title: Endovascular versus Open Repair of Asymptomatic Popliteal Artery Aneurysms: A Systematic Review and Meta-Analysis.
abstract: This systematic review compared outcomes between endovascular and open repair of asymptomatic popliteal artery aneurysms (PAAs). Endovascular repair was associated with increased 30-day graft occlusion (odds ratio [OR] = 3.14; 95% confidence interval [CI], 1.43-6.92) and increased 30-day reintervention (OR = 4.09; 95% CI, 2.79-6.00). The 12-month primary patency rate was significantly higher in the open repair group (hazard ratio = 1.95; 95% CI, 1.14-3.33). Endovascular repair was associated with shorter length of hospital stay (mean difference = -3 d; 95% CI, -4.09 to -1.91; P < .001). Endovascular repair is associated with inferior perioperative and postoperative outcomes compared with open repair.
authors.affiliation: Peninsula Radiology Academy, Plymouth Hospitals NHS, William Prance Road, Plymouth PL6 5WR, United Kingdom. Electronic address: yousef.shahin@yahoo.co.uk.
authors.forename: Yousef
authors.initials: Y
authors.lastname: Shahin
authors.affiliation: Academic Vascular Surgical Unit, Hull York Medical School, Hull, United Kingdom.
authors.forename: Hashem
authors.initials: H
authors.lastname: Barakat
authors.affiliation: Department of Vascular Radiology, Hull Royal Infirmary, Hull, United Kingdom.
authors.forename: Vivek
authors.initials: V
authors.lastname: Shrivastava
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D058070:Asymptomatic Diseases; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D016009:Chi-Square Distribution; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000628:therapy; D006801:Humans; D053208:Kaplan-Meier Estimate; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011150:Popliteal Artery / Q000503:physiopathology / Q000601:surgery*; D019233:Retreatment; D012307:Risk Factors; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency