Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis
Los aneurismas de la aorta abdominal son una condición clínica significativa debido a su alta mortalidad en caso de ruptura. Recientemente, ha habido un cambio hacia la reparación endovascular en lugar de la cirugía abierta, basado en estudios que sugieren una menor morbilidad y una recuperación más...
- Autores:
-
Gonzalez Alferez, Álvaro Andrés
Ángel Barrios, Jorge Armando
- Tipo de recurso:
- https://purl.org/coar/resource_type/c_7a1f
- Fecha de publicación:
- 2024
- Institución:
- Universidad El Bosque
- Repositorio:
- Repositorio U. El Bosque
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unbosque.edu.co:20.500.12495/12733
- Acceso en línea:
- https://hdl.handle.net/20.500.12495/12733
- Palabra clave:
- Terapia endovascular
Cirugía abierta
Aneurisma de aorta abdominal roto
Endovascular therapy
Open surgery
Aortic aneurysm broken abdominal
WG 170
- Rights
- License
- Acceso abierto
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| dc.title.none.fl_str_mv |
Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis |
| dc.title.translated.none.fl_str_mv |
Endovascular treatment vs open repair in ruptured abdominal aorta aneurysm: a systematic review and meta-analysis |
| title |
Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis |
| spellingShingle |
Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis Terapia endovascular Cirugía abierta Aneurisma de aorta abdominal roto Endovascular therapy Open surgery Aortic aneurysm broken abdominal WG 170 |
| title_short |
Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis |
| title_full |
Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis |
| title_fullStr |
Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis |
| title_full_unstemmed |
Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis |
| title_sort |
Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisis |
| dc.creator.fl_str_mv |
Gonzalez Alferez, Álvaro Andrés Ángel Barrios, Jorge Armando |
| dc.contributor.advisor.none.fl_str_mv |
Mendez Ordonez, Erika Marcela |
| dc.contributor.author.none.fl_str_mv |
Gonzalez Alferez, Álvaro Andrés Ángel Barrios, Jorge Armando |
| dc.contributor.orcid.none.fl_str_mv |
Gonzalez Alferez Alvaro Andres [0009-0005-7993-1872] |
| dc.subject.none.fl_str_mv |
Terapia endovascular Cirugía abierta Aneurisma de aorta abdominal roto |
| topic |
Terapia endovascular Cirugía abierta Aneurisma de aorta abdominal roto Endovascular therapy Open surgery Aortic aneurysm broken abdominal WG 170 |
| dc.subject.keywords.none.fl_str_mv |
Endovascular therapy Open surgery Aortic aneurysm broken abdominal |
| dc.subject.nlm.none.fl_str_mv |
WG 170 |
| description |
Los aneurismas de la aorta abdominal son una condición clínica significativa debido a su alta mortalidad en caso de ruptura. Recientemente, ha habido un cambio hacia la reparación endovascular en lugar de la cirugía abierta, basado en estudios que sugieren una menor morbilidad y una recuperación más rápida con terapia endovascular. Sin embargo, la eficacia a largo plazo de la terapia endovascular sigue siendo debatida. Este estudio revisa críticamente la evidencia sobre la eficacia y seguridad de cirugía endovascular versus cirugía abierta en aneurismas abdominales rotos. Metodología: Se realizó una revisión sistemática y metaanálisis siguiendo la declaración PRISMA 2020. Se incluyeron ensayos clínicos controlados y aleatorizados que compararon la terapia endovascular y la cirugía abierta en pacientes con aneurisma de aorta abdominal roto. Las bases de datos consultadas incluyeron PubMed, Embase, Web of Science, Scopus, y otras. Se evaluaron los resultados de mortalidad, complicaciones postoperatorias y estancia hospitalaria. Resultados: Se incluyeron cuatro ensayos clínicos con un total de 868 pacientes. No hubo diferencias significativas en la mortalidad a corto plazo (30 días) entre la terapia endovascular y la cirugía abierta. Al año, la mortalidad fue similar entre ambos grupos. A los tres años, la terapia endovascular mostró una ventaja en la supervivencia. No hubo diferencias significativas en las complicaciones a corto plazo entre los dos tipos de tratamiento, la estancia hospitalaria parece ser más corta en el grupo de tratamiento endovascular. Conclusión: La terapia endovascular no difiere en las complicaciones a corto plazo cuando se compara con la cirugía abierta. Las tasas de mortalidad son similares al mes y al año de seguimiento, en el largo plazo la evidencia sugiere una disminución en la mortalidad en el grupo de terapia endovascular. La estancia hospitalaria parece ser menor en el grupo de terapia endovascular. |
| publishDate |
2024 |
| dc.date.accessioned.none.fl_str_mv |
2024-07-25T18:55:46Z |
| dc.date.available.none.fl_str_mv |
2024-07-25T18:55:46Z |
| dc.date.issued.none.fl_str_mv |
2024-07 |
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http://purl.org/coar/resource_type/c_7a1f |
