Abstract
The objective of this study was to audit current practice in iliac artery intervention in the United Kingdom. In 2001 the British Society of Interventional Radiology Iliac Artery Angioplasty-Stent (BIAS) III registry provided the first national database for iliac intervention. It recommended that data collection needed to continue in order to facilitate the dissemination of comparative data to individual units. BIAS III was designed to continue this work and has a simplified data set with an online submission form. Interventionalists were invited to complete a 3-page tick sheet for all iliac angioplasties and stents. Questions covered risk factors, procedural data, and outcome. Data for 2233 patients were submitted from 37 institutions over a 43-month period. Consultants performed 80% of the procedures, 62% of which were for claudication. Fifty-four percent of lesions were treated with stents and 25% of patients underwent bilateral intervention, resulting in a residual stenosis of <50% in 98%. Ninety-seven percent of procedures had no limb complication and there was a 98% inpatient survival rate. In conclusion, these figures provide an essential benchmark for both audit and patient information. National databases need to be expanded across the range of interventional procedures, and their collection made simple and, preferably, online.
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BIAS Registry Contributors are listed in Appendix 1.
Appendices
Appendix 1: BSIR BIAS III
Writing Committee
Dr. R. Uberoi, Dr. S. Milburn, Prof. J. Moss, Prof. P. Gaines.
Trial Participants
The number in parentheses is the number of patients entered in the registry. P. M. Bungay, M. de Nunzio, J. Graham Pollock, Derbyshire Royal Infirmary (337); R. W. J. Harries, Diana Princess of Wales Hospital, Grimsby (87); H. J. Anderson, Eastbourne District General Hospital (50); E. Beveridge, Falkirk & District Royal Infirmary (22); L. Jones, Frenchay Hospital, Bristol (37); S. Chandramohan, R. Edwards, R. Kasthuri, N. Mathias, Prof. J. Moss, I. Robertson, Gartnavel General Hospital (191); K. Vallance, George Eliot Hospital (16); S. D. Thomas, Guy’s & St. Thomas’s (9); A. Mizzi, Hairmyres Hospital (11); S. Anthony, J. Phillips-Hughes, R. Uberoi, John Radcliffe Hospital, Oxford (87); C. A. Squirrell, P. Panto, Kings Mill Hospital (27); S. J. McPherson, Leeds General Infirmary (156); S. Zaman, Leighton Hospital (69); F. Alaedin, C. King, Lister Hospital (140); N. Chalmers, G. Murphy, Manchester Royal Infirmary (349); S. Girling, Norfolk & Norwich University Hospital (148); L. Jones, North Bristol NHS Trust (28); D. Thomas, Northampton General Hospital (42); J. Bottomley, T. Cleveland, C. Davies, Prof. P. Gaines, S. Thomas, D. Turner, Northern General Hospital, Sheffield (439); Pennine Acute Hospital Trust (1); C. Nice, Queen Elizabeth Hospital, Gateshead (1); J. Lay, Royal Bolton Hospital (1); A. Collins, P. K. Ellis, P. Kennedy, M. Loveday, Royal Group of Hospitals Trust, Belfast (218); J. Lavelle, Royal Lancaster Infirmary (36); T. N. Doyle, P. Thompson, Royal Sussex Hospital; Briony J Burns, Royal West Sussex NHS trust (34); R. Ashleigh, J. Butterfield, J. Tuck, South Manchester University Hospital (187); K. Osbourne, G. Urquhart, Southern General Hospital, Glasgow (15); L. Jones, E. Loveday, M. J. Thornton, Southmead Hospital, Bristol (87); Prof. A.-M. Belli, St. Georges’ Hospital (170); T. North, St. Helier, Carsholton (34); E. Beveridge, D. Glen, Stirling Royal Infirmary (60); J. Isaacs, R. Seymour, Torbay Hospital (43); M. Cowling, University Hospital of North Staffordshire (?); A. Gordon, A. Wood, University Hospital of Wales, Cardiff (44); A. M. Camenzuli, E. A. O’Grady, University Hospital Aintree (51); A. Downie, Victoria Infirmary Glasgow (63); R. Ashleigh, J. Butterfield, Wythenshawe Hospital (12).
Appendix 2: BSIR BIAS III, Version 2.2
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Uberoi, R., Milburn, S., Moss, J. et al. British Society of Interventional Radiology Iliac Artery Angioplasty-Stent Registry III. Cardiovasc Intervent Radiol 32, 887–895 (2009). https://doi.org/10.1007/s00270-009-9634-3
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DOI: https://doi.org/10.1007/s00270-009-9634-3