Endovascular aortic repair for unfavorable anatomy of proximal neck of infrarenal aortic aneurysm: a systematic review and meta-analysis

Vlasko GS, Kur-Ipa KA, Chargaziia ShG, et al. . Endovascular aortic repair for unfavorable anatomy of proximal neck of infrarenal aortic aneurysm: a systematic review and meta-analysis. Russian Cardiology Bulletin. 2023;18(2):6‑18. (In Russ.)
https://doi.org/10.17116/Cardiobulletin2023180216

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze the results of endovascular treatment of patients with unfavorable anatomy of proximal graft landing zone reported between 2013 and 2023.

MATERIAL AND METHODS

At primary screening, we found 187 articles in the PubMed database, and 12 papers were analyzed.

RESULTS

Despite higher risk of proximal endoleaks in intraoperative period (OR 2.05; 95% CI 1.71—2.46; p<0.001), there was no significant difference in the incidence of this events throughout 5-year follow-up period (OR 1.05; 95% CI 0.63—1.74; p=0.85). Incidence of redo interventions (OR 1.24; 95% CI 0.90—1.71; p=0.20) and mortality (OR 1.31; 95% CI 0.94—1.80) were similar in groups with favorable and unfavorable proximal neck anatomy over a 5-year follow-up period.

CONCLUSION

There is a trend towards better long-term results of endovascular treatment of patients with infrarenal aortic aneurysm and unfavorable proximal neck anatomy.

Keywords:

abdominal aortic aneurysm

endovascular aortic repair

unfavorable proximal neck

short proximal neck

Authors:

Vlasko G.S.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-8521-7126

Kur-Ipa K.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-2395-5999

Chargaziia Sh.G.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-8598-2933

Polyakov R.S.

Petrovsky National Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0002-9323-4003

Puretsky M.V.

Petrovsky National Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0003-4988-4102

Mardanyan G.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-7442-520X

Pirkova A.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-5101-1004

Abugov S.A.

Petrovsky National Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0001-7636-4044

Received:

15.03.2023

Accepted:

28.03.2023

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