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. 2015 Sep 24;2015(9):CD008448.
doi: 10.1002/14651858.CD008448.pub3.

Stent graft types for endovascular repair of thoracic aortic aneurysms

Rachel Rolph  1 , James M N Duffy, Matthew Waltham
Affiliations

Stent graft types for endovascular repair of thoracic aortic aneurysms

Rachel Rolph et al. Cochrane Database Syst Rev. .

Abstract

Background: The UK prevalence of thoracic aneurysm is estimated at 10.4 per 100,000 person-years. Progressive and unpredictable enlargement can lead to rupture. Endovascular repair of thoracic aortic aneurysms involves a stent graft system being introduced via the femoral artery and manipulated within the aorta under radiological guidance. Following endograft deployment, a seal is formed at the proximal and distal landing zones to exclude the aneurysm sac from the circulation. With the increasing popularity of endovascular repair there has been an increase in the number of commercially available stent graft designs on the market. This is an update of the review first published in 2013.

Objectives: This review aimed to assess the different stent graft types for endovascular repair of thoracic aortic aneurysms.

Search methods: The Cochrane Vascular Group Trials Search Co-ordinator (TSC) searched the Specialised Register (last searched February 2015) and the Cochrane Register of Studies CENTRAL (2015, Issue 1). Trial databases were searched by the TSC for details of ongoing and unpublished studies.

Selection criteria: All published and unpublished randomised controlled trials (RCTs) of stent graft types in the repair of thoracic aortic aneurysms were sought without language restriction.

Data collection and analysis: Data collection and analysis was conducted in accordance with the Cochrane Handbook for Systematic Reviews of Interventions.

Main results: No studies were identified that met the inclusion criteria. It was not possible to assess the quality of the evidence in the absence of studies eligible for inclusion in the review.

Authors' conclusions: Unfortunately, no data exist regarding direct comparisons of the performance of different stent graft types. High quality RCTs evaluating stent graft types in thoracic endovascular aneurysm repair are required.

PubMed Disclaimer

Conflict of interest statement

RR: none known JMD: none known MW: none known

Figures

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Study flow diagram.
See this image and copyright information in PMC

Update of

References

References to studies excluded from this review

ChiCTR‐TRC‐12002844 {unpublished data only}
    1. ChiCTR‐TRC‐12002844. Evaluate the safety and efficacy of Ankura Ⅱ stent graft for the treatment of aortic endovascular: a prospective, multi‐center, randomized clinical trial. Chinese Clinical Trial Register http://www.chictr.org/en/proj/show.aspx?proj=3768 (accessed 4 June 2015).
NCT00922454 {unpublished data only}
    1. NCT00922454. Acute Technical Outcomes of the Talent Abdominal Aortic Aneurysm (AAA) Stent‐Graft Versus Cook Zenith Stent‐Graft. https://clinicaltrials.gov/ct2/show/NCT00922454 (accessed 4 Sept 2015).
NCT01354119 {unpublished data only}
    1. NCT01354119. Long‐term benefit of aortic stent‐graft in patients with distal aortic dissection. https://clinicaltrials.gov/ct2/show/NCT01354119 (accessed 4 June 2015).

