Sac Embolization and Side Branch Embolization for Preventing Type II Endoleaks After Endovascular Aneurysm Repair: A Meta-analysis
Sac Embolization and Side Branch Embolization for Preventing Type II Endoleaks After Endovascular Aneurysm Repair: A Meta-analysis
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DOI：
10.1177/1526602819878411
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发表时间：
2019-09-30
影响因子：
2.6
通讯作者：
Hou, Peiyong
中科院分区：
文献类型：
--
作者：
Li, Qiyi;Hou, Peiyong
目的：探讨术前侧支动脉栓塞术和术中囊内栓塞术预防血管内动脉瘤修补术(EVAR)后II型内漏的有效性和安全性。材料和方法：对MEDLINE和EMBASE进行系统的文献检索，以确定在接受EVAR的患者中评价囊栓塞与不栓塞或侧支动脉栓塞与不栓塞的结果的研究。在筛选的904项研究中，17项研究2084名参与者纳入了这项综述。结果指标包括II型内漏发生率、II型内漏再干预率、I/III型内漏发生率和并发症发生率。为每个结果建立固定(无异质性)或随机效应模型；结果以95%可信区间(CI)的优势比(OR)表示。结果：囊性栓塞组II型内渗漏发生率显著低于对照组(OR 0.21，95%CI 0.13~0.34，P
Purpose:To investigate the efficacy and safety of preoperative side branch embolization or intraoperative sac embolization for preventing type II endoleaks after endovascular aneurysm repair (EVAR). Materials and Methods: A systematic literature search of MEDLINE and EMBASE was performed to identify studies that evaluated the outcomes of sac embolization vs no embolization or side branch embolization vs no embolization in patients who received EVAR. Among the 904 studies screened, 17 studies with 2084 participants were included in this review. Outcome measures included the type II endoleak rate, the reintervention rate for type II endoleaks, the incidence of types I/III endoleaks, and the rate of complications. Fixed (no heterogeneity) or random effects models were constructed for each outcome; the results are presented as the odds ratio (OR) with 95% confidence interval (CI). Results: The sac embolization group had significantly lower type II endoleak (OR 0.21, 95% CI 0.13 to 0.34, p