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Polyakov R.S.

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

Vlasko G.S.

Petrovsky National Research Center of Surgery;
National Medical Research Treatment and Rehabilitation Centrer

Chargazia Sh.G.

Petrovsky National Research Center of Surgery

Kur-ipa K.A.

Petrovsky National Research Center of Surgery

Karuk M.V.

Petrovsky National Research Center of Surgery

Puretsky M.V.

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

Mardanyan G.V.

Petrovsky National Research Center of Surgery

Pirkova A.A.

Petrovsky National Research Center of Surgery

Abugov S.A.

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

Short-term results of endovascular thoracoabdominal aortic repair with multi-branched stent-graft: a systematic review and meta-analysis over the last 5 years

Authors:

Polyakov R.S., Vlasko G.S., Chargazia Sh.G., Kur-ipa K.A., Karuk M.V., Puretsky M.V., Mardanyan G.V., Pirkova A.A., Abugov S.A.

More about the authors

Journal: Russian Cardiology Bulletin. 2024;19(3): 26‑36

DOI: 10.17116/Cardiobulletin20241903126

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Table of contents

SHORT-TERM RESULTS OF ENDOVASCULAR THORACOABDOMINAL AORTIC REPAIR WITH MULTI-BRANCHED STENT-GRAFT: A SYSTEMATIC REVIEW AND META-ANALYSIS OVER THE LAST 5 YEARS
SHORT-TERM RESULTS OF ENDOVASCULAR THORACOABDOMINAL AORTIC REPAIR WITH MULTI-BRANCHED STENT-GRAFT: A SYSTEMATIC REVIEW AND META-ANALYSIS OVER THE LAST 5 YEARS

To cite this article:

Polyakov RS, Vlasko GS, Chargazia ShG, et al. . Short-term results of endovascular thoracoabdominal aortic repair with multi-branched stent-graft: a systematic review and meta-analysis over the last 5 years. Russian Cardiology Bulletin. 2024;19(3):26‑36. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20241903126

 
ЭндоКард
Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Endovascular repair with multi-branched stent-graft is a common method for thoracoabdominal aortic aneurysms.

OBJECTIVE

To perform a systematic review and meta-analysis of short-term results (30 days) after endovascular treatment of thoracoabdominal aortic aneurysms withmulti-branched stent-graft device in the studies published in the last 5 years.

MATERIAL AND METHODS

Baseline searching in the PubMed (Medline) database identified 79 studies. Seven articles were included in systematic review.

RESULTS

Technical success rate for multi-branched stent-graft was 95.7% (95% CI 93.9—97.5, I2=46%, p=0.085). Incidence of access-related complications was 15.9% (95% CI 13.3—18.5). Type 1 endoleak occurred in 2.6% (95% CI 1.2—3.9), type 3 endoleak — 4% of cases (95% CI 2.4—5.7). Spinal cord ischemia was observed in 13.7% (95% CI 10.7—16.8), paraplegia — in 5.2% (95% CI 3.8—6.5). Post-intervention hemodialysis was necessary in 5.9% of cases (95% CI 4.6—7.3). Repeated interventions were performed in 15.7% of cases (95% CI 8.5—22.9). Mortality rate was 9.9% (95% CI 4.8—14.9) with high heterogeneity (I2=88%, p<0.001).

CONCLUSION

We found high technical success rate, acceptable complication rate and low mortality in early period. It is necessary to study the long-term results.

Keywords:

t-Branch
stent graft «on-the-shelf»
BEVAR

Authors:

Polyakov R.S.

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

Vlasko G.S.

Petrovsky National Research Center of Surgery;
National Medical Research Treatment and Rehabilitation Centrer

Chargazia Sh.G.

Petrovsky National Research Center of Surgery

Kur-ipa K.A.

Petrovsky National Research Center of Surgery

Karuk M.V.

Petrovsky National Research Center of Surgery

Puretsky M.V.

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

Mardanyan G.V.

Petrovsky National Research Center of Surgery

Pirkova A.A.

Petrovsky National Research Center of Surgery

Abugov S.A.

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

Received:

07.03.2024

Accepted:

17.05.2024

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