Intraluminal angioplasty of peripheral vessels with versus without stent in Northeastern Brazil: a decade-long epidemiological analysis
DOI:
https://doi.org/10.33448/rsd-v14i9.49564Keywords:
Transluminal Angioplasty, Extremities, Surgical Procedures, Brazil.Abstract
This study aimed to analyze and compare the epidemiological profile of intraluminal angioplasties of peripheral vessels performed with and without stents in Northeastern Brazil between 2015 and 2024. This was an observational, cross-sectional, descriptive epidemiological study with a quantitative approach based on secondary data from the SIH/SUS (National Health System). Procedures with and without stents in peripheral vessels were analyzed, considering the number of hospitalizations, length of hospital stay, costs, and mortality rate in all Northeastern states. A total of 21,568 procedures were recorded in the Northeast, 80.7% of which were performed without stents. Bahia had the highest number of hospitalizations, length of stay, and hospital expenses. The data revealed a total cost of over R$70 million, with an overall mortality rate of 0.91%. Although procedures without stents predominate, there was no direct correlation with a reduction in hospital stay. Pernambuco stood out with 93% of stent-free angioplasties. Variation was also observed over the years, with an increase in procedures until 2022, a slight decline in 2023, and recovery in 2024. Therefore, stent-free angioplasty is widely prevalent in the Northeast region, indicating possible structural constraints, but also adaptation to available resources. The data obtained highlight the importance of equitable public policies and the need for future studies evaluating the clinical effectiveness and cost-benefit of these interventions in the long term.
References
Armstrong, E. J., & Armstrong, D. G. (2021). Critical limb ischemia. Vascular Medicine, 26(2), 228–231. https://doi.org/10.1177/1358863X20987611
Dantas, A. L., Silva, M. A., & Oliveira, R. P. (2021). A precariedade no acesso aos serviços de saúde no Nordeste brasileiro: uma análise crítica. Revista Brasileira de Saúde Pública, 55, 1-9. https://doi.org/10.1590/S1518-8787.2021055000001
Daugherty, S. F., & Gillespie, D. L. (2015). Venous angioplasty and stenting improve pelvic congestion syndrome caused by venous outflow obstruction. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 3(3), 283–289. https://doi.org/10.1016/j.jvsv.2015.01.003
Firnhaber, J. M., & Powell, C. S. (2019). Lower extremity peripheral artery disease: Diagnosis and treatment. American Family Physician, 99(6), 362–369. https://pubmed.ncbi.nlm.nih.gov/30874413
Gheini, A., Shakarami, A., Namdari, P., Namdari, M., & Pooria, A. (2021). Frequency of recurrence of peripheral artery disease among angioplasty and stenting patients. Annals of Medicine and Surgery (London), 72, 103146. https://doi.org/10.1016/j.amsu.2021.103146
Hsu, C. C., Kwan, G. N., Singh, D., Rophael, J. A., Anthony, C., & van Driel, M. L. (2018). Angioplasty versus stenting for infrapopliteal arterial lesions in chronic limb-threatening ischaemia. Cochrane Database of Systematic Reviews, 12, CD009195. https://doi.org/10.1002/14651858.CD009195.pub2
Jongsma, H., Bekken, J., Ayez, N., Hoogewerf, C. J., Van Weel, V., & Fioole, B. (2020). Angioplasty versus stenting for iliac artery lesions. Cochrane Database of Systematic Reviews, (12). https://doi.org/10.1002/14651858.CD007561.pub3
Katsanos, K., Spiliopoulos, S., Kitrou, P., Krokidis, M., & Karnabatidis, D. (2018). Risk of death following application of paclitaxel-coated balloons and stents in the femoropopliteal artery of the leg: A systematic review and meta-analysis of randomized controlled trials. Journal of the American Heart Association, 7(24), e011245. https://doi.org/10.1161/JAHA.118.011245
