کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2915155 1575534 2008 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Outcome after Endografting in Small and Large Abdominal Aortic Aneurysms: A Metanalysis.
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Outcome after Endografting in Small and Large Abdominal Aortic Aneurysms: A Metanalysis.
چکیده انگلیسی

AimTo compare the results of endovascular repair (EVAR) in large and small (diameter < 5.5 cm) abdominal aortic aneurysms (AAA).MethodsA systematic review was performed to identify studies comparing the outcomes after EVAR of large and small aneurysms. Outcomes considered were: risk of death (perioperative, all cause, aneurysm-related), ruptures, and complications (conversion, reintervention). Weighted pooled estimates of outcomes in patients with small versus large aneurysms were calculated. The inverse variance method was used (random-effect model). Subgroup analyses by a follow-up longer or shorter than 24 months were performed.ResultsFive studies, with published and unpublished data, totallying 7,735 patients, were included. Overall, the weighted pooled estimates were: OR 0.68; 95% CI 0.51–0.90 for operative mortality, OR 0.77; 95% CI 0.69 to 0.86 for all cause mortality, OR 0.58; 95% CI 0.40 to 0.87 for aneurysm-related mortality and OR 0.61; 95% CI 0.47 to 0.79 for rupture in favour of small AAA group. Pooled estimates were not influenced by follow-up length. Conversion and reintervention rates were not significantly lower for small AAA.ConclusionsEVAR in small versus large AAA might be associated with lower operative mortality, aneurysm-related mortality and aneurysm rupture. Better evidence is needed to support these suggestions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 35, Issue 2, February 2008, Pages 162–172
نویسندگان
, , , , ,