Cochrane · systematic review · CD009418

Subintimal angioplasty for lower limb arterial chronic total occlusions

Chang, Z, Zheng, J, Liu, Z · Cochrane Database of Systematic Reviews · 2016 · 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
16
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 4 · 25%Very low 0 · 0%Low 12 · 75%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

Subintimal angioplasty with stenting versus remote endarterectomy for TASC‐II D femoropopliteal lesions

Population: 95 people with Rutherford 3 to 5 TASC‐II D lesions
8 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical improvement: Rutherford classification improvement Rutherford classification
Subintimal angioplasty with stenting vs remote endarterectomy
RR 0.79 [0.61, 1.03]1 study · 95 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Clinical improvement: ABI improvement Significant postexercise ABI improvement
Subintimal angioplasty with stenting vs remote endarterectomy
RR 0.86 [0.68, 1.08]1 study · 95 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Technical success rate
Subintimal angioplasty with stenting vs remote endarterectomy
RR 0.97 [0.88, 1.07]1 study · 95 participantsLow
Downgraded: imprecision, inconsistency, indirectness
months' patency rate
Subintimal angioplasty with stenting vs remote endarterectomy
RR 0.75 [0.57, 1]1 study · 95 participantsLow
Downgraded: imprecision, inconsistency, indirectness
months' patency rate
Subintimal angioplasty with stenting vs remote endarterectomy
RR 0.74 [0.55, 1]1 study · 95 participantsLow
Downgraded: imprecision, inconsistency, indirectness
months' patency rate
Subintimal angioplasty with stenting vs remote endarterectomy
RR 0.76 [0.52, 1.11]1 study · 95 participantsLow
Downgraded: imprecision, inconsistency, indirectness
months' limb salvage rate
Subintimal angioplasty with stenting vs remote endarterectomy
RR 0.97 [0.9, 1.05]1 study · 95 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Complications
Subintimal angioplasty with stenting vs remote endarterectomy
RR 0.77 [0.14, 4.42]1 study · 95 participantsLow
Downgraded: imprecision, inconsistency, indirectness

OUTBACK re‐entry catheter versus manual re‐entry for chronic total occlusions in the superficial femoral artery

Population: 52 people with TASC‐II D superficial femoral artery chronic total occlusions
8 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical improvement
OUTBACK re‐entry catheter vs manual re‐entry
no estimate extracted1 study · 52 participantsUngraded
Technical success rate
OUTBACK re‐entry catheter vs manual re‐entry
RR 1 [0.93, 1.08]1 study · 52 participantsLow
Downgraded: imprecision, inconsistency, indirectness
months' patency rate
OUTBACK re‐entry catheter vs manual re‐entry
RR 1.04 [0.94, 1.15]1 study · 52 participantsLow
Downgraded: imprecision, inconsistency, indirectness
months' patency rate
OUTBACK re‐entry catheter vs manual re‐entry
RR 1.09 [0.9, 1.33]1 study · 52 participantsLow
Downgraded: imprecision, inconsistency, indirectness
months' primary patency rate
OUTBACK re‐entry catheter vs manual re‐entry
no estimate extracted1 study · 52 participantsUngraded
months' primary patency rate
OUTBACK re‐entry catheter vs manual re‐entry
no estimate extracted1 study · 52 participantsUngraded
Limb salvage
OUTBACK re‐entry catheter vs manual re‐entry
no estimate extracted1 study · 52 participantsUngraded
Complications
OUTBACK re‐entry catheter vs manual re‐entry
no estimate extracted1 study · 52 participantsLow
Downgraded: imprecision, inconsistency, indirectness