Volume 41 Issue 11
Dec.  2020
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Jin-jiang YANG, Liu-jiang LI, Shi-jun SHEN, Zhao-xiang LI, Yong YANG, Guo-jian LI. Clinical Trial of Rivaroxaban after Implantation of Stent for Femoral Popliteal Atherosclerosis Occlusion[J]. Journal of Kunming Medical University, 2020, 41(11): 83-87. doi: 10.12259/j.issn.2095-610X.S20201122
Citation: Jin-jiang YANG, Liu-jiang LI, Shi-jun SHEN, Zhao-xiang LI, Yong YANG, Guo-jian LI. Clinical Trial of Rivaroxaban after Implantation of Stent for Femoral Popliteal Atherosclerosis Occlusion[J]. Journal of Kunming Medical University, 2020, 41(11): 83-87. doi: 10.12259/j.issn.2095-610X.S20201122

Clinical Trial of Rivaroxaban after Implantation of Stent for Femoral Popliteal Atherosclerosis Occlusion

doi: 10.12259/j.issn.2095-610X.S20201122
  • Received Date: 2020-08-23
    Available Online: 2020-12-03
  • Publish Date: 2020-11-25
  •   Objective  To study the efficacy and safety of rivaroxaban after stent implantation of the femoral popliteal atherosclerosis occlusion stent.  Methods  Eighty-seven patients who met the criteria were randomly divided into 45 cases in the treatment group and 42 cases in the control group. There was no statistically significant difference in the general information between the two groups. The treatment group was given rivaroxaban tablets 10 mg each time, po, qd and aspirin enteric-coated tablets 100 mg each time, po, qd; the control group was given aspirin enteric-coated tablets 100 mg, po, qd each time, both groups were given Atorvastatin 10 mg, po, qd and Beraprost sodium tablets 40 μg, po, tid, all patients were urged to quit smoking. Observe the relevant efficacy indicators such as ABI, claudication distance, stent restenosis, stent mural thrombosis, and secondary intervention rate of the two groups of patients on the day of postoperative day, 3 months and 6 months after treatment, and the safety indicators such as adverse drug reactions, major adverse cardiacand cerebrovascular events, minor and major bleeding, the results were analyzed statistically.  Results  At 6 months, there were differences in the stent mural thrombosis, ankle brachial index and claudication distance between the two groups(P < 0.05), no significant difference in in-stent restenosis(P > 0.05), There was no statistically significant difference in the log-rank test of the second intervention rate between the two groups(P > 0.05), and there was no statistical difference in safety comparison between the two groups(P > 0.05).  Conclusion  Rivaroxaban combined with aspirin can significantly reduce stent mural thrombosis and delay the decline in postoperative ABI and claudication distance, which may benefit the long-term prognosis of patients.
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  • [1]
    中华医学会外科学分会血管外科学组. 下肢动脉硬化闭塞症诊治指南[J].中华普通外科学文献(电子版),2006,10(01):1-18.
    [2]
    袁丁,赵纪春,王铁皓,等. 下肢动脉硬化闭塞症最新指南解读及意义[J].中国普外基础与临床杂志,2018,25(01):25-31.
    [3]
    苏少飞,李全成,陈林宝,等. 抗凝联合抗血小板预防糖尿病下肢动脉硬化闭塞症支架植入后再狭窄的效果观察[J].中国糖尿病杂志,2017,25(03):218-221. doi: 10.3969/j.issn.1006-6187.2017.03.006
    [4]
    Suzuki K,Iida O,Soga Y,et al. Long-term results of the S.M.A.R.T. Control(TM)stent for superficial femoral artery lesions,J-SMART registry[J]. Circ J:Official Journal of the Japanese Circulation Society,2011,75(4):939-944. doi: 10.1253/circj.CJ-10-1029
    [5]
    毛由军,李晓强. 下肢动脉支架内再狭窄的诊断和治疗[J].中华普通外科学文献(电子版),2020,1(14):76-80.
    [6]
    Dagher N N,Modrall J G. Pharmacotherapy before and after revascularization:anticoagulation,antiplatelet agents,and statins[J]. Semin Vasc Surg,2007,20(1):10-14. doi: 10.1053/j.semvascsurg.2007.02.006
    [7]
    Anand S S,Bosch J,Eikelboom J W,et al. Rivaroxaban with or without aspirin in patients with stable peripheral or carotid artery disease:an international,randomised,double-blind,placebo-controlled trial[J]. Lancet,2018,391(10117):219-229. doi: 10.1016/S0140-6736(17)32409-1
    [8]
    Zafar M U,Vorchheimer D A,Gaztanaga J,et al. Antithrombotic effects of factor Xa inhibition with DU-176b:Phase-I study of an oral,direct factor Xa inhibitor using an ex-vivo flow chamber[J]. Thromb Haemost,2007,98(4):883-888.
    [9]
    Sanmartín M,Bellmunt S,Cosín-Sales J,et al. Role of rivaroxaban in the prevention of atherosclerotic events[J]. Expert Rev Clin Pharmacol,2019,12(8):771-780. doi: 10.1080/17512433.2019.1637732
    [10]
    Akkaya G,Bilen Ç,Gençpınar T,et al. Effects of rivaroxaban on intimal hyperplasia and smooth muscle cell proliferation at the carotid artery anastomosis site in rabbits[J]. Anatol J Cardiol,2017,18(4):261-265.
    [11]
    Woźniak E,Broncel M,Bukowska B,et al. The Protective effect of dabigatran and rivaroxaban on DNA oxidative changes in a model of vascular endothelial damage with oxidized cholesterol[J]. Int J Mol Sci,2020,21(6):1953. doi: 10.3390/ijms21061953
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