Risk-Adjusted Meta-analysis of 30-Day Mortality of Endovascular Versus Open Repair for Ruptured Abdominal Aortic Aneurysms

Annals of Vascular Surgery
Thomas Luebke, J Brunkwall

Abstract

In recent years, the relative benefits of endovascular repair (EVAR) in the treatment of ruptured abdominal aortic aneurysms (rAAAs) compared with those of open repair have been postulated. However, sufficient quantification and evidence-based validation of the role of EVAR in the care pathway for these patients is still lacking. The aim of the present meta-analysis was to investigate the impact of hemodynamic instability and other potential risk factors on 30-day mortality of EVAR versus open repair for rAAAs by performing a meta-regression analysis of previously published data. Studies comparing perioperative outcomes of endovascular and open repair of ruptured infrarenal or juxtarenal abdominal aortic aneurysm were considered for analysis. All types of comparative studies, including prospective or retrospective, observational studies, or randomized controlled trials (RCTs), were included. Meta-analysis was undertaken using the Mantel-Haenszel method, with a standard continuity correction of 0.5. A random-effects model was used owing to the variability in baseline characteristics in each article. Furthermore, an odds ratio (OR) for 30-day mortality adjusted for patients' hemodynamic condition at presentation in the hospital w...Continue Reading

References

Jan 18, 1989·Journal of the National Cancer Institute·C B Begg, J A Berlin
Feb 1, 1996·Controlled Clinical Trials·A R JadadH J McQuay
Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
Jan 10, 1998·Journal of Vascular Surgery·V J HalpernJ R Cohen
Mar 23, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E P TurtonR C Kester
Dec 12, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R J HinchliffeB R Hopkinson
Sep 12, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Marc R H M van SambeekHero van Urk
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Oct 9, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M ReichartE Ph Volker
Aug 7, 2004·Journal of Vascular Surgery·W Anthony LeeJames M Seeger
Oct 16, 2004·The New England Journal of Medicine·Monique PrinssenUNKNOWN Dutch Randomized Endovascular Aneurysm Management (DREAM)Trial Group
Mar 11, 2005·Abdominal Imaging·P CastelliA Bacuzzi
Jun 21, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M R KapmaJ J A M Van den Dungen
Aug 3, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J-M AlsacJ-P Becquemin
Oct 11, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thomas LarzonLars Norgren
Oct 14, 2005·Journal of Vascular and Interventional Radiology : JVIR·Michael BrandtStefan Müller-Hülsbeck
Oct 18, 2005·Annals of Vascular Surgery·Sarat K VaddineniWilliam D Jordan
Jan 28, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S FranksR Sayers
Mar 8, 2006·Journal of Vascular Surgery·Giampaolo GrecoK Craig Kent
Nov 14, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S AcostaZ Zdanowski
Aug 19, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Muhammad Anees SharifChee Voon Soong
Aug 29, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stefan OckertJens-Rainer Allenberg
Feb 27, 2008·The British Journal of Surgery·A WanhainenM Björck
Mar 19, 2008·Annals of Vascular Surgery·Richard W LeeKarl A Illig
Jan 10, 2009·Vascular and Endovascular Surgery·Todd R VogelAlan M Graham
Jul 8, 2009·Circulation·Kevin ManiAnders Wanhainen
Oct 22, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Kristina A GilesMarc L Schermerhorn
Nov 27, 2009·Journal of Vascular Surgery·Daniel L DavenportEleftherios S Xenos
Feb 16, 2010·The British Journal of Surgery·P J E HoltM M Thompson
Aug 3, 2010·Vascular and Endovascular Surgery·Ryaz B ChagparThomas L Forbes
Feb 22, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J A Ten BoschJ A W Teijink
Nov 16, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jan A Ten BoschJoep A W Teijink
Jan 21, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A NooraniJ R Boyle

❮ Previous
Next ❯

Citations

Apr 9, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P De RangoF Verzini
Aug 9, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Katrina HopeRonelle Mouton
Apr 26, 2019·VASA. Zeitschrift für Gefässkrankheiten·Jonathan BathTodd R Vogel
Dec 11, 2020·Journal of Atherosclerosis and Thrombosis·Masanori NishimuraYujiro Asada
Jan 15, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Nikolaos KontopodisGeorge A Antoniou
Mar 18, 2019·Journal of Vascular Surgery·Kosmas I ParaskevasFrank J Veith

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.