Fenestrated and Chimney Technique for Juxtarenal Aortic Aneurysm: A Systematic Review and Pooled Data Analysis

被引:66
作者
Li, Yue [1 ]
Hu, Zhongzhou [2 ]
Bai, Chujie [3 ]
Liu, Jie [1 ]
Zhang, Tao [4 ]
Ge, Yangyang [1 ]
Luan, Shaoliang [1 ]
Guo, Wei [1 ]
机构
[1] Peoples Liberat Army, Gen Hosp, Dept Vasc Surg, Beijing 100853, Peoples R China
[2] Tsinghua Univ, Med Ctr, Beijing 100084, Peoples R China
[3] Peking Univ, Caner Hosp, Dept Orthopaed Oncol, Beijing 100871, Peoples R China
[4] Peking Univ, Peoples Hosp, Dept Vasc Surg, Beijing 100871, Peoples R China
来源
SCIENTIFIC REPORTS | 2016年 / 6卷
关键词
OPEN REPAIR; ENDOVASCULAR REPAIR; RENAL-FUNCTION; STENT-GRAFT; ENDOGRAFTS; TRIAL;
D O I
10.1038/srep20497
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Juxtarenal aortic aneurysms (JAA) account for approximately 15% of abdominal aortic aneurysms. Fenestrated endovascular aneurysm repair (FEVAR) and chimney endovascular aneurysm repair (CH-EVAR) are both effective methods to treat JAAs, but the comparative effectiveness of these treatment modalities is unclear. We searched the PubMed, Medline, Embase, and Cochrane databases to identify English language articles published between January 2005 and September 2013 on management of JAA with fenestrated and chimney techniques to conduct a systematic review to compare outcomes of patients with juxtarenal aortic aneurysm (JAA) treated with the two techniques. We compared nine F-EVAR cohort studies including 542 JAA patients and 8 CH-EVAR cohorts with 158 JAA patients regarding techniques success rates, 30-day mortality, late mortality, endoleak events and secondary intervention rates. The results of this systematic review indicate that both fenestrated and chimney techniques are attractive options for JAAs treatment with encouraging early and mid-term outcomes.
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页数:12
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