Physician-Modified Fenestrated Stent-Grafts Planned Using Three-Dimensional Techniques for Complex Aortic Pathology: A Systematic Review and Meta-Analysis.
Ann Vasc SurgJun 26, 2026 (epub)
Clinical ResearchVascular Surgery
Patryk Skórka, Karol Miler, Marta Ziętara et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness and safety of physician-modified stent grafts (PMSGs) planned with three-dimensional techniques for complex aortic pathology in 172 patients. The overall technical success rate was 92.9%, indicating high efficacy in this challenging population.
Key findings
- Technical success rate was 92.9% (95% CI: 84.5-96.9%).
- Target vessel patency was 96.9% (95% CI: 93.6-98.5%).
- Early mortality rate was 5.5% (95% CI: 2.1-13.3%).
- Reinterventions occurred in 6.6% of patients (95% CI: 2.3-17.5%).
Why it matters
The findings highlight the potential of PMSGs with three-dimensional planning as a viable alternative for managing complex aortic conditions, particularly in patients who may not be suitable for traditional surgical approaches.