Iliac arteries: how registries can help improve outcomes
Charles Ross Tapping1, Raman Uberoi2
1Department of Radiology, John Radcliffe Hospital, Oxford, United Kingdom ; Department of Radiology, Churchill Hospital, Oxford, United Kingdom.
Seminars in Interventional Radiology
|December 2, 2014
Summary
Real-world data from registries like the British Iliac Angioplasty and Stenting (BIAS) registry are crucial for evaluating endovascular interventions for aortoiliac occlusive disease beyond selected trials.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Health Services Research
Background:
- Endovascular techniques for aortoiliac occlusive disease show promising results in trials.
- Trial patient populations may not reflect real-world clinical practice.
- Registries provide essential data on prevailing practices and safety profiles.
Purpose of the Study:
- To review evidence for endovascular and surgical interventions in aortoiliac occlusive disease.
- To highlight the importance of registries in interventional radiology.
- To discuss optimal techniques for aortoiliac intervention.
Main Methods:
- Review of existing literature on endovascular and surgical treatments.
- Discussion of the role and benefits of mature registries, exemplified by the BIAS registry.
- Analysis of data collection and outcome reporting in registries.
Main Results:
- Registries enable comparison of individual and center outcomes against national norms.
- The BIAS registry has collected data since 2000 and reported outcomes since 2001.
- Registries are vital for establishing real-world standards of care and safety.
Conclusions:
- Registries are indispensable for understanding the real-world effectiveness and safety of endovascular interventions.
- Data from registries like BIAS inform clinical practice and quality improvement for aortoiliac occlusive disease.
- Integrating registry data with trial evidence provides a comprehensive view of treatment outcomes.
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