Document Detail


Stent graft types for endovascular repair of abdominal aortic aneurysms.
MedLine Citation:
PMID:  23543563     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The UK prevalence of abdominal aortic aneurysm (AAA) is estimated at 4.9% in over 65-year olds. Progressive and unpredictable enlargement can lead to rupture. Endovascular repair of AAAs involves a stent graft system being introduced via the femoral artery and manipulated within the aorta under radiological guidance. Following endograft deployment, a seal is formed at the proximal and distal landing zones to exclude the aneurysm sac from the circulation. With the increasing popularity of endovascular repair there has been an increase in the number of commercially available stent graft designs on the market.
OBJECTIVES: This review aimed to assess the different stent graft types for endovascular repair of AAA.
SEARCH METHODS: The Cochrane Peripheral Vascular Diseases Group Trials Search Co-ordinator (TSC) searched the Specialised Register (last searched November 2012) and CENTRAL (2012, Issue 10). Trial databases were searched by the TSC for details of ongoing and unpublished studies.
SELECTION CRITERIA: All published and unpublished randomised controlled trials (RCTs) of stent graft types in the repair of AAAs were sought without language restriction and in consultation with the Peripheral Vascular Disease Group TSC.
DATA COLLECTION AND ANALYSIS: We planned to conduct data collection and analysis in accordance with the Cochrane Handbook for Systematic Reviews of Interventions.
MAIN RESULTS: No studies were identified that met the inclusion criteria.
AUTHORS' CONCLUSIONS: Unfortunately, no data exist regarding direct comparisons of the performance of different stent graft types. Therefore, this review cannot recommend guidance to clinicians in their selection of stent graft types. High quality randomised controlled trials evaluating stent graft types in abdominal endovascular aneurysm repair are required.
Authors:
James M N Duffy; Rachel Rolph; Rachel E Clough; Bijan Modarai; Peter Taylor; Matthew Waltham
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2013-03-28
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  3     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2013  
Date Detail:
Created Date:  2013-04-01     Completed Date:  2013-07-12     Revised Date:  2013-08-02    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  CD008447     Citation Subset:  IM    
Affiliation:
Academic Vascular Department, Guy’s and St Thomas’ NHS Foundation Trust, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / surgery
Endovascular Procedures / methods*
Humans
Stents / classification*
Grant Support
ID/Acronym/Agency:
//Chief Scientist Office

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