Objective: This systematic review aimed to assess clinical outcomes of branched endovascular aortic repair (BEVAR) with inner branches (iBEVAR) and inner/outer branches (oBEVAR).
Data Sources: A systematic literature review was performed using the electronic bibliographic databases MEDLINE, Embase, Scopus, Web of Science, and the Cochrane Library up to May 2024.
Review Methods: The review was designed and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies reported death, technical failure, primary patency of target vessels (TVs), TV related complications, branch related re-interventions, and spinal cord ischaemia (SCI). Risk of bias was evaluated with the ROBINS-I tool.
Results: Twenty seven observational studies reporting a total of 1 780 patients treated with BEVAR and 6 633 TVs were included. A total of 386 patients (84.3%) were electively treated with iBEVAR while 72 (15.6%) were urgently treated vs. 845 (63.2%) and 491 (36.7%) with oBEVAR, respectively. The pooled estimate of 30 day mortality was 4.9% (95% confidence interval [CI] 2.9 - 8.2%) for iBEVAR and 7.6% (95% CI 4.9 - 11.7%) for oBEVAR. Overall mortality rates were 13.8% (95% CI 9.7 - 19.1%) for iBEVAR vs. 15.4% (95% CI 10.6 - 21.9%) for oBEVAR. The rate of SCI was 6.5% (95% CI 4.2 - 10.0%) in iBEVAR compared with 12.9% (95% CI 9.6 - 17.1%) in oBEVAR. Primary TV patency was similar between iBEVAR (97.3%, 95% CI 94.8 - 98.6%) and oBEVAR (97.6%, 95% CI 95.3 - 98.7%). Target vessel related complication rates were 2.9% (95% CI 2.0 - 4.1%) in iBEVAR vs. 3.9% (95% CI 2.7 - 5.6%) in oBEVAR. Technical failure rates were 4.1% (95% CI 2.4 - 6.9%) for iBEVAR vs. 5.7% (95% CI 3.5 - 9.1%) for oBEVAR. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) certainty was low or very low for all outcomes.
Conclusion: Branched endovascular aortic aneurysm repair with inner and inner/outer branches has been used in elective and urgent cases, as well as across a variety of anatomies, with both designs demonstrating satisfactory clinical outcomes.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ejvs.2025.03.003 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Enhanced imaging of porcine thoracic aorta vasa vasorum with contrast micro-computed tomography.
J Anat
March 2025
Curtin Medical School, Curtin University, Perth, Western Australia, Australia.
The vasa vasorum (VV) have gathered considerable interest over the last decade due to its role in vascular wall biology and pathology; however, while the coronary VV are relatively well studied, the anatomy of peripheral VV, such as those of the aorta, remains poorly described, hampering knowledge of their role in peripheral vascular diseases. Through careful retrieval of the porcine thoracic aorta and successful microthrombi removal, the thoracic aorta was perfused with BriteVu™ followed by micro-computed tomography (micro-CT) scanning to image the VV and obtain a 3D reconstruction. We used commercially available software and its thresholding algorithms.
View Article and Find Full Text PDFPhysician Modified Endografts Achieve Similar Patient Survival and Target Visceral Vessel Related Outcomes to Factory Made Fenestrated Endografts in Treating Complex Aortic Pathology.
Ann Vasc Surg
March 2025
Division of Vascular Surgery and Endovascular Therapy, Loyola University Health System, Loyola University Chicago Stritch School of Medicine. Electronic address:
Objective: The purpose of this study was to conduct a real-world comparison of visceral stent branch related outcomes and patient survival in physician modified endografts (PMEG) versus factory made fenestrated endografts (FMFE).
Methods: After exclusions, 544 PMEG and 1638 FMFE were identified in the Vascular Quality Initiative between 2014 and 2022. The four primary outcomes analyzed with Kaplan Meier (KM) were freedom from mortality, new onset dialysis, visceral ischemia, and visceral stent graft reintervention in follow up.
Branched Endovascular Aortic Repair with Inner and Outer Branches: A Systematic Review and Meta-analysis.
Eur J Vasc Endovasc Surg
March 2025
Department of Vascular and Endovascular Surgery, Manchester University NHS Foundation Trust, Manchester, UK; Division of Cardiovascular Sciences, School of Medical Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Objective: This systematic review aimed to assess clinical outcomes of branched endovascular aortic repair (BEVAR) with inner branches (iBEVAR) and inner/outer branches (oBEVAR).
Data Sources: A systematic literature review was performed using the electronic bibliographic databases MEDLINE, Embase, Scopus, Web of Science, and the Cochrane Library up to May 2024.
Review Methods: The review was designed and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines.
Blunt Vascular Injuries of the Face and Scalp: Systematic Review and Introduction of a Grading Scheme and Treatment Algorithm.
J Craniofac Surg
March 2025
West Virginia University Division of Plastic, Reconstructive, and Hand Surgery.
Introduction: Branches of the internal and external carotid arteries supplying the scalp and face are vulnerable to injury from blunt trauma and penetrating injuries, especially over bony structures. Blunt trauma can lead to vessel dissection, pseudoaneurysm, or transection with extravasation. These injuries often present days to months post-trauma unless accompanied by avulsion with hemorrhage.
View Article and Find Full Text PDFEndovascular Repair of Iliac Aneurysms Using the Gore Iliac Branch Endoprosthesis with Up-and-Over Technique.
Ann Vasc Dis
March 2025
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan.
The Gore iliac branch endoprosthesis (IBE) enables internal iliac artery (IIA) reconstruction, extending the indications of endovascular aneurysmal repair (EVAR); however, the up-and-over technique is challenging. This study aimed to clarify the advantages and procedural limitations of the up-and-over technique. From January 2019 to October 2022, 22 patients who underwent IIA reconstruction with Gore IBE were enrolled.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!