Castor单分支支架在Stanford B型主动脉夹层腔内治疗重建左锁骨下动脉的Meta分析

Meta-analysis of left subclavian artery reconstruction with Castor single-branch endograft in the endovascular treatment of Stanford type B aortic dissection

目的评价Castor单分支支架技术在Stanford B型主动脉夹层腔内治疗重建左锁骨下动脉血供的安全性及有效性。方法系统性检索Pubmed、Embase、Web of Science及万方、中国知网、维普等数据库至2022年9月发表的关于应用Castor单分支支架技术在Stanford B型主动脉夹层腔内修复重建左锁骨下动脉血供的文献,分析技术成功率、术后早期Ⅰ型内漏发生率、围术期神经系统并发症发生率、30 d死亡率及左锁骨下动脉分支通畅率等临床结果。结果共纳入23篇文献的773例Stanford B型主动脉夹层患者,技术成功率为99.66%,术后早期Ⅰ型内漏发生率、围术期神经系统并发症发生率、30 d死亡率和左锁骨下动脉分支通畅率分别为1.28%、0.02%、0.02%和98.18%。结论应用Castor单分支支架技术腔内修复Stanford B型主动脉夹层并重建左锁骨下动脉技术成功率和分支动脉远期通畅率疗效满意。

Objective To evaluate the safety and efficacy of left subclavian arterial reconstruction with Castor single-branch endograft in the endovascular treatment of Stanford type B aortic dissection.Methods We systematically searched the literature published before September 2022 on left subclavian arterial reconstruction with Castor single-branch endograft in the endovascular treatment of Stanford type B aortic dissection at Pubmed,Embase,Web of Science,Wanfang,CNKI,VIP databases.The clinical results such as technical success rate,incidence of early postoperative type I endoleak,incidence of perioperative neurological complication,30-day mortality rate,and left subclavian artery branch patency rate were analyzed.Results A total of 23 literatures involving 773 patients with Stanford type B aortic dissection were included.The technical success rate was 99.66%.The incidence of early postoperative type I leakage,perioperative neurological complications,30-day mortality and patency rate of left subclavian artery branch were 1.28%,0.02%,0.02%and 98.18%,respectively.Conclusion The success rate and long-term patency rate of Castor single-branch endograft in the endovascular treatment of Stanford type B aortic dissection for reconstruction of left subclavian artery are satisfactory.