Kaya, I. Ç., & Kaya, F. A. (2023). Radiation doses in endovascular revascularisation of lower-extremity arterial diseases. Cardiovascular Journal of Africa, 34(4), 212–216. https://doi.org/10.5830/CVJA-2022-046
Krawisz, A. K., & Secemsky, E. A. (2021). The safety of paclitaxel-coated devices for patients with peripheral artery disease. Current Cardiology Reports, 23(5), 48. https://doi.org/10.1007/s11886-021-01477-4
Kumar, A. J., Jones, L. E., Kollmeyer, K. R., Feldtman, R. W., Ferrara, C. A., Moe, M. N., Chen, J. F., Richmond, J. L., & Ahn, S. S. (2017). Radial artery access for peripheral endovascular procedures. Journal of Vascular Surgery, 66(3), 820–825. https://doi.org/10.1016/j.jvs.2017.03.430
Luize, L. M., Neves, M. C. M., Silva, G. T. da, Ramirez, A. L. G., Menezes, P. O. A., Medeiros, L. B., Pastrelo, E. S., Peres, L. B., Reis, B. B. dos, Assad, J. P., Oliveira, C. K. de, Silva, M. M. de S. e, Cella, P. M., Nakano, I. C. F., Brauns, G. T., Queiroz, M. F. C., Ferraz, G. de B., & Brauns, G. T. (2025). Terapêuticas possíveis para doença arterial obstrutiva periférica: uma revisão de literatura. Brazilian Journal of Health Review, 8(1), e78025. https://doi.org/10.34119/bjhrv8n1-521.
Massière, B., Pedron, C., Von Ristow, A., Cury, J. M., Gress, M., Vescovi, A. & Medina, A. L. D. (2008). Angioplastia subintimal sem o uso de stent em paciente diabético portador de lesão complexa no pé. Jornal Vascular Brasileiro, 7, 155-158.
Moura, R. J., Costa, E. F., & Almeida, L. M. (2022). Análise temporal das ondas de COVID-19 no Brasil: implicações para políticas públicas. Revista Brasileira de Epidemiologia, 25(2), e220007. https://doi.org/10.1590/1980-549720220007
Ochoa Chaar, C. I., Shebl, F., Sumpio, B., Dardik, A., Indes, J., & Sarac, T. (2017). Distal embolization during lower extremity endovascular interventions. Journal of Vascular Surgery, 66(1), 143–150. https://doi.org/10.1016/j.jvs.2017.01.032
Oliveira, F. A. C., Campedelli, F. L., de Sousa Amorelli, C. E., Balestra, M. F., Oliveira, J. C. B. C., Coelho, B. C. & Pfrimer, I. A. H. (2023). Estudo dos custos das internações com a utilização de stent vascular periférico no sistema público de saúde brasileiro. Revista Eletrônica Acervo Saúde, 23(6), e12744-e12744.
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica [Free e-book]. Ed. UAB/NTE/UFSM
Shamaki, G. R., Markson, F., Soji-Ayoade, D., Agwuegbo, C. C., Bamgbose, M. O., & Tamunoinemi, B. M. (2022). Peripheral artery disease: A comprehensive updated review. Current Problems in Cardiology, 47(11), 101082. https://doi.org/10.1016/j.cpcardiol.2021.101082
Shitsuka, et al. (2014). Matemática fundamental para a tecnologia. São Paulo: Ed. Érica.
Toassi, R. F. C., & Petry, P. C. (2021). Metodologia científica aplicada à área da saúde (2ª ed.). Editora da UFRGS.
Vieira, S. (2021). Introdução à bioestatística. Ed. GEN/Guanabara Koogan.
Ye, K., Shi, H., Yin, M., Qin, J., Yang, X., Liu, X., Jiang, M., & Lu, X. (2018). Treatment of femoral vein obstruction concomitant with iliofemoral stenting in patients with severe post-thrombotic syndrome. European Journal of Vascular and Endovascular Surgery, 55(2), 222–228. https://doi.org/10.1016/j.ejvs.2017.11.029
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Copyright (c) 2025 Letícia Cavalcante da Costa Aragão, Ana Lívia Mascarenha de Sousa, Laissa Roberta Santos Costa, Manoele Maria Araujo de Sousa, Artur Khalil Lemos de Sousa Martins, Tatiane Barros de Araújo, Antonino Neto Coelho Moita

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