This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Percutaneous access does not confer superior clinical outcomes over cutdown access for endovascular aneurysm repair: meta-analysis and trial sequential analysis of randomised controlled trials. Eur J Vasc Endovasc Surg 2021; 61: 383-394.

Published: 1st November 2021

Authors: Antoniou GA, Antoniou SA

Conclusion

There were four RCTs of 368 procedures (530 access sites). Percutaneous access reduced procedure duration (by a median 11.53 min, 95 per cent confidence interval 15.71 to 7.34 min) and the rate of seroma/lymphatic leak (odds ratio 0.18, 0.04 to 0.83), but not length of hospital stay.

Pubmed Link

You may also be interested in

Scientific Surgery

Prospective randomised two centre trial of endovascular repair of abdominal aortic aneurysm with or without sac embolisation. Eur J Vasc Endovasc Surg 2021; 61: 201-209.

Authors: Fabre D, Mougin J, Mitilian D, Cochennec F, Alonso CG, Becquemin J-P et al.

Scientific Surgery

A systematic review of the impact of preoperative exercise for patients with abdominal aortic aneurysm. J Vasc Surg 2020; 71: 2123-2131.

Authors: Wee IJY, Choong AMTL

Scientific Surgery

Endovascular aneurysm repair with inferior mesenteric artery embolization for preventing type II endoleak. A prospective randomized controlled trial. Ann Surg 2020; 271: 238-244

Authors: Samura M, Morikage N, Otsuka R, Mizoguchi T, Takeuchi Y, Nagase T et al.

Scientific Surgery

Randomized multicenter trial on percutaneous versus open access in endovascular aneurysm repair (PiERO). J Vasc Surg 2019; 69: 1429–1436

Authors: Vierhout B , Pol RA , Ott MA , Pierie MEN , van Andringa de Kempenaer TMG , Hissink RJ et al.

Scientific Surgery

Meta-analysis of randomized controlled trials on safety and efficacy of exercise training in patients with abdominal aortic aneurysm. J Vasc Surg 2019; 69: 933–943

Authors: Kaot M, Kubo A , Green FN, Takagi H

Scientific Surgery

Open versus endovascular repair of abdominal aortic aneurysm. N Engl J Med 2019; 380: 2126-2135

Authors: Lederle FA, Kyriakides TC, Stroupe KT , Freischlag JA, Padberg FT , Matsumura et al.

Scientific Surgery

Successful percutaneous access for endovascular aneurysm repair is significantly cheaper than femoral cutdown in a prospective randomized trial. J Vasc Surg 2018; 68: 384-391.

Authors: Uhlmann ME, Walter C, Taher F, Plimon M, Falkensammer J, Assadian A et al.

Scientific Surgery

HYDration and bicarbonate to prevent acute renal injury after endovascular aneurysm repair with suprarenal fixation: pilot/feasibility randomised controlled study (HYDRA Pilot trial). Eur J Vasc Endovasc Surg 2018; 55: 648-656.

Authors: Saratzis A, Chiocchia V, Jiffry A, Hassanali N, Singh S, Imray CH et al.

Scientific Surgery

Comparative clinical effectiveness and cost effectiveness of endovascular strategy v open repair for ruptured abdominal aortic aneurysm. BMJ 2017; 359: j4859.

Authors: Improve Trial Investigators

Scientific Surgery

Endovascular repair of abdominal aortic aneurysm in patients physically ineligible for open repair: very long-term follow-up in the EVAR-2 randomized controlled trial. Ann Surg 2017; 266: 713-719.

Authors: Sweeting MJ, Patel R, Powell J, Greenhalgh RM, for the, EVAR Trial Investigators et al.

Scientific Surgery

Long-term cost-effectiveness in the Veterans Affairs open vs endovascular repair study of aortic abdominal aneurysm. A randomized clinical trial. JAMA Surg 2016; 151: 1139-1144.

Authors: Lederle FA, Stroupe KT, Kyriakides TC, Ge L, Freischlag JA, for the Open vs Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group et al.

Scientific Surgery

Patient-specific rehearsal before EVAR: influence on technical and nontechnical operative performance. A randomized controlled trial. Ann Surg 2016; 264: 703-709.

Authors: Desender L, Van Herzeele I, Lachat M, Rancic Z, Duchateau J, Rudarakanchana N et al.