Endovascular repair of ruptured abdominal aortic aneurysms: a systemtic review and meta-analysis
10.3760/cma.j.issn.1007-631X.2011.11.008
- VernacularTitle:腹主动脉瘤破裂腔内治疗的荟萃分析
- Author:
Xiaoyong LI
;
Min LI
- Publication Type:Journal Article
- Keywords:
Aneurysm,ruptured;
Aortic aneurysm,abdominal;
Meta-analysis;
Endovascular repair;
Systematic review
- From:
Chinese Journal of General Surgery
2011;26(11):910-913
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (RAAA).Methods Two reviewers searched PubMed,MEDLINE,EMBASE,Cochrane Library,Chinese Biomedical Literature Database (CBM),Chinese Scientific Journal Full-text Database (CSJD),and Chinese Journal Full-text Database( CJFD),added with handsearching and other retrievals.The Cochrane Collaboration's RevMan 5.0.18 was used for metaanalyses.Results Pooled data in 9 observational studies describing 2402 people.Meta-analyses showed that EVAR was superior to open repair (OR) as measured by the 30-day all cause mortality [ OR =0.47,95％ CI (0.39,0.57 ),P ＜ 0.01 ] and the primary póstoperative complications [ OR =0.59,95％ CI(0.43,0.81 ),P =0.001 ].Endovascular repair compared with open surgery,in the early postoperative reoperation rate [ OR =0.86,95 ％ CI(0.55,1.33 ),P =0.5 ] and the mid-term all-cause mortality [ OR =1.24,95 ％ CI (0.46,3.37 ),P =0.67 ] was not different statistically.Conclusions Short-term decrease of mortality after endovascular repair for ruptured aneurysms appears promising in selected patients,but the overall benefit is still not clear.Further research is needed to define the indications for REVAR in patients presenfing with RAAA.
