The first two authors equally contributed to the manuscript and are to be considered co-first authors.
Version 1
: Received: 16 May 2023 / Approved: 17 May 2023 / Online: 17 May 2023 (10:55:23 CEST)
How to cite:
Righini, P.; Avishay, D.; Mazzaccaro, D.; Galliagani, M.; Nano, G. A Systematic Review and Meta-Analysis of Aortic Morphological Changes after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury. Preprints2023, 2023051241. https://doi.org/10.20944/preprints202305.1241.v1
Righini, P.; Avishay, D.; Mazzaccaro, D.; Galliagani, M.; Nano, G. A Systematic Review and Meta-Analysis of Aortic Morphological Changes after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury. Preprints 2023, 2023051241. https://doi.org/10.20944/preprints202305.1241.v1
Righini, P.; Avishay, D.; Mazzaccaro, D.; Galliagani, M.; Nano, G. A Systematic Review and Meta-Analysis of Aortic Morphological Changes after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury. Preprints2023, 2023051241. https://doi.org/10.20944/preprints202305.1241.v1
APA Style
Righini, P., Avishay, D., Mazzaccaro, D., Galliagani, M., & Nano, G. (2023). A Systematic Review and Meta-Analysis of Aortic Morphological Changes after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury. Preprints. https://doi.org/10.20944/preprints202305.1241.v1
Chicago/Turabian Style
Righini, P., Marina Galliagani and Giovannii Nano. 2023 "A Systematic Review and Meta-Analysis of Aortic Morphological Changes after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury" Preprints. https://doi.org/10.20944/preprints202305.1241.v1
Abstract
Background: Thoracic endovascular aortic repair (TEVAR) has become the standard treatment for blunt thoracic aortic injury (BTAI). Some small observational studies revealed aortic morphological changes after TEVAR in patients with BTAI. However, these studies were limited by the rarity of the condition and small sample sizes. To address this gap, the current study aims to conduct a systematic review and meta-analysis of existing literature to provide evidence on the degree of immediate and long-term aortic diameter change following TEVAR for BTAI. Methods: This systematic review and meta-analysis of studies published up to March 2023, was conducted in accordance with the PRISMA statement. Studies eligible for inclusion were studies evaluating aortic diameter change post-TEVAR in BTAI patients. Results: 14 articles, including 353 patients, were included after review. Treatment and measurement protocols varied among individual studies resulting in high heterogeneity of the results. Our meta-analysis demonstrated an immediate post-intervention dilation 2.41 mm and 2.63 mm of the proximal and distal aortic necks’, respectively, as well as continuous dilation of the respective regions at a rate of 0.35 mm/year and 0.49 mm/year. Conclusion: TEVAR in BTAI leads to immediate post-intervention and continuous aortic dilation and morphological changes with possible future important clinical consequences.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