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Tesis/Trabajo de grado - Monografía - Especialización |
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https://purl.org/coar/resource_type/c_7a1f |
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info:eu-repo/semantics/bachelorThesis |
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https://purl.org/coar/resource_type/c_7a1f |
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https://hdl.handle.net/20.500.12495/12733 |
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instname:Universidad El Bosque |
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reponame:Repositorio Institucional Universidad El Bosque |
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https://hdl.handle.net/20.500.12495/12733 |
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Editor’s Choice - Endovascular aneurysm repair versus open repair for patients with a ruptured abdominal aortic aneurysm: a systematic review and meta-analysis of short-term survival. Eur J Vasc Endovasc Surg. 2014;47(6):593-602. doi:10.1016/j.ejvs.2014.03.003. Thomas DM, Hulten EA, Ellis ST, et al. Open versus Endovascular Repair of Abdominal Aortic Aneurysm in the Elective and Emergent Setting in a Pooled Population of 37,781 Patients: A Systematic Review and Meta-Analysis. ISRN Cardiol. 2014;2014:149243. Published 2014 Apr 2. doi:10.1155/2014/149243. Brown LC, Powell JT, Thompson SG, Epstein DM, Sculpher MJ, Greenhalgh RM. The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy. Health Technol Assess. 2012;16(9):1-218. doi:10.3310/hta16090. Cao P, De Rango P, Verzini F, et al. Comparison of surveillance versus aortic endografting for small aneurysm repair (CAESAR): results from a randomised trial. Eur J Vasc Endovasc Surg. 2011;41(1):13-25. doi:10.1016/j.ejvs.2010.08.026. Setacci F, Sirignano P, De Donato G, et al. Endovascular approach for ruptured abdominal aortic aneursyms. J Cardiovasc Surg (Torino). 2010;51(3):313-317. Harlin SA, Beasley RE, Feldman RL, Thompson CS, Williams JB. Endovascular abdominal aortic aneurysm repair using an anatomical fixation technique and concomitant suprarenal orientation: results of a prospective, multicenter trial. Ann Vasc Surg. 2010;24(7):921-929. doi:10.1016/j.avsg.2010.05.008. Hoornweg LL, Wisselink W, Vahl A, Balm R; Amsterdam Acute Aneurysm Trial Collaborators. The Amsterdam Acute Aneurysm Trial: suitability and application rate for endovascular repair of ruptured abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2007;33(6):679-683. doi:10.1016/j.ejvs.2006.12.011. Prinssen M, Buskens E, de Jong SE, et al. Cost-effectiveness of conventional and endovascular repair of abdominal aortic aneurysms: results of a randomized trial [published correction appears in J Vasc Surg. 2008 Feb;47(2):483. Sambeek, Marc R [corrected to van Sambeek, MarcR]]. J Vasc Surg. 2007;46(5):883-890. doi:10.1016/j.jvs.2007.07.033. Peppelenbosch N, Geelkerken RH, Soong C, et al. Endograft treatment of ruptured abdominal aortic aneurysms using the Talent aortouniiliac system: an international multicenter study. J Vasc Surg. 2006;43(6):1111-1123. doi:10.1016/j.jvs.2006.01.035. EVAR trial participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet. 2005;365(9478):2179-2186. doi:10.1016/S0140-6736(05)66627-5. Blankensteijn JD, de Jong SE, Prinssen M, et al. Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2005;352(23):2398-2405. doi:10.1056/NEJMoa051255. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG; EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004;364(9437):843-848. doi:10.1016/S0140-6736(04)16979-1. Mastracci TM, Garrido-Olivares L, Cinà CS, Clase CM. Endovascular repair of ruptured abdominal aortic aneurysms: a systematic review and meta-analysis. J Vasc Surg. 2008;47(1):214-221. doi:10.1016/j.jvs.2007.07.052. Saedon M, Mt-Isa S, Saratzis A, Leung E, Mahmood A. Outcome of open versus endovascular abdominal aortic aneurysm repair in obese patients: a systemic review and meta-analysis. Int Angiol. 2015;34(1):9-15. |
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Mendez Ordonez, Erika MarcelaGonzalez Alferez, Álvaro AndrésÁngel Barrios, Jorge ArmandoGonzalez Alferez Alvaro Andres [0009-0005-7993-1872]2024-07-25T18:55:46Z2024-07-25T18:55:46Z2024-07https://hdl.handle.net/20.500.12495/12733instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coLos aneurismas de la aorta abdominal son una condición clínica significativa debido a su alta mortalidad en caso de ruptura. Recientemente, ha habido un cambio hacia la reparación endovascular en lugar de la cirugía abierta, basado en estudios que sugieren una menor morbilidad y una recuperación más rápida con terapia endovascular. Sin embargo, la eficacia a largo plazo de la terapia endovascular sigue siendo debatida. Este estudio revisa críticamente la evidencia sobre la eficacia y seguridad de cirugía