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学科主题: 临床医学
题名:
Endovascular Chimney Technique for Juxtarenal Abdominal Aortic Aneurysm: A Systematic Review Using Pooled Analysis and Meta-Analysis
作者: Li, Yue1; Zhang, Tao2; Guo, Wei1; Duan, Chen1; Wei, Ren1; Ge, Yangyang1; Jia, Xin1; Liu, Xiaoping1
刊名: ANNALS OF VASCULAR SURGERY
发表日期: 2015-08-01
DOI: 10.1016/j.avsg.2015.02.015
卷: 29, 期:6, 页:1141-1150
收录类别: SCI
文章类型: Review
WOS标题词: Science & Technology
类目[WOS]: Surgery ; Peripheral Vascular Disease
研究领域[WOS]: Surgery ; Cardiovascular System & Cardiology
关键词[WOS]: STENT-GRAFT ; OPEN REPAIR ; PRACTICE GUIDELINES ; PARADIGM SHIFT ; TERM-OUTCOMES ; SIDE BRANCHES ; II ENDOLEAKS ; EXPERIENCE ; ENDOGRAFTS ; VESSELS
英文摘要:

Background: To evaluate the safety and efficacy of chimney endovascular abdominal aortic repair (Ch-EVAR) for juxtarenal abdominal aortic aneurysm.

Methods: Electronic literature published between 2003 and 2014 were searched from MEDLINE and EMBASE online databases. Inclusion criteria for articles included that more than 3 patients were enrolled, chimney graft techniques were used, and the basic outcomes, such as indications, mortality within 30-day or during follow-up, complications, endoleaks, and branch vessel patency were collected. The data were pooled for analysis. Meta-analysis was performed using Stata version 11 and heterogeneity was estimated using Cochrane Q statistic and I 2 statistic.

Results: In total, 12 electronic literature met the inclusion criteria and 236 patients (mean age, 73.9 years) undergone Ch-EVAR were collected. A total of 335 chimney grafts were implanted, including 288 to the renal arteries and 47 to superior mesenteric arteries. Mortality (< 30 days) and mortality (during follow-up; a mean of 12 months) were 3.8% (9/236) and 10.6% (25/236), respectively. The rate of type I, II and III endoleaks during follow-up was 11.8% (28/236), 8.1% (19/236), and 0.4% (1/236), respectively. The chimney graft patency at 6 month was 96.6%. Meta-analysis showed that the rates of endoleaks (during follow-up), mortality (< 30 days) and mortality (during follow-up) were 18%, 7% and 13%, respectively.

Conclusions: Chimney graft is an efficient therapy with high initial technical success rate and favorable rates for perioperative outcomes.

语种: 英语
所属项目编号: BWS13C029
项目资助者: Army Logistics Research Plan
WOS记录号: WOS:000359312000012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58055
Appears in Collections:北京大学第二临床医学院_血管外科_期刊论文

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作者单位: 1.Chinese Peoples Liberat Army Gen Hosp, Dept Vasc Surg, Clin Div Surg, Beijing 100853, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Vasc Surg, Beijing 100871, Peoples R China

Recommended Citation:
Li, Yue,Zhang, Tao,Guo, Wei,et al. Endovascular Chimney Technique for Juxtarenal Abdominal Aortic Aneurysm: A Systematic Review Using Pooled Analysis and Meta-Analysis[J]. ANNALS OF VASCULAR SURGERY,2015,29(6):1141-1150.
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