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Complications and Technical Success on Upper Limb Vascular Access for Endovascular Repair of Complex Abdominal and Thoraco-abdominal Aortic Aneurysms: A Systematic Review and Meta-Analysis.

Miguel Santos-VenâncioJoão Rocha-NevesPaolo SpathJosé Oliveira-Pinto
Published in: Annals of vascular surgery (2024)
This systematic review and meta-analysis demonstrate the safety and efficacy of upper limb access for Fenestrated and Branched Endovascular Aortic Repair (f/b-EVAR), with low stroke risk, mortality rates, and minimal local complications. Despite the risk of bias, the findings suggest that upper limb access may be beneficial, especially in bailout situations when femoral access fails, offering valuable insights for clinical decision-making.
Keyphrases
  • upper limb
  • abdominal aortic
  • decision making
  • risk factors
  • atrial fibrillation
  • cardiovascular events
  • type diabetes
  • cerebral ischemia