One-year outcomes of the U.S. and Japanese regulatory trial of the Misago stent for treatment of superficial femoral artery disease (OSPREY study)

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• 作者：Takao Ohki ; MD^a ; ^{takohki@msn.com" class="auth_mail" title="E-mail the corresponding author} ; John F. Angle ; MD^b ; Hiroyoshi Yokoi ; MD^c ; Michael R. Jaff ; DO^d ; Jeffrey Popma ; MD^e ; Guy Piegari ; MD^f ; Yuji Kanaoka ; MD^a ; for the OSPREY investigatorsTakao Ohki ; MD ; PhD ; J. Fritz Angle ; MD ; Andrew Feiring ; MD ; Brian Nelson ; MD ; Marc Glickman ; MD ; Marcelo Guimaraes ; MD ; Patrick Hall ; MD ; Sarah Johnson ; MD ; William Jordan ; MD ; Omran Khoudoud ; MD ; Daniel Leung ; MD ; Joseph McGarvey ; MD ; James McKinsey ; MD ; Roman Nowygrod ; MD ; Nicolas Shammas ; MD ; Daniel Carey ; MD ; Srinivas Iyengar ; MD ; Daniel Isenbarger ; MD ; Vaqar Ali ; MD ; Majdi Ashchi ; DO ; Ernesto Rivera ; MD ; Mohammed Moursi ; MD ; William Bachinsky ; MD ; Christopher Metzger ; MD ; Guy Piegari ; MD ; Herbert Aronow ; MD ; Bret Wiechmann ; MD ; Christopher Callicutt ; MD ; Ian Gordon ; PhD ; MD ; Peter Chaille ; MD ; Andrey Espinoza ; MD ; Malcolm Foster ; MD ; Mel Sharafuddin ; MD ; Rakesh Shah ; MD ; Frank Bunch ; MD ; Stuart Harlin ; MD ; Dr Masashi Iwabuchi ; Dr Kenji Ando ; Dr Kimihiko Kichikawa ; Dr Toshiya Muramatsu ; Dr Kazushi Urasawa ; Dr Yoshiaki Yokoi ; Dr Masaaki Uematsu ; Dr Ping-Han Lo ; Dr Chi-Hung Huang ; Dr Hsien-Li Kao ; Prof HwanJun Jae
• 刊名：Journal of Vascular Surgery
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：63
• 期：2
• 页码：370-376.e1
• 全文大小：478 K

文摘

The purpose of this study was to assess the safety and efficacy of the Misago stent (Terumo Corp, Tokyo, Japan) in occlusive and stenotic superficial femoral artery (SFA) disease.

Methods

The safety and efficacy of the Misago SFA stent were evaluated prospectively in this initial collaboration trial between Japan and the United States. Because this trial enrolled patients mainly from Japan and the United States and because there is a question as to whether a race difference exists in SFA stent performance, the race difference on outcome was also analyzed. In addition, results were compared with a prior SFA stent trial.

Results

The Misago stent was implanted in 261subjects with TransAtlantic Inter-Society Consensus (TASC) type A and type B SFA lesions (201 subjects in the United States, 50 in Japan, 9 in Taiwan, 1 in South Korea). The mean age of the patients was 69.3 ± 10.0 years, and the mean lesion length was 83.8 ± 41.3 mm. The overall 12-month primary patency rate and clinically driven target lesion revascularization were 82.9% and 13.0%, respectively. Regional differences within the Occlusive/Stenotic Peripheral Artery Revascularization Study (OSPREY) and outcomes between U.S. and Asian patients were similar, including primary patency (82.9% vs 83.0%; P = .889), clinically driven target lesion revascularization (13.4% vs 11.7%; P = .829), stent fracture rate (1.3% vs 0.0%; P = 1.000), and stent thrombosis rate (0.5% vs 0.0%; P = 1.000).

Conclusions

OSPREY 12-month data showed satisfactory outcome of the Misago stent for the treatment of TASC type A and type B SFA lesions and appears to be comparable to recent stent trials. In addition, the lack of difference in outcome among races supports the value of international trials.