Open Access

Impact of prior endovascular interventions on outcomes of lower limb bypass surgery: A systematic review and meta‑analysis

  • Authors:
    • Hai Xin
    • Yongxin Li
    • Xiaomei Guan
    • Yuewei Wang
    • Junjun Liu
    • Xukui Liu
    • Jinping Wang
    • Liyuan Niu
    • Jun Li
  • View Affiliations

  • Published online on: October 27, 2020     https://doi.org/10.3892/etm.2020.9389
  • Article Number: 259
  • Copyright: © Xin et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

The aim of this meta‑analysis was to evaluate the mortality, amputation and complication rates in patients with peripheral lower limb arterial disease undergoing bypass surgery with or without a prior history of endovascular operation. A systematic literature screen was performed according to the Preferred Reporting Items for Systematic Reviews and Meta‑Analyses guidelines on four academic databases, Medline, Scopus, Embase and Cochrane Central Register of Controlled Trials. Out of 1,072 records, six articles involving 11,420 patients (mean age, 68.1±2.0 years) met the inclusion criteria. The findings presented a 2b level of evidence (i.e. overall evidence represents data from individual cohort study or low quality randomized controlled trials) and suggested lower mortality, amputation and complication rates for patients undergoing bypass surgery without any history of endovascular operation, compared with those with a history of prior endovascular operation. Moreover, a random‑effect meta‑analysis suggested a small, positive reduction in mortality (Hedge's g=0.08), amputation (Hedge's g=0.18) and complication rates (Hedge's g=0.05) for patients undergoing bypass surgery without any history of endovascular operation. Nevertheless, owing to the scarcity of high‑quality data, further studies and randomized clinical trials are needed to confirm these effects.
View Figures
View References

Related Articles

Journal Cover

December-2020
Volume 20 Issue 6

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Xin H, Li Y, Guan X, Wang Y, Liu J, Liu X, Wang J, Niu L and Li J: Impact of prior endovascular interventions on outcomes of lower limb bypass surgery: A systematic review and meta‑analysis. Exp Ther Med 20: 259, 2020.
APA
Xin, H., Li, Y., Guan, X., Wang, Y., Liu, J., Liu, X. ... Li, J. (2020). Impact of prior endovascular interventions on outcomes of lower limb bypass surgery: A systematic review and meta‑analysis. Experimental and Therapeutic Medicine, 20, 259. https://doi.org/10.3892/etm.2020.9389
MLA
Xin, H., Li, Y., Guan, X., Wang, Y., Liu, J., Liu, X., Wang, J., Niu, L., Li, J."Impact of prior endovascular interventions on outcomes of lower limb bypass surgery: A systematic review and meta‑analysis". Experimental and Therapeutic Medicine 20.6 (2020): 259.
Chicago
Xin, H., Li, Y., Guan, X., Wang, Y., Liu, J., Liu, X., Wang, J., Niu, L., Li, J."Impact of prior endovascular interventions on outcomes of lower limb bypass surgery: A systematic review and meta‑analysis". Experimental and Therapeutic Medicine 20, no. 6 (2020): 259. https://doi.org/10.3892/etm.2020.9389