Karaolanis, Georgios I; Papazoglou, Dimitrios D; Donas, Konstantinos P; Helfenstein, Fabrice; Kotelis, Drosos; Makaloski, Vladimir (2024). Physician-modified versus chimney endografting for pararenal aortic aneurysms: a systematic review and meta-analysis. The journal of cardiovascular surgery, 65(2), pp. 124-131. Edizioni Minerva Medica 10.23736/S0021-9509.24.12995-3
Full text not available from this repository. (Request a copy)INTRODUCTION
We performed a systematic review and meta-analysis to assess the existing published evidence regarding the safety and efficacy of the endovascular aortic repair with chimney technique (ch-EVAR) and physician-modified stent-grafts (PMSGs) for the treatment of pararenal aortic aneurysm repair.
EVIDENCE ACQUISITION
A systematic search of all relevant studies reported until October 2023 according to the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines was performed. The pooled 30-day mortality, peri- and postoperative complication rates were estimated using fixed or random effect methods.
EVIDENCE SYNTHESIS
A total of 679 study titles were identified by the initial search strategy, of which 16 were considered eligible for inclusion in the meta-analysis. A total of 1094 patients (ch-EVAR N.=861 and PMSG N.=233) (90% male) were identified. The pooled 30-day mortality rate was 3.4% for ch-EVAR and 2.6% for PMSG. The major adverse events (MAE) in the early period was 14.7% for ch-EVAR and 18.5% PMSG, respectively. Higher occlusion rate was observed of the chimney stents grafts (8.2%) than the bridging stents (1.4%) during the follow-up period.
CONCLUSIONS
Ch-EVAR and physician-modified technology are safe with low 30-day mortality in elective settings for pararenal aortic aneurysms repair. No significant differences were seen between the two surgical methods regarding the early major adverse events rate. However, higher occlusion rate for the chimneys can be expected over time.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Vascular Surgery 04 Faculty of Medicine > Pre-clinic Human Medicine > Department of Clinical Research (DCR) |
UniBE Contributor: |
Karaolanis, Georgios, Papazoglou, Dimitrios David, Helfenstein, Fabrice Noël, Kotelis, Drosos, Makaloski, Vladimir |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1827-191X |
Publisher: |
Edizioni Minerva Medica |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
23 Apr 2024 09:06 |
Last Modified: |
10 May 2024 00:16 |
Publisher DOI: |
10.23736/S0021-9509.24.12995-3 |
PubMed ID: |
38635285 |
URI: |
https://boris.unibe.ch/id/eprint/196096 |
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