Editor's Choice - Therapeutic Options and Outcomes in Midaortic Syndrome: A Systematic Review and Meta-analysis.
| العنوان: | Editor's Choice - Therapeutic Options and Outcomes in Midaortic Syndrome: A Systematic Review and Meta-analysis. |
|---|---|
| المؤلفون: | Cortenbach, K.R.G. |
| بيانات النشر: | 2023. |
| Added Details: | Yosofi, B. author. Rodwell, L. author. Meek, J.M. author. Patel, R. author. Prakash, S.K. author. Riksen, N.P. author. Jenniskens, S.F.M. author. Dirven, M. author. DeRuiter, M.C. author. Kimmenade, R.R. van author. |
| وصف مادي: | 1 online resource |
| الموضوعات: | All institutes and research themes of the Radboud University Medical Center., Radboudumc 0: Other Research Medical Imaging., Radboudumc 16: Vascular damage Cardiology., Radboudumc 16: Vascular damage Internal Medicine., Radboudumc 17: Women's cancers Health Evidence., Radboudumc 2: Cancer development and immune defence Tumorimmunology. |
| مصطلحات الفهرس: | Article / Letter to editor. |
| URL: | |
| الاتاحة: | Open access content. Open access content. |
| ملاحظة: | European Journal of Vascular and Endovascular Surgery, 65, 1, pp. 120-130. Contains fulltext : 290947.pdf (Publisher's version ) (Open Access). OBJECTIVE: Midaortic syndrome (MAS) is narrowing of the distal thoracic and or abdominal aorta with congenital, inflammatory, or idiopathic aetiology. If left untreated, the prognosis is poor due to hypertensive complications. Follow up data after treatment are sparse, contrary to aortic coarctation. This study aimed to investigate hypertension during follow up after medical, endovascular, and surgical therapy in juveniles and adults. DATA SOURCES: A meta-analysis of case series and reports was performed, focusing on the incidence of hypertension during the follow up of juvenile (i.e., age 0-17 years) and adult MAS patients after medical, endovascular, or surgical therapy. REVIEW METHODS: Search queries were performed in PubMed, Embase, and Web of Science, and eligible articles underwent quality control. Descriptive statistics were reported based on available data, and individual patient data meta-analyses were performed using a one stage approach, accounting for clustering by case series or decades of reporting for case reports. For the meta-analysis, missing outcome and aetiology data were multiply imputed. RESULTS: The number of juveniles and adults who underwent endovascular therapy (33.7% vs. 27.3%; p = .42) and surgery (52.2% vs. 58.0%; p = .46) was similar. At baseline, 92.4% of juveniles and 87.5% of adults were hypertensive, decreasing to 23.2% and 24.1% during a follow up of 23 months (juveniles) and 18 months (adults), respectively. More hypertension was found compared with surgery in juveniles after endovascular therapy (38.1% vs. 10.8%; p = .020). Meta-analysis also demonstrated a trend for hypertension after endovascular therapy in juveniles, whereas hypertension was more prevalent following surgery in adults compared with endovascular therapy or medication. CONCLUSION: This review and meta-analysis investigated therapeutic options for MAS in juveniles and adults. It found that complications and hypertension during follow up were more common in juveniles after endovascular treatment, whereas surgery in adults was associated with more hypertension. 01 januari 2023. |
| Other Numbers: | NLQGE oai:repository.ubn.ru.nl:2066/290947 1443257693 |
| المصدر المساهم: | From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1443257693 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |