Safety of preoperative branch embolization in patients undergoing evar
Segurança da embolização pré-operatória do ramo em pacientes submetidos a evar
Luis Ángel Suárez González; Iñigo Lozano Martínez-Luengas; Pablo del Canto Peruyera; Manuel Javier Vallina-Victorero Vazquez
Abstract
Keywords
Resumo
O objetivo desta revisão sistemática foi avaliar a segurança da embolização de artéria mesentérica inferior (AMI) e artérias lombares (ALs) pré-correção endovascular de aneurisma da aorta abdominal. Foram realizadas pesquisas nas bases de dados MEDLINE e Dimensions. Foram encontrados 9 estudos publicados de 2011 a 2021 que atendiam aos critérios de inclusão e exclusão. Os estudos foram analisados para definir a incidência de complicações relacionadas à embolização. No total, 482 pacientes foram submetidos a embolização de AMI e/ou ALs, dos quais 30 (6,2%) sofreram algum tipo de complicação menor. A única complicação importante observada foi colite isquêmica em 4 (0,82%) pacientes. Dois (0,41%) desses pacientes morreram após cirurgia de ressecção intestinal. Em relação a esses achados, a embolização de AMI e ALs parece ser um procedimento seguro, com um percentual muito baixo de complicações menores e importantes.
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Referências
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Submetido em:
12/06/2023
Aceito em:
08/11/2023
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