Cochrane · systematic review · CD010185
Totally percutaneous versus surgical cut‐down femoral artery access for elective bifurcated abdominal endovascular aneurysm repair
Wang, Q, Wu, J, Ma, Y, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
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 2 · 28.6%Moderate 5 · 71.4%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
Current version onlyTotally percutaneous compared to cut‐down femoral artery access for elective bifurcated abdominal endovascular aneurysm repair
Population: people undergoing elective bifurcated abdominal endovascular aneurysm repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Short‐term mortality (30‐day or in‐hospital) Totally percutaneous vs cut‐down femoral artery access | RR 1.5 [0.06, 36.18] | 2 studies · 181 participants | Low Downgraded: imprecision |
Failure of aneurysm exclusion( Totally percutaneous vs cut‐down femoral artery access | RR 0.17 [0.01, 4.02] | 1 study · 151 participants | Moderate Downgraded: imprecision |
Wound infection (30‐day or in‐hospital) Totally percutaneous vs cut‐down femoral artery access | RR 0.18 [0.01, 3.59] | 3 studies · 318 participants | Moderate Downgraded: imprecision |
Major complications (30‐day or in‐hospital) Totally percutaneous vs cut‐down femoral artery access | RR 1.21 [0.61, 2.41] | 3 studies · 318 participants | Moderate Downgraded: imprecision |
Medium‐ to long‐term complications( Totally percutaneous vs cut‐down femoral artery access | RR 0.82 [0.25, 2.65] | 1 study · 135 participants | Moderate Downgraded: imprecision |
Bleeding complications (30‐day or in‐hospital) Totally percutaneous vs cut‐down femoral artery access | RR 1.02 [0.29, 3.64] | 2 studies · 181 participants | Moderate Downgraded: imprecision |
Operating time (minutes) Totally percutaneous vs cut‐down femoral artery access | no estimate extracted | 3 studies · 318 participants | Low Downgraded: imprecision, inconsistency |
Totally percutaneous compared to cut‐down femoral artery access for elective bifurcated abdominal endovascular aneurysm repair
Population: people undergoing elective bifurcated abdominal endovascular aneurysm repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Short‐term mortality rate (30‐day or in‐hospital) Totally percutaneous vs cut‐down femoral artery access | RR 1.5 [0.06, 36.18] | 2 studies · 181 participants | Moderate Downgraded: imprecision |
Failure of aneurysm exclusion ( Totally percutaneous vs cut‐down femoral artery access | RR 0.17 [0.01, 4.02] | 1 study · 151 participants | Moderate Downgraded: imprecision |
Wound infection rate (30‐day or in‐hospital) Totally percutaneous vs cut‐down femoral artery access | no estimate extracted | 2 studies · 181 participants | Moderate |
Major complications (30‐day or in‐hospital) Totally percutaneous vs cut‐down femoral artery access | RR 0.91 [0.5, 1.68] | 2 studies · 181 participants | Moderate Downgraded: imprecision |
Long term complications ( Totally percutaneous vs cut‐down femoral artery access | RR 1.03 [0.34, 3.15] | 1 study · 134 participants | Moderate Downgraded: imprecision |
Bleeding complications and haematoma (30‐day or in‐hospital) Totally percutaneous vs cut‐down femoral artery access | RR 0.94 [0.31, 2.82] | 2 studies · 181 participants | High |
Operating time (minutes) Totally percutaneous vs cut‐down femoral artery access | no estimate extracted | 2 studies · 181 participants | Moderate |