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- Title
Visceral Aneurysms: Systematic Review and Meta-analysis of Endovascular Versus Open Repair.
- Authors
Rebelo, Artur; Ronellenfitsch, Ulrich; Partsakhashvili, Jumber; Kleeff, Jörg; John, Endres; Ukkat, Jörg
- Abstract
The aim of this study was to analyse and compare the outcome of open surgery (OS) and endovascular repair (ER) for the treatment of visceral artery aneurysms (VAA). A systematic literature search was carried out. 25 comparative cohort studies with 4447 patients (2469 OS and 1978 ER) were included in the meta-analysis. Mortality (ER vs OS 1.8% vs 2.1%, OR.77, 95% CI [.51; 1.17], P =.23) and technical success rates (97% vs 98%, OR.50, 95% CI [.21; 1.16], P =.11) were comparable between both groups. Lower mortality rates for ER were observed for ruptured aneurysms (4.1% vs 31%, OR.43 95% CI [.13; 1.43], P =.17). Length of stay was shorter (mean difference −4.25 days, 95% CI [−5.52; −2.98], P <.00001) and 1-year reintervention rates were higher in the ER group (9% vs 5%, OR 1.55 95% CI [.58; 4.12], P =.38. The presented evidence suggests that ER should be considered a first-line treatment for VAAs, especially in an emergency setting, due to lower morbidity and comparable mortality and technical success. Follow-up should be offered to these patients due to the higher reintervention rates. Systematic review registration: PROSPERO ID 348699
- Subjects
ANEURYSM surgery; HEPATIC artery; ENDOVASCULAR aneurysm repair; META-analysis; DESCRIPTIVE statistics; OPERATIVE surgery; SYSTEMATIC reviews; COMPARATIVE studies; LENGTH of stay in hospitals; MESENTERIC artery; RENAL artery; SPLENIC artery
- Publication
Angiology, 2024, Vol 75, Issue 6, p546
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/00033197231164286