{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:22:39Z","timestamp":1791386559505,"version":"4.3.3"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,12,23]],"date-time":"2016-12-23T00:00:00Z","timestamp":1482451200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:p>Purpose: To report a single-center study comparing drug-coated balloon (DCB) angioplasty vs directional atherectomy with antirestenotic therapy (DAART) for isolated lesions of the popliteal artery. Methods: Seventy-two patients were treated with either DCB angioplasty alone (n=31) or with DAART (n=41) for isolated popliteal artery stenotic disease between October 2009 and December 2015. The majority of patients presented with lifestyle-limiting claudication (74% vs 86%, respectively). Vessel calcification (29% vs 29%, respectively), mean lesion length (47 vs 42 mm, respectively), and number of runoff vessels were comparable between the groups. The primary outcome measure was primary patency; secondary outcomes were technical success (&lt;30% residual stenosis or bailout stenting), secondary patency, and freedom from clinically driven target lesion revascularization (TLR). Results: The technical success rate following DCB was 84% vs 93% (p=0.24) after DAART. The 12-month primary patency rate was significantly higher in the DAART group (65% vs 82%; hazard ratio 2.64, 95% confidence interval 1.09 to 6.37, p=0.021), while freedom from TLR did not differ between the 2 treatment strategies (82% vs 94%, p=0.072). Secondary patency at 12 months was identical for both groups (96% vs 96%). Although not statistically significant, bailout stenting was more common after DCB angioplasty (16% vs 5% for DAART, p=0.13) and aneurysmal degeneration of the popliteal artery was seen more often after DAART (7% vs 0% for DCB alone, p=0.25). Popliteal artery injury was observed in 2 patients treated using DAART (5% vs 0% for DCB alone, p=0.5), whereas distal embolization rates were comparable between the groups (3% for DCB alone vs 5% for DAART, p=0.99). Conclusion: In this study, the use of DAART was associated with a higher primary patency rate compared with DCB angioplasty for isolated popliteal lesions. Nonetheless, both treatment options were associated with excellent 12-month secondary patency. Aneurysmal degeneration of the popliteal artery and increased bailout stenting could compromise the outcomes of DAART and DCB, respectively.<\/jats:p>","DOI":"10.1177\/1526602816683933","type":"journal-article","created":{"date-parts":[[2017,3,24]],"date-time":"2017-03-24T00:48:47Z","timestamp":1490316527000},"page":"181-188","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":84,"title":["Directional Atherectomy With Antirestenotic Therapy vs Drug-Coated Balloon Angioplasty Alone for Isolated Popliteal Artery Lesions"],"prefix":"10.1177","volume":"24","author":[{"given":"Konstantinos","family":"Stavroulakis","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne","family":"Schwindt","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Torsello","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne","family":"Stachmann","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Hericks","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel J.","family":"Bosiers","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efthymios","family":"Beropoulis","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Stahlhoff","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodosios","family":"Bisdas","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, University of M\u00fcnster, Germany"},{"name":"Department of Vascular Surgery, St Franziskus-Hospital GmbH M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,12,23]]},"reference":[{"key":"bibr1-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.113.000937."},{"key":"bibr2-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.10.093"},{"key":"bibr3-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.09.011"},{"key":"bibr4-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-015-1113-4"},{"key":"bibr5-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815626557"},{"key":"bibr6-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv204"},{"key":"bibr7-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815608194"},{"key":"bibr8-1526602816683933","volume-title":"Paper presented at: VIVA 2014: Vascular Interventional Advances","author":"Zeller T."},{"key":"bibr9-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25384"},{"key":"bibr10-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.03.052"},{"key":"bibr11-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.02.019"},{"key":"bibr12-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2012.04.007"},{"key":"bibr13-1526602816683933","first-page":"347","volume":"55","author":"Beschorner U","year":"2014","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr14-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815600156"},{"key":"bibr15-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.09.063"},{"key":"bibr16-1526602816683933","volume-title":"Paper presented at Charing Cross International Symposium","author":"Tepe G."},{"key":"bibr17-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1583\/13-4392R.1"},{"key":"bibr18-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.05.006"},{"key":"bibr19-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.03.291"},{"key":"bibr20-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.113.000945"},{"key":"bibr21-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1583\/05-1780MR.1"},{"key":"bibr22-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815597683"},{"key":"bibr23-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2009.10.021"},{"key":"bibr24-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1538574409345028"},{"key":"bibr25-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1526602814564386"},{"key":"bibr26-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1583\/11-3591MR.1"},{"key":"bibr27-1526602816683933","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV10I7A147"},{"key":"bibr28-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816639543"},{"key":"bibr29-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815607187"},{"key":"bibr30-1526602816683933","doi-asserted-by":"publisher","DOI":"10.1177\/1526602814564382"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602816683933","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602816683933","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602816683933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:31:59Z","timestamp":1777498319000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602816683933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,23]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1177\/1526602816683933"],"URL":"https:\/\/doi.org\/10.1177\/1526602816683933","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,23]]}}}