Cochrane · systematic review · CD005261

Endovascular treatment for ruptured abdominal aortic aneurysm

Badger, S, Forster, R, Blair, PH, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

VascularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 71.4%Moderate 2 · 28.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Emergency endovascular aneurysm repair compared to conventional open repair for ruptured abdominal aortic aneurysm

Population: people diagnosed with RAAA
7 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term mortality (30‐day or in‐hospital)
Emergency endovascular aneurysm repair vs conventional open repair
OR 0.88 [0.66, 1.16]4 studies · 868 participantsModerate
Downgraded: imprecision
Endoleak (30‐day)
Emergency endovascular aneurysm repair vs conventional open repair
no estimate extracted3 studies · 128 participantsLow
Downgraded: inconsistency
Complication: myocardial infarction (30‐day)
Emergency endovascular aneurysm repair vs conventional open repair
OR 2.38 [0.34, 16.53]2 studies · 139 participantsLow
Downgraded: risk of bias, imprecision
Complication: renal complications (moderate or severe) (30‐day)
Emergency endovascular aneurysm repair vs conventional open repair
OR 1.07 [0.21, 5.42]3 studies · 255 participantsLow
Downgraded: imprecision, inconsistency
Complication: respiratory failure (30‐day)
Emergency endovascular aneurysm repair vs conventional open repair
OR 3.62 [0.14, 95.78]1 study · 32 participantsLow
Downgraded: imprecision
Complication: bowel ischaemia (30‐day)
Emergency endovascular aneurysm repair vs conventional open repair
OR 0.37 [0.14, 0.94]2 studies · 223 participantsLow
Downgraded: risk of bias, imprecision
Mortality (6 months)
Emergency endovascular aneurysm repair vs conventional open repair
OR 0.89 [0.4, 1.98]1 study · 116 participantsModerate
Downgraded: imprecision