Repair of Aneurysmal Arteriovenous Fistulae: A Systematic Review and Meta-analysis

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F20%3A43919441" target="_blank" >RIV/00216208:11120/20:43919441 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11130/20:10402484 RIV/00064173:_____/20:N0000005

Výsledek na webu

<a href="https://doi.org/10.1016/j.ejvs.2019.07.033" target="_blank" >https://doi.org/10.1016/j.ejvs.2019.07.033</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ejvs.2019.07.033" target="_blank" >10.1016/j.ejvs.2019.07.033</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Repair of Aneurysmal Arteriovenous Fistulae: A Systematic Review and Meta-analysis

Popis výsledku v původním jazyce

OBJECTIVES: Aneurysms arising from arteriovenous fistulae are a common finding among dialysed patients and pose a risk of acute bleeding. The aim of this study was to perform a systematic review and meta-analysis evaluating the surgical options for the treatment of aneurysmal arteriovenous fistulae. METHODS: A systematic review and meta-analysis of articles published between January 1973 and March 2019 describing the surgical treatment of arteriovenous fistulae aneurysms. RESULTS: A total of 794 records were identified. After duplicate and low quality studies were removed, 72 full text articles were reviewed and from these 13 were included in the meta-analysis. The total number of patients was 597. Aneurysms were located in the upper arm in 289 (59%) cases and the smallest diameter of a treated aneurysm was 15 mm. The most frequent indication for treatment was bleeding prevention in 513 (86%) cases. Aneurysmorrhaphy was the surgical method of choice in all 13 studies. The pooled primary patency at 12 months was 82% (95% CI 69%-90%, 12 studies, I = 84%, p &lt; .01). The 12 month primary patency rates were similar for aneurysmorrhaphy with external prosthetic reinforcement (85%, 95% CI 71%-93%, two studies, I = 0%, p = .33) and aneurysmorrhaphy performed using a stapler (74%, 95% CI 61%-83%, four studies, I = 0%, p = .48) and without a stapler (82%, 95% CI 60%-94%, six studies, I = 92%, p &lt; .01). CONCLUSIONS: Aneurysmorraphy of arteriovenous fistulae is a procedure with acceptable short and long term results, with a low complication and aneurysm recurrence rate.

Název v anglickém jazyce

Repair of Aneurysmal Arteriovenous Fistulae: A Systematic Review and Meta-analysis

Popis výsledku anglicky

OBJECTIVES: Aneurysms arising from arteriovenous fistulae are a common finding among dialysed patients and pose a risk of acute bleeding. The aim of this study was to perform a systematic review and meta-analysis evaluating the surgical options for the treatment of aneurysmal arteriovenous fistulae. METHODS: A systematic review and meta-analysis of articles published between January 1973 and March 2019 describing the surgical treatment of arteriovenous fistulae aneurysms. RESULTS: A total of 794 records were identified. After duplicate and low quality studies were removed, 72 full text articles were reviewed and from these 13 were included in the meta-analysis. The total number of patients was 597. Aneurysms were located in the upper arm in 289 (59%) cases and the smallest diameter of a treated aneurysm was 15 mm. The most frequent indication for treatment was bleeding prevention in 513 (86%) cases. Aneurysmorrhaphy was the surgical method of choice in all 13 studies. The pooled primary patency at 12 months was 82% (95% CI 69%-90%, 12 studies, I = 84%, p &lt; .01). The 12 month primary patency rates were similar for aneurysmorrhaphy with external prosthetic reinforcement (85%, 95% CI 71%-93%, two studies, I = 0%, p = .33) and aneurysmorrhaphy performed using a stapler (74%, 95% CI 61%-83%, four studies, I = 0%, p = .48) and without a stapler (82%, 95% CI 60%-94%, six studies, I = 92%, p &lt; .01). CONCLUSIONS: Aneurysmorraphy of arteriovenous fistulae is a procedure with acceptable short and long term results, with a low complication and aneurysm recurrence rate.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Journal of Vascular &amp; Endovascular Surgery

ISSN

1078-5884

e-ISSN

—

Svazek periodika

59

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

10

Strana od-do

614-623

Kód UT WoS článku

000525325000021

EID výsledku v databázi Scopus

2-s2.0-85071858059