A Systematic Review of Fenestrated Endovascular Repair for Juxtarenal and Short-Neck Aortic Aneurysm: Evidence So Far.

摘要: Background Fenestrated endovascular repair is an alternative to open in the management of juxtarenal aortic aneurysms and short-neck abdominal (AAAs). The aim this article examine evidence published literature on use fenestrated stent grafts treatment AAAs. Methods Systematic review was formulated under instruction Preferred Reporting Items for Reviews Meta-Analyses (PRISMA) guideline. Articles from January 1996 October 2014 English language were included. Published studies treating AAAs systematically searched reviewed through a computerized search PubMed Ovid MEDLINE cross-referenced. Title key words include “fenestrated”, “juxtarenal”, “short neck”. All relevant articles up first reviewed. Results A total 529 nonduplicated publications identified but only 15 eligible our qualitative analysis, with 763 patients 2,040 target vessels. Twelve included cohort short or medium follow-up period (median range, 6–67 months). mean 30-day late mortality 1.7% (range, 0–4%) 20.1% 4–50%), respectively, 5.3% aneurysm-related deaths. 74 vessels (3.6%) lost all 65 them (87.8%) postoperatively. Overall, 28.8% endured renal dysfunction postoperatively, whereas 2.5% required dialysis. Target vessel events endoleaks 2 major indications reintervention, accounting 63.8%. Fourteen aneurysm sacs (1.8%) enlarged continuously during half due type II endoleaks. Migration proximal fenestration component reported 3.0%. One registry study 4.1% early mortality, higher than any studies, loss relatively low (1.6%). Freedom secondary intervention decreased 90% at year 1 70% 3. Two nonrandom controlled comparative showed no definitive superiority over surgery. Conclusions Contemporary does not produce high enough level that leads change guidelines aneurysm. safe efficacious treatment, particularly those deemed surgically risk. Growing experience innovation graft are essential advancement grafting.