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Meta-Analysis
. 2016 Feb 12:6:20497.
doi: 10.1038/srep20497.

Fenestrated and Chimney Technique for Juxtarenal Aortic Aneurysm: A Systematic Review and Pooled Data Analysis

Yue Li  1 , Zhongzhou Hu  2 , Chujie Bai  3 , Jie Liu  1 , Tao Zhang  4 , Yangyang Ge  1 , Shaoliang Luan  1 , Wei Guo  1
Affiliations
Meta-Analysis

Fenestrated and Chimney Technique for Juxtarenal Aortic Aneurysm: A Systematic Review and Pooled Data Analysis

Yue Li et al. Sci Rep. .

Abstract

Juxtarenal aortic aneurysms (JAA) account for approximately 15% of abdominal aortic aneurysms. Fenestrated endovascular aneurysm repair (FEVAR) and chimney endovascular aneurysm repair (CH-EVAR) are both effective methods to treat JAAs, but the comparative effectiveness of these treatment modalities is unclear. We searched the PubMed, Medline, Embase, and Cochrane databases to identify English language articles published between January 2005 and September 2013 on management of JAA with fenestrated and chimney techniques to conduct a systematic review to compare outcomes of patients with juxtarenal aortic aneurysm (JAA) treated with the two techniques. We compared nine F-EVAR cohort studies including 542 JAA patients and 8 CH-EVAR cohorts with 158 JAA patients regarding techniques success rates, 30-day mortality, late mortality, endoleak events and secondary intervention rates. The results of this systematic review indicate that both fenestrated and chimney techniques are attractive options for JAAs treatment with encouraging early and mid-term outcomes.

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Figures

Figure 1
Figure 1. PRISMA flow chart for article selection.
Figure 2
Figure 2. Meta-analysis on two-arm studies.
See this image and copyright information in PMC

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