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Vol 29, No 1 (2023)
Research paper
Published online: 2023-06-26

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Influence of endovascular treatment on the vascular endothelium in patients with peripheral arterial disease: a systematic review

Paweł Kaczmarczyk1, Patrycja Łączak12, Paweł Pasieka12, Marcin Wojnarski1, Mikołaj Maga13, Mateusz Gajda145, Katarzyna Bogucka1, Marek Kaszuba6, Paweł Maga1
Acta Angiologica 2023;29(1):1-9.

Abstract

Peripheral arterial disease (PAD) is a major public health problem. Endothelial dysfunction represents an important mechanism in the development and progression of atherosclerosis, in part attributable to inflammation, platelet and smooth muscle activation, and arterial stiffening. The aim of this study was to explore the impact of lower limb revascularization on endothelial function in patients with PAD. We performed a comprehensive search of the academic literature using the PubMed and Embase databases to screen suitable records. Following the application of our search strategies, a total of eight studies were included in this review. Despite the limited available evidence, the dearth of academic literature suggests that revascularization has a positive effect on endothelial functioning. The effects of endovascular revascularization on endothelial functioning in patients with PAD are subject to further research.

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References

  1. Shu J, Santulli G. Update on peripheral artery disease: Epidemiology and evidence-based facts. Atherosclerosis. 2018; 275: 379–381.
  2. Virani SS, Alonso A, Aparicio HJ, et al. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation. 2021; 143(8): e254–e743.
  3. Savji N, Rockman CB, Skolnick AH, et al. Association between advanced age and vascular disease in different arterial territories: a population database of over 3.6 million subjects. J Am Coll Cardiol. 2013; 61(16): 1736–1743.
  4. Heiss C, Rodriguez-Mateos A, Kelm M. Central role of eNOS in the maintenance of endothelial homeostasis. Antioxid Redox Signal. 2015; 22(14): 1230–1242.
  5. Kals J, Zagura M, Serg M, et al. β2-microglobulin, a novel biomarker of peripheral arterial disease, independently predicts aortic stiffness in these patients. Scand J Clin Lab Invest. 2011; 71(4): 257–263.
  6. Brewer LC, Chai HS, Bailey KR, et al. Measures of arterial stiffness and wave reflection are associated with walking distance in patients with peripheral arterial disease. Atherosclerosis. 2007; 191(2): 384–390.
  7. Joras M, Poredos P. The association of acute exercise-induced ischaemia with systemic vasodilator function in patients with peripheral arterial disease. Vasc Med. 2008; 13(4): 255–262.
  8. Pawlaczyk K, Gabriel M, Urbanek T, et al. Changes in flow-mediated dilatation in patients with femoropopliteal occlusion receiving conservative and invasive treatment. Kardiol Pol. 2016; 74(8): 772–778.
  9. Hafner F, Seinost G, Gary T, et al. Are flow-mediated vasodilatation and intima-media thickness of the brachial artery associated with restenosis after endovascular treatment of peripheral arterial occlusive disease? Eur Radiol. 2010; 20(10): 2533–2540.
  10. Jacomella V, Shenoy A, Mosimann K, et al. The impact of endovascular lower-limb revascularisation on the aortic augmentation index in patients with peripheral arterial disease. Eur J Vasc Endovasc Surg. 2013; 45(5): 497–501.
  11. Peltokangas M, Suominen V, Vakhitov D, et al. The effect of percutaneous transluminal angioplasty of superficial femoral artery on pulse wave features. Comput Biol Med. 2018; 96: 274–282.
  12. Shafe O, Moosavi J, Shishehbor MH, et al. Effect of drug-coated balloons versus bare-metal stents on endothelial function in patients with severe lower limb peripheral artery disease. Vascular. 2020; 28(5): 548–556.
  13. van der Loo B, Krieger E, Katavic J, et al. Carotid intima-media thickness, carotid wall shear stress and restenosis after femoro-popliteal percutaneous transluminal angioplasty (PTA). Eur J Vasc Endovasc Surg. 2005; 30(5): 469–474.
  14. Kaczmarczyk P, Maga P, Niżankowski R, et al. The relationship between pulse waveform analysis indices, endothelial function and clinical outcomes in patients with peripheral artery disease treated using percutaneous transluminal angioplasty during a one-year follow-up period. Cardiol J. 2020; 27(2): 142–151.
  15. Husmann M, Dörffler-Melly J, Kalka C, et al. Successful lower extremity angioplasty improves brachial artery flow-mediated dilation in patients with peripheral arterial disease. J Vasc Surg. 2008; 48(5): 1211–1216.
  16. Moher D. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Ann Intern Med. 2009; 151(4): 264.
  17. Akamatsu D, Sato A, Goto H, et al. Nitroglycerin-mediated vasodilatation of the brachial artery may predict long-term cardiovascular events irrespective of the presence of atherosclerotic disease. J Atheroscler Thromb. 2010; 17(12): 1266–1274.
  18. Pellegrino T, Storto G, Filardi PP, et al. Relationship between brachial artery flow-mediated dilation and coronary flow reserve in patients with peripheral artery disease. J Nucl Med. 2005; 46(12): 1997–2002.
  19. Heiss C, Schroeter H, Balzer J, et al. Endothelial function, nitric oxide, and cocoa flavanols. J Cardiovasc Pharmacol. 2006; 47 Suppl 2: S128–35; discussion S172.
  20. Celermajer DS, Sorensen KE, Gooch VM, et al. Non-invasive detection of endothelial dysfunction in children and adults at risk of atherosclerosis. Lancet. 1992; 340(8828): 1111–1115.
  21. Kuvin JT, Patel AR, Sliney KA, et al. Assessment of peripheral vascular endothelial function with finger arterial pulse wave amplitude. Am Heart J. 2003; 146(1): 168–174.
  22. Hamburg N, Palmisano J, Larson M, et al. Relation of Brachial and Digital Measures of Vascular Function in the Community. Hypertension. 2011; 57(3): 390–396.
  23. Inaba Y, Chen JA, Bergmann SR. Prediction of future cardiovascular outcomes by flow-mediated vasodilatation of brachial artery: a meta-analysis. Int J Cardiovasc Imaging. 2010; 26(6): 631–640.
  24. Ras RT, Streppel MT, Draijer R, et al. Flow-mediated dilation and cardiovascular risk prediction: a systematic review with meta-analysis. Int J Cardiol. 2013; 168(1): 344–351.
  25. Xu Y, Arora RC, Hiebert BM, et al. Non-invasive endothelial function testing and the risk of adverse outcomes: a systematic review and meta-analysis. Eur Heart J Cardiovasc Imaging. 2014; 15(7): 736–746.
  26. Matsuzawa Y, Kwon TG, Lennon RJ, et al. Prognostic Value of Flow-Mediated Vasodilation in Brachial Artery and Fingertip Artery for Cardiovascular Events: A Systematic Review and Meta-Analysis. J Am Heart Assoc. 2015; 4(11).
  27. Scandale G, Dimitrov G, Recchia M, et al. Aortic augmentation index in patients with peripheral arterial disease. J Clin Hypertens (Greenwich). 2014; 16(11): 782–787.
  28. Vlachopoulos C, Aznaouridis K, Stefanadis C. Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis. J Am Coll Cardiol. 2010; 55(13): 1318–1327.
  29. Normahani P, Khosravi S, Sounderajah V, et al. The Effect of Lower Limb Revascularization on Flow, Perfusion, and Systemic Endothelial Function: A Systematic Review. Angiology. 2021; 72(3): 210–220.