Evidence mapPaperPMID 35797395Full record

Trial reportPloS one2022

Cilostazol effectiveness in reducing drug-coated stent restenosis in the superficial femoral artery: The ZERO study.

Takashi Miura, Yusuke Miyashita, Koji Hozawa, Tatsuki Doijiri, Tamon Kato, Naoki Hayakawa, Naoto Hashizume, Masatsugu Nakano, Uichi Ikeda, Koichiro Kuwahara and 1 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 5 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Takashi MiuraDepartment of Cardiology, Nagano Municipal Hospital, Nagano, Japan.ORCID 0000-0001-5443-0530
Yusuke MiyashitaDepartment of Cardiovascular Medicine, Shinshu University Hospital, Matsumoto, Japan.
Koji HozawaDepartment of Cardiology, New Tokyo Hospital, Matsudo, Japan.
Tatsuki DoijiriDepartment of Cardiology, Yamato Seiwa Hospital, Yamato, Japan.
Tamon KatoDepartment of Cardiovascular Medicine, Shinshu University Hospital, Matsumoto, Japan.
Naoki HayakawaDepartment of Cardiology, Asahi General Hospital, Asahi, Japan.
Naoto HashizumeDepartment of Cardiology, Shinonoi General Hospital, Nagano, Japan.
Masatsugu NakanoDepartment of Cardiology, Tokyo General Hospital, Nakano, Japan.
Uichi IkedaDepartment of Cardiology, Nagano Municipal Hospital, Nagano, Japan.
Koichiro KuwaharaDepartment of Cardiovascular Medicine, Shinshu University Hospital, Matsumoto, Japan.
ZERO Investigators
Shinshu University Hospital · JPNagano Municipal Hospital · JPAsahi General Hospital · JPNew Tokyo Hospital · JPNitobe Memorial Nakano General Hospital · JPSeiwa Hospital · JPShinonoi General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDrug-eluting stents (DESs) play an important role in endovascular therapy (EVT) for femoropopliteal (FP) lesions. Cilostazol improves patency after bare-metal nitinol stent (BNS) implantation for femoropopliteal lesions. This study aimed to establish whether cilostazol is effective in improving the patency of DESs and determine whether BNS or DESs with or without cilostazol are more effective in improving the 12-month patency after EVT for FP lesions. MATERIALS AND

methodsIn this prospective, open-label, multicenter study, 85 patients with symptomatic peripheral artery disease due to de novo FP lesions were enrolled and treated with DESs with cilostazol from eight cardiovascular centers between April 2018 and May 2019. They were compared with 255 patients from the DEBATE SFA study, in which patients were randomly assigned to the BNS, BNS with cilostazol, or DES groups. The primary endpoint was the 12-month patency rate using duplex ultrasound (peak systolic velocity ratio < 2.5). This study was approved by the ethics committee of each hospital.

resultsThe 12-month patency rates for the BNS, BNS with cilostazol, DES, and DES with cilostazol groups were 77.6%, 93.1%, 82.8%, and 94.2%, respectively (p = 0.007). The 12-month patency rate was higher in the DES with cilostazol group than in the DES group (p = 0.044). In small vessels, the DES with cilostazol group had a higher patency rate than the DES group (100.0% vs. 83.4%, p = 0.023).

conclusionsDES with cilostazol showed better patency than DES alone. Cilostazol improved patency after EVT with DES in FP lesions and small vessels. CLINICAL

trial registrationUniversity Hospital Medical Information Network Clinical Trials Registry (no. UMIN 000032473).

Indexed as

Drug-Eluting StentsPeripheral Arterial DiseaseCilostazolConstriction, PathologicFemoral ArteryHumansPopliteal ArteryProspective StudiesProsthesis DesignTreatment OutcomeVascular PatencyCilostazol

Identifiers

PMID35797395
PMCPMC9262206
OpenAlexW4284680749

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.