{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:09:33Z","timestamp":1778238573796,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T00:00:00Z","timestamp":1729555200000},"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":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Percutaneous old balloon angioplasty is still the preferred treatment for the treatment of below-the-knee (BTK) arteries in chronic limb-threatening ischemia (CLTI). In the case of a suboptimal angioplasty result, a bailout stenting is required. So far, few data are available to assess the outcomes of bailout stenting after BTK angioplasty. This study aims to investigate the 1-year efficacy and safety after implantation of a polymer everolimus-eluting stent (PEES) as bailout stenting for BTK repair in patients with CLTI in a real-world setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This was a national multicenter prospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients with CLTI (Rutherford 4 to 6) BTK lesions (including P3) and requiring a bailout PEES due to dissection, thrombosis, or residual stenosis \u226530% after angioplasty were included. The freedom of a major adverse limb event at 12 months of the target limb was the primary endpoint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>XIENCE assessed 106 limbs (CLTI, 96.2%; chronic total occlusion, 2.8%) in 106 patients (mean age 77.1 years; males, 71.7%; diabetes mellitus, 66.9%; chronic kidney failure, 36.8%) with CLTI undergoing PEES stenting as a bailout for BTK lesions. Bailout stenting was required after 75.5% and 26.4% of residual stenosis and dissection, respectively. The mean diameter and length of the PEES were 3 mm and 3.4 \u00b1 0.5 cm, respectively. At 1 year, the freedom of a major adverse limb event was 79.6% (95% CI, 71.5%-88.7%), the major amputation rate was 6.2% (95% CI, 1.3%-11%), and the target revascularization rate was 14.9% (95% CI, 6.5%-22.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In CLTI patients with BTK lesions, PEES stenting showed safety and efficacy as bailout stenting for BTK arterial lesions. This confirms the need for PEES stenting in a real-world practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Impact<\/jats:title>\n                    <jats:p>The XIENCE study introduces the PEES as an effective bailout stenting option for patients with CLTI undergoing BTK revascularization, particularly for lesions under 4 cm. The study focuses on real-world cases where POBA alone is insufficient, demonstrating that PEES significantly improves outcomes by enhancing limb salvage and reducing the need for major amputations. For clinicians, this innovation offers a precise, size-adaptable solution, especially in cases where bailout stenting is required for short, focal lesions, improving both clinical and procedural results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028241287175","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T08:24:08Z","timestamp":1729585448000},"page":"1059-1068","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Polymer Everolimus-Eluting Stent as Bailout Stenting for Below-the-Knee Artery Repair in Patients with Critical Limb-Threatening Ischemia: A Real-World National Registry"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7346-7415","authenticated-orcid":false,"given":"William","family":"Sebbag","sequence":"first","affiliation":[{"name":"Groupe hospitalier Paris Saint Joseph, Service de chirurgie vasculaire et endovasculaire, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Sauguet","sequence":"additional","affiliation":[{"name":"Clinique Pasteur, Toulouse Cedex 3, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thibault","family":"Demicheli","sequence":"additional","affiliation":[{"name":"Thibaud Demicheli, CH de Chartres, Chartres cedex, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serge","family":"Declemy","sequence":"additional","affiliation":[{"name":"H\u00f4pital Saint-Roch, Nice Cedex 1, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Lecorvec","sequence":"additional","affiliation":[{"name":"CHU de Nantes, Institut du thorax, Service de chirurgie vasculaire, Nantes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4me","family":"Brunet","sequence":"additional","affiliation":[{"name":"Clinique Rh\u00f4ne-Durance, Avignon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nellie","family":"Della Schiava","sequence":"additional","affiliation":[{"name":"Groupement hospitalier E. Herriot, LYON Cedex 03"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Sobocinski","sequence":"additional","affiliation":[{"name":"CHRU de Lille, Lille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Steinmetz","sequence":"additional","affiliation":[{"name":"CHU de Dijon, Service de chirurgie vasculaire, Dijon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yann","family":"Goueffic","sequence":"additional","affiliation":[{"name":"Groupe hospitalier Paris Saint Joseph, Service de chirurgie vasculaire et endovasculaire, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S209241"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.4.453"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.03.290"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2207899"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.25270\/jic\/19.3108.205"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.06.1198"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.07.011"},{"issue":"3","key":"e_1_3_3_9_2","first-page":"313","article-title":"Drug eluting stents in the treatment of below the knee arterial occlusive disease","volume":"54","author":"Varcoe RL.","year":"2013","unstructured":"Varcoe RL. 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