, F\u00fcrst Stirum Clinic Bruchsal, Bruchsal, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drosos","family":"Kotelis","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3024-5677","authenticated-orcid":false,"given":"Marco V","family":"Usai","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Franziskus Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"D\u2019Oria","sequence":"additional","affiliation":[{"name":"Department of Clinical Surgical and Health Sciences, University of Trieste, Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Coscas","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, CHU Ambroise Par\u00e9, Assistance Publique \u2013 H\u00f4pitaux de Paris (AP-HP), Paris, France"},{"name":"University Versailles-Saint Quentin, University Paris-Saclay, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Troisi","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of Pisa, Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahaa","family":"Nasr","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, CHU Brest Hospital, Brest, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios","family":"Saratzis","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solon","family":"Antoniades","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Isar Klinikum M\u00fcnchen, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos P","family":"Donas","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Langen, Langen, Germany"},{"name":"Department of Vascular and Endovascular Surgery, Rhein Main Vascular Center, Asklepios Clinics Langen\u2013Paulinen\u2013Wiesbaden\u2013Seligenstadt, Langen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"803","article-title":"Open surgical thrombendarterectomy versus endovascular treatment in occlusive processes of the femoral artery bifurcation","volume":"119","author":"Hoffmann-Wieker CM","year":"2022","unstructured":"Hoffmann-Wieker CM, Ronellenfitsch U, Rebelo A, et al Open surgical thrombendarterectomy versus endovascular treatment in occlusive processes of the femoral artery bifurcation. 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