A Systematic Review and Meta-Analysis of Endovascular Angiosomal Revascularization in the Setting of Collateral Vessels. [Review] (Record no. 6484)

MARC details
000 -LEADER
fixed length control field 04411nam a22004577a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210628s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0741-5214
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jvs.2021.04.026 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0741-5214(21)00665-0 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33940077
245 ## - TITLE STATEMENT
Title A Systematic Review and Meta-Analysis of Endovascular Angiosomal Revascularization in the Setting of Collateral Vessels. [Review]
251 ## - Source
Source Journal of Vascular Surgery. 2021 Apr 30
252 ## - Abbreviated Source
Abbreviated source J Vasc Surg. 2021 Apr 30
253 ## - Journal Name
Journal name Journal of vascular surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2021 Apr 30
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2021-06-28
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Both DR and IRc offer significantly improved wound healing rates and major amputation rates compared to IR when utilized to treat critical limb ischemia. Although DR should be the preferred method of revascularization, IRc can offer comparable outcomes when DR is not possible. Analysis was limited by small sample size of IRc limbs, a predominance of retrospective studies, and variability in outcome definitions between studies. Copyright (c) 2021. Published by Elsevier Inc.
520 ## - SUMMARY, ETC.
Abstract METHODS: A meta-analysis was performed in accordance with PRISMA guidelines. Ovid MEDLINE was queried for records pertaining to the study question using appropriate Medical Subject Heading (MeSH) terms. Studies were limited to those using DR, IR, or IRc as a primary intervention and reporting information on at least one of the primary outcomes of interest. No limitation was placed on year of publication, country of origin or study size. Studies were assessed for validity using the Newcastle-Ottawa Scale. Study characteristics and patient demographics were collected. Data representing the primary outcomes - wound healing, major amputation, reintervention, and all-cause mortality - were collected for time points ranging from one month to four years following intervention. Meta-analysis on sample size-weighted data assuming a random-effects model was performed to calculate odds ratios for the four primary outcomes at various time points.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVES: Endovascular procedures for targeted treatment of lower extremity wounds can be subdivided as direct (DR), indirect (IR), and indirect revascularization via collateral flow (IRc). While previous systematic reviews assert superiority of DR when compared to IR, the role of collateral vessels in clinical outcomes remains to be defined. This systematic review and meta-analysis aims to define the utility of DR, IR, and IRc in treatment of lower extremity wounds with respect to 1) wound healing, 2) major amputation 3) reintervention and 4) all-cause mortality.
520 ## - SUMMARY, ETC.
Abstract RESULTS: 21 studies were identified for a total of 4252 limbs(DR 2231, IR 1647, IRC 270). Overall wound healing rates were significantly superior for DR(OR=2.45; p=0.001) and IRc(OR=8.46; p<0.00001) compared to IR with no significant difference between DR and IRc(OR=1.25; p=0.23). Overall major amputation rates were significantly superior for DR(OR=0.48; p<0.00001) and IRc(OR=0.44; p=0.006) compared to IR, with DR exhibiting significantly improved rates compared to IRc(OR=0.51; p=0.01). Overall mortality rates showed no significant differences between DR(OR=0.89; p=0.37) and IRc(OR=1.12; p=0.78) compared to IR, with no significant difference between DR and IRc(OR=0.54; p=0.18). Overall reintervention rates showed no significant difference between DR and IR(OR=1.05; p=0.81), with no studies reporting reintervention outcomes for IRc.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Surgery/Plastic Surgery
656 ## - INDEX TERM--OCCUPATION
Department Surgery/Vascular Surgery
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
657 ## - INDEX TERM--FUNCTION
Medline publication type Review
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Akbari, Cameron M
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Bekeny, Jenna C
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Fan, Kenneth L
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Tefera, Eshetu
790 ## - Authors
All authors Akbari CM, Bekeny JC, Evans KK, Fan KL, Kim KG, Meshkin DH, Tefera EA, Tirrell AR
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jvs.2021.04.026">https://dx.doi.org/10.1016/j.jvs.2021.04.026</a>
Public note https://dx.doi.org/10.1016/j.jvs.2021.04.026
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 06/28/2021   33940077 33940077 06/28/2021 06/28/2021 Journal Article

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