High Technical Success and Low Re-Intervention Rate of Physician-Modified Endografts for Reno-Visceral Aortic Pathologies: Systematic Review and Meta-Analysis

Physician-modified endografts represent a favorable alternative for treatment of reno-visceral pathologies. High technical success rate, low 30-day mortality and low re-intervention rate makes it an attractive solution for use in daily clinical practice. However, randomized studies with custom-made devices, larger sample sizes, and long-term follow-up are crucial for more robust and detailed analysis.Clinical ImpactThis study provides detailed information on a physician-modified endografts for omplex endovascular treatemnt. As the custom-made endografts have been developed, the delivery time for them varies between countries and vascular surgery services, making the planning of the procedure difficult, especially in symptomatic patients with complex abdominal aortic aneurysms. The objective of this systematic review was to provide evidence-based data regarding the safety and efficacy of the physician-modified endografts (PMEGs) for complex endovascular treatment. Overall the results suggest that PMEGs represent a favourable alternative for complex endovascular treatment. High technical success rate, low 30-day mortality and low re-intervention rate makes it an attractive solution for use in daily clinical practice.