Safety of preoperative branch embolization in patients undergoing evar.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2024-02-23 eCollection Date: 2024-01-01 DOI:10.1590/1677-5449.202201372

Luis Ángel Suárez González, Iñigo Lozano Martínez-Luengas, Pablo Del Canto Peruyera, Manuel Javier Vallina-Victorero Vazquez

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Abstract

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.

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对接受 evar 手术的患者进行术前分支栓塞的安全性。

本系统综述旨在评估主动脉侧支--肠系膜下动脉和腰动脉--在血管内腹主动脉瘤修补术（EVAR）前栓塞的安全性。研究遵循《系统综述和元分析首选报告项目》指南。通过检索 MEDLINE 和 DIMENSION 数据库，发现了 9 项发表于 2011 年至 2021 年、符合纳入和排除标准的研究。对这些研究进行了分析，以检测栓塞相关并发症的发生率。共有482名患者在术前接受了主动脉侧支栓塞治疗，其中30人（6.2%）出现了某种轻微并发症。唯一观察到的主要并发症是缺血性结肠炎，有 4 名患者（0.82%）发生了这种并发症，其中 2 人（0.41%）在肠切除手术后死亡。从这些发现来看，主动脉侧支栓塞似乎是一种安全的手术，轻微和严重并发症的发生率都很低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.20

自引率

0.00%

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审稿时长

20 weeks

期刊介绍： The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.