title: Fenestrated and Chimney Technique for Juxtarenal Aortic Aneurysm: A Systematic Review and Pooled Data Analysis.
abstract: Juxtarenal aortic aneurysms (JAA) account for approximately 15% of abdominal aortic aneurysms. Fenestrated endovascular aneurysm repair (FEVAR) and chimney endovascular aneurysm repair (CH-EVAR) are both effective methods to treat JAAs, but the comparative effectiveness of these treatment modalities is unclear. We searched the PubMed, Medline, Embase, and Cochrane databases to identify English language articles published between January 2005 and September 2013 on management of JAA with fenestrated and chimney techniques to conduct a systematic review to compare outcomes of patients with juxtarenal aortic aneurysm (JAA) treated with the two techniques. We compared nine F-EVAR cohort studies including 542 JAA patients and 8 CH-EVAR cohorts with 158 JAA patients regarding techniques success rates, 30-day mortality, late mortality, endoleak events and secondary intervention rates. The results of this systematic review indicate that both fenestrated and chimney techniques are attractive options for JAAs treatment with encouraging early and mid-term outcomes.
authors: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors: Yue
authors: Y
authors: Li
authors: Medical Center Tsinghua University, Beijing, China.
authors: Zhongzhou
authors: Z
authors: Hu
authors: Department of Orthopaedic Oncology, Peking University Caner Hospital, Beijing, China.
authors: Chujie
authors: C
authors: Bai
authors: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors: Jie
authors: J
authors: Liu
authors: Department of Vascular Surgery, Peking University People's Hospital, Beijing, China.
authors: Tao
authors: T
authors: Zhang
authors: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors: Yangyang
authors: Y
authors: Ge
authors: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors: Shaoliang
authors: S
authors: Luan
authors: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors: Wei
authors: W
authors: Guo
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D015331:Cohort Studies; D003710:Demography; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D011182:Postoperative Care; D013223:Statistics as Topic; D015607:Stents; D016896:Treatment Outcome