Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: A meta-analysis.
OBJECTIVES:This systematic review and meta-analysis aims to determine the current evidence on risk factors for type II endoleaks after endovascular aneurysm repair (EVAR). MATERIALS AND METHODS:A systematic literature search was carried out for studies that evaluated the association of demographic,...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2017-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5300210?pdf=render |
| _version_ | 1818285497863110656 |
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| author | Qiang Guo Xiaojiong Du Jichun Zhao Yukui Ma Bin Huang Ding Yuan Yi Yang Guojun Zeng Fei Xiong |
| author_facet | Qiang Guo Xiaojiong Du Jichun Zhao Yukui Ma Bin Huang Ding Yuan Yi Yang Guojun Zeng Fei Xiong |
| author_sort | Qiang Guo |
| collection | DOAJ |
| description | OBJECTIVES:This systematic review and meta-analysis aims to determine the current evidence on risk factors for type II endoleaks after endovascular aneurysm repair (EVAR). MATERIALS AND METHODS:A systematic literature search was carried out for studies that evaluated the association of demographic, co-morbidity, and other patient-determined factors with the onset of type II endoleaks. Pooled prevalence of type II endoleaks after EVAR was updated. RESULTS:Among the 504 studies screened, 45 studies with a total of 36,588 participants were included in this review. The pooled prevalence of type II endoleaks after EVAR was 22% [95% confidence interval (CI), 19%-25%]. The main factors consistently associated with type II endoleaks included age [pooled odds ratio (OR), 0.37; 95% CI, 0.31-0.43; P<0.001], smoking (pooled OR, 0.71; 95% CI, 0.55-0.92; P<0.001), patent inferior mesenteric artery (pooled OR, 1.98; 95% CI, 1.06-3.71; P = 0.012), maximum aneurysm diameter (pooled OR, 0.23; 95% CI, 0.17-0.30; P<0.001), and number of patent lumbar arteries (pooled OR, 3.07; 95% CI, 2.81-3.33; P<0.001). Sex, diabetes, hypertension, anticoagulants, antiplatelet, hyperlipidemia, chronic renal insufficiency, types of graft material, and chronic obstructive pulmonary diseases (COPD) did not show any association with the onset of type II endoleaks. CONCLUSIONS:Clinicians can use the identified risk factors to detect and manage patients at risk of developing type II endoleaks after EVAR. However, further studies are needed to analyze a number of potential risk factors. |
| first_indexed | 2024-12-13T01:09:39Z |
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| id | doaj.art-bef068efa2174b2ab5fd9c7cb86d18e0 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T01:09:39Z |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-bef068efa2174b2ab5fd9c7cb86d18e02022-12-22T00:04:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01122e017060010.1371/journal.pone.0170600Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: A meta-analysis.Qiang GuoXiaojiong DuJichun ZhaoYukui MaBin HuangDing YuanYi YangGuojun ZengFei XiongOBJECTIVES:This systematic review and meta-analysis aims to determine the current evidence on risk factors for type II endoleaks after endovascular aneurysm repair (EVAR). MATERIALS AND METHODS:A systematic literature search was carried out for studies that evaluated the association of demographic, co-morbidity, and other patient-determined factors with the onset of type II endoleaks. Pooled prevalence of type II endoleaks after EVAR was updated. RESULTS:Among the 504 studies screened, 45 studies with a total of 36,588 participants were included in this review. The pooled prevalence of type II endoleaks after EVAR was 22% [95% confidence interval (CI), 19%-25%]. The main factors consistently associated with type II endoleaks included age [pooled odds ratio (OR), 0.37; 95% CI, 0.31-0.43; P<0.001], smoking (pooled OR, 0.71; 95% CI, 0.55-0.92; P<0.001), patent inferior mesenteric artery (pooled OR, 1.98; 95% CI, 1.06-3.71; P = 0.012), maximum aneurysm diameter (pooled OR, 0.23; 95% CI, 0.17-0.30; P<0.001), and number of patent lumbar arteries (pooled OR, 3.07; 95% CI, 2.81-3.33; P<0.001). Sex, diabetes, hypertension, anticoagulants, antiplatelet, hyperlipidemia, chronic renal insufficiency, types of graft material, and chronic obstructive pulmonary diseases (COPD) did not show any association with the onset of type II endoleaks. CONCLUSIONS:Clinicians can use the identified risk factors to detect and manage patients at risk of developing type II endoleaks after EVAR. However, further studies are needed to analyze a number of potential risk factors.http://europepmc.org/articles/PMC5300210?pdf=render |
| spellingShingle | Qiang Guo Xiaojiong Du Jichun Zhao Yukui Ma Bin Huang Ding Yuan Yi Yang Guojun Zeng Fei Xiong Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: A meta-analysis. PLoS ONE |
| title | Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: A meta-analysis. |
| title_full | Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: A meta-analysis. |
| title_fullStr | Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: A meta-analysis. |
| title_full_unstemmed | Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: A meta-analysis. |
| title_short | Prevalence and risk factors of type II endoleaks after endovascular aneurysm repair: A meta-analysis. |
| title_sort | prevalence and risk factors of type ii endoleaks after endovascular aneurysm repair a meta analysis |
| url | http://europepmc.org/articles/PMC5300210?pdf=render |
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