{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T07:12:41Z","timestamp":1758093161536,"version":"3.44.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Endovascular aortic repair\u00a0is an emerging novel intervention for the management of abdominal aortic aneurysms.\u00a0It is crucial to compare the effectiveness of different access sites, such as transfemoral access (TFA) and upper extremity access (UEA). An electronic literature search was conducted using PubMed, EMBASE, and Google Scholar databases. The primary endpoint was the incidence of stroke\/transient ischemic attack (TIA), while the secondary endpoints included technical success, access\u2010site complications, mortality, myocardial infarction\u00a0(MI), spinal cord ischemia, among others. Forest plots were constructed for the pooled analysis of data using the random\u2010effects model in Review Manager, version 5.4. Statistical significance was set at <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05. Our findings in 9403 study participants (6228 in the TFA group and 3175 in the UEA group) indicate that TFA is associated with a lower risk of stroke\/TIA [RR: 0.55; 95% CI: 0.40\u20130.75; <jats:italic>p<\/jats:italic>\u2009=\u20090.0002], MI [RR: 0.51; 95% CI: 0.38\u20130.69; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001], spinal cord ischemia [RR: 0.41; 95% CI: 0.32\u20130.53, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.00001], and shortens fluoroscopy time [SMD: \u22120.62; 95% CI: \u22121.00 to \u22120.24; <jats:italic>p<\/jats:italic>\u2009=\u20090.001]. Moreover, TFA required less contrast agent [SMD: \u22120.33; 95% CI: \u22120.61 to \u22120.06; <jats:italic>p<\/jats:italic>\u2009=\u20090.02], contributing to its appeal. However, no significant differences emerged in technical success [<jats:italic>p<\/jats:italic>\u2009=\u20090.23], 30\u2010day mortality [<jats:italic>p<\/jats:italic>\u2009=\u20090.48], ICU stay duration [<jats:italic>p<\/jats:italic>\u2009=\u20090.09], or overall hospital stay length [<jats:italic>p<\/jats:italic>\u2009=\u20090.22]. Patients with TFA had a lower risk of stroke, MI, and spinal cord ischemia, shorter fluoroscopy time, and lower use of contrast agents. Future large\u2010scale randomized controlled trials are warranted to confirm and strengthen these findings.<\/jats:p>","DOI":"10.1002\/ccd.31048","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T04:00:04Z","timestamp":1712548804000},"page":"982-994","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison between the outcomes of transfemoral access and transfemoral access with adjunct upper extremity access in patients undergoing endovascular aortic repair: A pilot systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8062-5657","authenticated-orcid":false,"given":"Aman","family":"Goyal","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Seth GS Medical College and KEM Hospital Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laveeza","family":"Fatima","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Allama Iqbal Medical College Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiza","family":"Mushtaq","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Allama Iqbal Medical College Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Daoud","family":"Tariq","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Foundation University Medical College Islamabad Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aemen","family":"Kamran","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Dow University of Health Sciences Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir Humza","family":"Sohail","sequence":"additional","affiliation":[{"name":"Department of Surgery University of New Mexico Health Sciences Albuquerque New Mexico USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zainali","family":"Chunawala","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Texas Southwestern Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samia Aziz","family":"Sulaiman","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine University of Jordan Amman Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhigan Babu","family":"Shrestha","sequence":"additional","affiliation":[{"name":"M Abdur Rahim Medical College Dinajpur Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abu Baker","family":"Sheikh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University 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