Short-term curative effect of endovascular stent-graft treatment for aortic diseases in China: a systematic review.
<h4>Introduction</h4>We analyzed the short-term efficacy of endovascular treatment for aortic diseases by summarizing all available published data on endovascular stent-graft treatment for abdominal aortic aneurysm (AAA), thoracic aortic aneurysm (TAA), type A aortic dissection (type A A...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2013-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0071012 |
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| author | Siwen Wang Jinsong Wang Peiliang Lin Zhibin Li Chen Yao Guangqi Chang Xiaoxi Li Shenming Wang |
| author_facet | Siwen Wang Jinsong Wang Peiliang Lin Zhibin Li Chen Yao Guangqi Chang Xiaoxi Li Shenming Wang |
| author_sort | Siwen Wang |
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| description | <h4>Introduction</h4>We analyzed the short-term efficacy of endovascular treatment for aortic diseases by summarizing all available published data on endovascular stent-graft treatment for abdominal aortic aneurysm (AAA), thoracic aortic aneurysm (TAA), type A aortic dissection (type A AD) and type B aortic dissection (type B AD) in China.<h4>Methods</h4>We performed a systematic analysis of 935 published series on retrograde endovascular treatment for aortic diseases in China from January 1996 to November 2010. Based on the inclusion criteria, 159 studies, involving a total of 5531 patients, were included.<h4>Results</h4>There were no significant differences in procedural success among the studies (P>0.05). The rates of overall neurologic complications and stroke were significantly different in all two-group comparisons (P<0.01). The type A AD patients had the highest rates of neurologic complications (both 6.67±0.00%), and the AAA patients had the lowest rates (0.31±0.04% and 0.11±0.02%). Significant differences were noted in the rates of cardiac, renal, pulmonary and visceral complications, which were all higher in the type A AD patients than in the other three groups (P<0.01). The endoleak rate was highest in the TAA patients (19.27±5.74%) and was similar in the type A AD patients (P>0.05). A significant difference was noted between the 30-day mortality rate of the type A AD patients and the AAA or type B AD patients (P<0.05).<h4>Conclusion</h4>Endovascular stent-graft is a feasible and safe treatment for aortic diseases, with high procedural success and low incidences of post-procedural complications and short-term mortality. Endovascular treatment for AAA and type B AD is more efficient than for type A AD and TAA. |
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| issn | 1932-6203 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Public Library of Science (PLoS) |
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| spelling | doaj-art-0de02263d2e34e38858ec3ff4860abf92025-08-20T02:36:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0188e7101210.1371/journal.pone.0071012Short-term curative effect of endovascular stent-graft treatment for aortic diseases in China: a systematic review.Siwen WangJinsong WangPeiliang LinZhibin LiChen YaoGuangqi ChangXiaoxi LiShenming Wang<h4>Introduction</h4>We analyzed the short-term efficacy of endovascular treatment for aortic diseases by summarizing all available published data on endovascular stent-graft treatment for abdominal aortic aneurysm (AAA), thoracic aortic aneurysm (TAA), type A aortic dissection (type A AD) and type B aortic dissection (type B AD) in China.<h4>Methods</h4>We performed a systematic analysis of 935 published series on retrograde endovascular treatment for aortic diseases in China from January 1996 to November 2010. Based on the inclusion criteria, 159 studies, involving a total of 5531 patients, were included.<h4>Results</h4>There were no significant differences in procedural success among the studies (P>0.05). The rates of overall neurologic complications and stroke were significantly different in all two-group comparisons (P<0.01). The type A AD patients had the highest rates of neurologic complications (both 6.67±0.00%), and the AAA patients had the lowest rates (0.31±0.04% and 0.11±0.02%). Significant differences were noted in the rates of cardiac, renal, pulmonary and visceral complications, which were all higher in the type A AD patients than in the other three groups (P<0.01). The endoleak rate was highest in the TAA patients (19.27±5.74%) and was similar in the type A AD patients (P>0.05). A significant difference was noted between the 30-day mortality rate of the type A AD patients and the AAA or type B AD patients (P<0.05).<h4>Conclusion</h4>Endovascular stent-graft is a feasible and safe treatment for aortic diseases, with high procedural success and low incidences of post-procedural complications and short-term mortality. Endovascular treatment for AAA and type B AD is more efficient than for type A AD and TAA.https://doi.org/10.1371/journal.pone.0071012 |
| spellingShingle | Siwen Wang Jinsong Wang Peiliang Lin Zhibin Li Chen Yao Guangqi Chang Xiaoxi Li Shenming Wang Short-term curative effect of endovascular stent-graft treatment for aortic diseases in China: a systematic review. PLoS ONE |
| title | Short-term curative effect of endovascular stent-graft treatment for aortic diseases in China: a systematic review. |
| title_full | Short-term curative effect of endovascular stent-graft treatment for aortic diseases in China: a systematic review. |
| title_fullStr | Short-term curative effect of endovascular stent-graft treatment for aortic diseases in China: a systematic review. |
| title_full_unstemmed | Short-term curative effect of endovascular stent-graft treatment for aortic diseases in China: a systematic review. |
| title_short | Short-term curative effect of endovascular stent-graft treatment for aortic diseases in China: a systematic review. |
| title_sort | short term curative effect of endovascular stent graft treatment for aortic diseases in china a systematic review |
| url | https://doi.org/10.1371/journal.pone.0071012 |
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