endovascular versus cirugía abierta en aneurismas abdominales rotos. Metodología: Se realizó una revisión sistemática y metaanálisis siguiendo la declaración PRISMA 2020. Se incluyeron ensayos clínicos controlados y aleatorizados que compararon la terapia endovascular y la cirugía abierta en pacientes con aneurisma de aorta abdominal roto. Las bases de datos consultadas incluyeron PubMed, Embase, Web of Science, Scopus, y otras. Se evaluaron los resultados de mortalidad, complicaciones postoperatorias y estancia hospitalaria. Resultados: Se incluyeron cuatro ensayos clínicos con un total de 868 pacientes. No hubo diferencias significativas en la mortalidad a corto plazo (30 días) entre la terapia endovascular y la cirugía abierta. Al año, la mortalidad fue similar entre ambos grupos. A los tres años, la terapia endovascular mostró una ventaja en la supervivencia. No hubo diferencias significativas en las complicaciones a corto plazo entre los dos tipos de tratamiento, la estancia hospitalaria parece ser más corta en el grupo de tratamiento endovascular. Conclusión: La terapia endovascular no difiere en las complicaciones a corto plazo cuando se compara con la cirugía abierta. Las tasas de mortalidad son similares al mes y al año de seguimiento, en el largo plazo la evidencia sugiere una disminución en la mortalidad en el grupo de terapia endovascular. La estancia hospitalaria parece ser menor en el grupo de terapia endovascular.Especialista en Cirugía Vascular y AngiologíaEspecializaciónAbdominal aortic aneurysms are a significant clinical condition due to their high mortality in case of rupture. Recently, there has been a shift towards endovascular repair instead of open surgery, based on studies suggesting lower morbidity and faster recovery with endovascular therapy. However, the long-term efficacy of endovascular therapy remains debated. This study critically reviews the evidence on the efficacy and safety of endovascular surgery versus open surgery in ruptured abdominal aneurysms. Methodology: A systematic review and meta-analysis were conducted following the PRISMA 2020 statement. Randomized controlled trials comparing endovascular therapy and open surgery in patients with ruptured abdominal aortic aneurysm were included. The databases consulted included PubMed, Embase, Web of Science, Scopus, and others. Outcomes of mortality, postoperative complications, and hospital stay were evaluated. Results: Four clinical trials with a total of 868 patients were included. There were no significant differences in short-term (30 days) mortality between endovascular therapy and open surgery. At one year, mortality was similar between both groups. At three years, endovascular therapy showed a survival advantage. There were no significant differences in short-term complications between the two types of treatment, and the hospital stay appeared to be shorter in the endovascular treatment group. Conclusion: Endovascular therapy does not differ in short-term complications when compared to open surgery. Mortality rates are similar at one month and one year of follow-up; in the long term, evidence suggests a decrease in mortality in the endovascular therapy group. The hospital stay appears to be shorter in the endovascular therapy group.application/pdfTerapia endovascularCirugía abiertaAneurisma de aorta abdominal rotoEndovascular therapyOpen surgeryAortic aneurysm broken abdominalWG 170Tratamiento endovascular vs reparación abierta en aneurisma de aorta abdominal roto: una revisión sistemática y metaanálisisEndovascular treatment vs open repair in ruptured abdominal aorta aneurysm: a systematic review and meta-analysisEspecialización en Cirugía Vascular y AngiologíaUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aaCoselli JS. Thoracoabdominal aortic aneurysm: a journey through the distal aorta. Indian J Thorac Cardiovasc Surg. 2023;39(Suppl 2):212-217. doi:10.1007/s12055-023-01634-0.Harik L, Lau C. Open and endovascular repair of thoracoabdominal aortic aneurysm-a narrative review. J Thorac Dis. 2023;15(7):3984-3997. doi:10.21037/jtd-22-1880.Cox K, Yip HCA, Geragotellis A, et al. Endovascular Solutions for Abdominal Aortic Aneurysms: Fenestrated, Branched and Custom-Made Devices. Vasc Endovascular Surg. Published online June 20, 2023. doi:10.1177/15385744231185606.Loufopoulos G, Tasoudis P, Koudounas G, et al. Long-Term Outcomes of Open Versus Endovascular Treatment for Abdominal Aortic Aneurysm: Systematic Review and Meta-Analysis With Reconstructed Time-to-Event Data. J Endovasc Ther. Published online October 19, 2023. doi:10.1177/15266028231204805.Bartek MA, Kessler LG, Talbott JM, Nguyen J, Shalhub S. Washington State abdominal aortic aneurysm-related mortality shows a steady decline between 1996 and 2016. J Vasc Surg. 2019;70(4):1115-1122. doi:10.1016/j.jvs.2018.12.040.IMPROVE Trial Investigators. 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