The Effect of Lipid Modification on Peripheral Artery Disease after Endovascular Intervention Trial (ELIMIT)

  • Gerd Brunner
  • , Eric Y. Yang
  • , Anirudh Kumar
  • , Wensheng Sun
  • , Salim S. Virani
  • , Smita I. Negi
  • , Tyler Murray
  • , Peter H. Lin
  • , Ron C. Hoogeveen
  • , Changyi Chen
  • , Jing Fei Dong
  • , Panagiotis Kougias
  • , Addison Taylor
  • , Alan B. Lumsden
  • , Vijay Nambi
  • , Christie M. Ballantyne
  • , Joel D. Morrisett

Research output: Contribution to journalArticlepeer-review

30 Citations (Scopus)

Abstract

Methods: A total of 102 patients were randomized to either mono-therapy with simvastatin (40mg daily) or triple-therapy with simvastatin (40mg daily), extended-release niacin (1500mg daily), and ezetimibe (10mg daily). MRI was performed at baseline and 6, 12, and 24 months. SFA wall, lumen, and total vessel volumes were quantified. MRI-derived SFA parameters and lipids were analyzed with multilevel models and nonparametric tests, respectively. Results: Baseline characteristics did not differ between mono and triple-therapy groups, except for ethnicity ( p=0.02). SFA wall, lumen, and total vessel volumes increased non-significantly for both groups between baseline and 24-months. Non-high-density lipoprotein cholesterol was significantly reduced at 12 months with triple-therapy compared with mono-therapy ( p=0.01). Conclusion: No significant differences were observed between mono-therapy using simvastatin and triple-therapy with simvastatin, extended-release niacin, and ezetimibe for 24-month changes in SFA wall, lumen, and total vessel volumes. Clinical Trial Registration Information: NCT00687076; Link: http://clinicaltrials.gov/ct2/show/. NCT00687076.

Original languageEnglish (US)
Pages (from-to)371-377
Number of pages7
JournalAtherosclerosis
Volume231
Issue number2
DOIs
Publication statusPublished - Dec 2013
Externally publishedYes

Keywords

  • ABI
  • Atherosclerosis
  • ICC
  • Lipids
  • MRI
  • Magnetic resonance imaging
  • PAD
  • PDW
  • Peripheral artery disease
  • SFA
  • T1W
  • T2W

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