Additional references

Abraha 2013
    1. Abraha I, Romagnoli C, Montedori A, Cirocchi R. Thoracic stent graft versus surgery for thoracic aneurysm. Cochrane Database of Systematic Reviews 2013, Issue 9. [DOI: 10.1002/14651858.CD006796.pub3] - DOI - PubMed
Ali 2008
    1. Ali T, Biasi L, Hinchliffe R, Morgan R, Thompson M, Loftus I. Atherosclerotic aneurysms. Comparisons between thoracic stent grafts ‐ how do we know which stent graft to select?. Acta Chirurgica Belgica 2008;108(4):386‐92. - PubMed
Bicknell 2009
    1. Bicknell CD, Riga CV, Wolfe JH. Prevention of paraplegia during thoracoabdominal aortic aneurysm repair. European Journal of Vascular and Endovascular Surgery 2009;37(6):654‐60. - PubMed
Blanchard 2000
    1. Blanchard JF, Armenian HK, Friesen PP. Risk factors for abdominal aortic aneurysm: results of a case‐control study. American Journal of Epidemiology 2000;151(6):575‐83. - PubMed
Clouse 1998
    1. Clouse WD, Hallett JW Jr, Schaff HV, Gayari MM, Ilstrup DM, Melton LJ 3rd. Improved prognosis of thoracic aortic aneurysms: a population‐based study. JAMA 1998;280(22):1926‐9. - PubMed
Coselli 2000
    1. Coselli JS, LeMaire SA, Miller CC 3rd, Schmittling ZC, Koksoy C, Pagan J, et al. Mortality and paraplegia after thoracoabdominal aortic aneurysm repair: a risk factor analysis. Annals of Thoracic Surgery 2000;69(2):409‐14. - PubMed
Dake 1994
    1. Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal placement of endovascular stent‐grafts for the treatment of descending thoracic aortic aneurysms. New England Journal of Medicine 1994;331(26):1729‐34. - PubMed
Davies 2002
    1. Davies RR, Goldstein LJ, Coady MA, Tittle SL, Rizzo JA, Kopf GS, et al. Yearly rupture or dissection rates for thoracic aortic aneurysms: simple prediction based on size. Annals of Thoracic Surgery 2002;73(1):17‐27; discussion 27‐8. - PubMed
Duffy 2015
    1. Duffy JMN, Rolph R, Waltham M. Stent graft types for endovascular repair of abdominal aortic aneurysms. Cochrane Database of Systematic Reviews 2015, Issue 9. [DOI: 10.1002/14651858.CD008447.pub3] - DOI - PMC - PubMed
Elefteriades 2008
    1. Elefteriades JA. Thoracic aortic aneurysm: reading the enemy's playbook. Yale Journal of Biology and Medicine 2008;81(4):175‐86. - PMC - PubMed
Gloviczki 2002
    1. Gloviczki P. Surgical repair of thoracoabdominal aneurysms: patient selection, techniques and results. Cardiovascular Surgery 2002;10(4):434‐41. - PubMed
Greenberg 2008
    1. Greenberg RK, Lytle B. Endovascular repair of thoracoabdominal aneurysms. Circulation 2008;117(17):2288‐96. - PubMed
Greenburg 2010
    1. Greenburg R, Eagleton M, Mastracci T. Branched endografts for thoracoabdominal aneurysms. Journal of Thoracic and Cardiovascular Surgery 2010;140(6 Suppl):S171‐8. - PubMed
Harris 2000
    1. Harris PL, Vallabhaneni SR, Desgranges P, Becquemin JP, Marrewijk C, Laheij RJ. Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. European Collaborators on stent/graft techniques for aortic aneurysm repair. Journal of Vascular Surgery 2000;32(4):739‐49. - PubMed
Higgins 2008
    1. Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1 [updated September 2008]. The Cochrane Collaboration, 2008. Available from www.cochrane‐handbook.org.
Johansson 1995
    1. Johansson G, Markstrom U, Swedenborg J. Ruptured thoracic aortic aneurysms: a study of incidence and mortality rates. Journal of Vascular Surgery 1995;21(6):985‐8. - PubMed
Katzen 2005
    1. Katzen BT, MacLean AA. Past, present, and future endograft devices. Techniques in Vascular and Interventional Radiology 2005;8(1):16‐21. - PubMed
Kelso 2009
    1. Kelso RL, Lyden SP, Butler B, Greenberg RK, Eagleton MJ, Clair DG. Late conversion of aortic stent grafts. Journal of Vascular Surgery 2009;49(3):589‐95. - PubMed
Larsson 2009
    1. Larsson E, Granath F, Swedenborg J, Hultgren R. A population‐based case‐control study of the familial risk of abdominal aortic aneurysm. Journal of Vascular Surgery 2009;49(1):47‐50; discussion 51. - PubMed
LeMaire 2003
    1. LeMaire SA, Miller CC 3rd, Conklin LD, Schmittling ZC, Coselli JS. Estimating group mortality and paraplegia rates after thoracoabdominal aortic aneurysm repair. Annals of Thoracic Surgery 2003;75(2):508‐13. - PubMed
Najibi 2001
    1. Najibi S, Steinberg J, Katzen BT, Zemel G, Lin PH, Weiss VJ, et al. Detection of isolated hook fractures 36 months after implantation of the Ancure endograft: a cautionary note. Journal of Vascular Surgery 2001;34(2):353‐6. - PubMed
Olsson 2006
    1. Olsson C, Thelin S, Stahle E, Ekbom A, Granath F. Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population‐based study of more than 14,000 cases from 1987 to 2002. Circulation 2006;114(24):2611‐8. - PubMed
Parodi 1991
    1. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Annals of Vascular Surgery 1991;5(6):491‐9. - PubMed
Sampram 2003
    1. Sampram ES, Karafa MT, Mascha EJ, Clair DG, Greenberg RK, Lyden SP, et al. Nature, frequency, and predictors of secondary procedures after endovascular repair of abdominal aortic aneurysm. Journal of Vascular Surgery 2003;37(5):930‐7. - PubMed
Steckmeier 2001
    1. Steckmeier B. [Epidemiology of aortic disease: aneurysm, dissection, occlusion] [Epidemiologie der Aortenerkrankung: Aneurysma, Dissektion, Verschluss]. Radiologe 2001;41(8):624‐32. - PubMed
Svensson 2008
    1. Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Coselli JS, Curi MA, et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent‐grafts. Annals of Thoracic Surgery 2008;85(1 Suppl):S1‐41. - PubMed
Tanski 2007
    1. Tanski W 3rd, Fillinger M. Outcomes of original and low‐permeability Gore Excluder endoprosthesis for endovascular abdominal aortic aneurysm repair. Journal of Vascular Surgery 2007;45(2):243‐9. - PubMed
Thompson 2009
    1. Thompson M. Progress of thoracic stent grafting. The Landing Zone. cookmedical.com 2009; Vol. May.

References to other published versions of this review

Rolph 2010
    1. Rolph R, Duffy JMN, Modarai B, Clough R, Taylor P, Waltham M. Stent graft types for endovascular repair of thoracic aortic aneurysms. Cochrane Database of Systematic Reviews 2010, Issue 4. [DOI: 10.1002/14651858.CD008448] - DOI - PubMed
Rolph 2013
    1. Rolph R, Duffy JMN, Modarai B, Clough RE, Taylor P, Waltham M. Stent graft types for endovascular repair of thoracic aortic aneurysms. Cochrane Database of Systematic Reviews 2013, Issue 3. [DOI: 10.1002/14651858.CD008448.pub2] - DOI - PubMed

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