Safety of preoperative branch embolization in patients undergoing evar.
Luis Ángel Suárez GonzálezIñigo Lozano Martínez-LuengasPablo Del Canto PeruyeraManuel Javier Vallina-Victorero VazquezPublished in: Jornal vascular brasileiro (2024)
The purpose of this systematic review is to evaluate the safety of pre-endovascular abdominal aortic aneurysm repair (EVAR) embolization of aortic side branches - the inferior mesenteric artery and lumbar arteries. Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed. A search of MEDLINE and DIMENSION databases identified 9 studies published from 2011 to 2021 that satisfied the inclusion and exclusion criteria. These studies were analyzed to detect the incidence of embolization-related complications. A total of 482 patients underwent preoperative aortic side branch embolization, 30 (6.2%) of whom suffered some kind of minor complication. The only major complication observed was ischemic colitis in 4 (0.82%) patients, two (0.41%) of whom died after bowel resection surgery. Regarding these findings, aortic side branch embolization seems to be a safe procedure, with very low percentages of both minor and major complications.
Keyphrases
- systematic review
- patients undergoing
- end stage renal disease
- minimally invasive
- ejection fraction
- newly diagnosed
- aortic valve
- left ventricular
- risk factors
- meta analyses
- peritoneal dialysis
- prognostic factors
- randomized controlled trial
- heart failure
- patient reported outcomes
- oxidative stress
- coronary artery
- brain injury
- cerebral ischemia
- blood flow