Systematic Review and Meta-analysis of Fenestrated and Chimney/Snorkel Techniques for Endovascular Repair of Juxtarenal Aortic Aneurysms.
Tejan BaldehTomás ReillyTayyaub MansoorGerard FeeneyMekki MedaniMichael A MoloneyEamon G KavanaghPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2024)
While lack of equipoise has hampered the design of randomised trials of open versus endovascular repair of juxtarenal aortic aneurysms, concern about the durability of endovascular repair highlights the need for stronger evidence of the comparative efficacy of endovascular techniques. This review performed meta-analysis and evidence appraisal of recent data from large observational studies comparing fenestrated and chimney techniques, using a comprehensive outcome set. Superiority of either intervention could not be established due to differences in participants' baseline risk in each study arm. However, data suggests that both techniques are safe and suitable for use when indicated.
Keyphrases
- aortic dissection
- systematic review
- electronic health record
- aortic valve
- clinical trial
- randomized controlled trial
- left ventricular
- big data
- open label
- pulmonary artery
- minimally invasive
- heart failure
- study protocol
- meta analyses
- machine learning
- double blind
- pulmonary hypertension
- data analysis
- atrial fibrillation
- placebo controlled