Cochrane · systematic review · CD006680

Atherectomy for peripheral arterial disease

Wardle, BG, Ambler, GK, Radwan, RW, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

VascularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
12
No studies
2
Included studies
NR
No studies 2 · 14.3%Ungraded 0 · 0%Very low 12 · 85.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Atherectomy compared to balloon angioplasty for peripheral arterial disease

Population: people with PAD
7 questions
OutcomeEffectEvidenceStatus / GRADE
Primary patency (
Atherectomy vs balloon angioplasty
RR 1.06 [0.94, 1.2]3 studies · 186 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Primary patency (
Atherectomy vs balloon angioplasty
RR 1.2 [0.78, 1.84]2 studies · 149 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Mortality (
Atherectomy vs balloon angioplasty
RR 0.5 [0.1, 2.66]3 studies · 210 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Fatal and non‐fatal cardiovascular events (
Atherectomy vs balloon angioplasty
no estimate extracted2 studies · 160 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
TVR (
Atherectomy vs balloon angioplasty
RR 0.51 [0.06, 4.42]2 studies · 136 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
TVR (
Atherectomy vs balloon angioplasty
RR 0.59 [0.25, 1.42]3 studies · 176 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Complication rates (
Atherectomy vs balloon angioplasty
RR 0.69 [0.28, 1.68]6 studies · 387 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Atherectomy compared to balloon angioplasty with primary stenting for peripheral arterial disease

Population: people with PAD
7 questions
OutcomeEffectEvidenceStatus / GRADE
Primary patency (
Atherectomy vs balloon angioplasty with primary stenting
no estimate extractedNRNo studies
Primary patency (
Atherectomy vs balloon angioplasty with primary stenting
no estimate extractedNRNo studies
Mortality (
Atherectomy vs balloon angioplasty with primary stenting
RR 0.38 [0.04, 3.23]1 study · 155 participantsVery low
Downgraded: risk of bias, imprecision
Fatal and non‐fatal cardiovascular events (
Atherectomy vs balloon angioplasty with primary stenting
RR 0.38 [0.04, 3.23]1 study · 155 participantsVery low
Downgraded: risk of bias, imprecision
TVR (
Atherectomy vs balloon angioplasty with primary stenting
RR 2.27 [0.95, 5.46]1 study · 155 participantsVery low
Downgraded: risk of bias, imprecision
TVR (
Atherectomy vs balloon angioplasty with primary stenting
RR 2.05 [0.96, 4.37]1 study · 155 participantsVery low
Downgraded: risk of bias, imprecision
Complication rates (
Atherectomy vs balloon angioplasty with primary stenting
RR 7.04 [0.8, 62.23]1 study · 155 participantsVery low
Downgraded: risk of bias, imprecision