Which is the optimal frozen elephant trunk? a systematic review and meta-analysis of outcomes in 2161 patients undergoing thoracic aortic aneurysm surgery using e-vita open plus hybrid stent graft versus thoraflex hybrid prosthesis
Rev. bras. cir. cardiovasc
;
35(4): 427-436, July-Aug. 2020. tab, graf
Article
in English
| LILACS, SES-SP
| ID: biblio-1137284
ABSTRACT
Abstract Objective:
To systematically review the rate of morbidity and mortality associated with the use of E-vita hybrid stent graft and ThoraflexTM in patients undergoing complex aortic surgery.Methods:
A comprehensive search was undertaken among the four major databases to identify published data about E-vita or Thoraflex™ in patients undergoing repair of thoracic aortic aneurysms.Results:
In total, 28 papers were included in the study, encompassing a total of 2,161 patients (1,919 E-vita and 242 Thoraflex™). Patients undergoing surgery with E-vita or Thoraflex™ were of similar age and sex. The number of patients undergoing non-elective repair with Thoraflex™ was higher than with E-vita (35.2% vs. 28.7%, respectively). Cardiopulmonary bypass time was associated with increasing mortality in E-vita patients, however a meta-analysis of proportions showed higher 30-day mortality, permanent neurological deficit, and one-year mortality for Thoraflex™ patients. Direct statistical comparisons between E-vita and Thoraflex™ was not possible due to heterogeneity of studies.Conclusion:
Although there are limited studies available, the available data suggests that mortality and morbidity are lower for the E-vita device in thoracic aortic aneurysm surgery than for Thoraflex™. Long-term data of comparative studies do not yet exist to assess viability of these procedures.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Aneurysm, Thoracic
/
Blood Vessel Prosthesis Implantation
Type of study:
Systematic reviews
Limits:
Humans
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Year:
2020
Type:
Article
Institution/Affiliation country:
Liverpool Heart and Chest Hospital/GB
/
Royal Blackburn Teaching Hospital/GB
/
Royal Liverpool Hospital/GB
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