Open repair versus fenestrated endovascular aneurysm repair of juxtarenal aneurysms

Background Open repair is the gold standard management for juxtarenal aneurysms. Fenestrated endovascular aneurysm repair (FEVAR) is indicated for high-risk patients. The long-term outcomes of FEVAR are largely unknown, and there is no Level I comparative evidence. This systematic review and meta-an...

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Bibliographic Details
Published in:Journal of vascular surgery 2015, Vol.61 (1), p.242-255.e5
Main Authors: Rao, Rohini, BSc, Lane, Tristan R.A., MRCS, Franklin, Ian J., FRCS(Gen Surg), Davies, Alun H., DM, FRCS
Format: Article
Language:English
Subjects:
Aortic Aneurysm, Abdominal - diagnosis
Aortic Aneurysm, Abdominal - mortality
Aortic Aneurysm, Abdominal - surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Blood Vessel Prosthesis Implantation - mortality
Chi-Square Distribution
Elective Surgical Procedures
Endovascular Procedures - adverse effects
Endovascular Procedures - instrumentation
Endovascular Procedures - mortality
Humans
Kaplan-Meier Estimate
Odds Ratio
Postoperative Complications - mortality
Postoperative Complications - surgery
Prosthesis Design
Reoperation
Risk Factors
Surgery
Time Factors
Treatment Outcome
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Summary:Background Open repair is the gold standard management for juxtarenal aneurysms. Fenestrated endovascular aneurysm repair (FEVAR) is indicated for high-risk patients. The long-term outcomes of FEVAR are largely unknown, and there is no Level I comparative evidence. This systematic review and meta-analysis of case series compares elective juxtarenal aneurysm surgery by open repair and FEVAR. Methods A systematic literature search was conducted for all published studies on elective repair of juxtarenal aneurysms by FEVAR and open repair. The MEDLINE, EMBASE, and Cochrane databases were searched from 1947 to April 2013. The exclusion criteria were case series of 
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2014.08.068