Abstract
BackgroundEndovascular interventional radiology (EIR) is an increasingly popular, mini invasive treatment option for patient with symptomatic vascular disease. The EIR practiced by qualified hands is an effective, well-tolerated procedure that offers relief of patient’s symptoms with a low risk of complications. During acute post procedural period, immediate complications may relate to vascular access, restenosis, thromboembolic events, uterine ischemia, infection, necrosis, sepsis, ICU stay, surgical recovery, pain management, treatment failure, and death. Moreover, additional non-life-threatening complications exist, but they are not well described and represent disparate information.Methods/designA range of databases will be screened consulted to identify the relevant studies: PubMed, EMBASE, The Cochrane Library, NosoBase, and Google Scholar (to identify articles not yet indexed). Scientist librarian used Medical Subject Headings (MeSH) and free terms to construct the search strategy in PubMed. This search strategy will be adapted in other databases. Two coauthors will independently select the relevant studies, extract the relevant data, and assess the risk of bias in the included studies. Any disagreements between the two authors will be solved by a third author.DiscussionThis systematic review will provide a synthesis of EIR complications. The spotlighted results will be analyzed in order to provide a state-of-knowledge synopsis of the current evidence base in relation to the epidemiology of the infectious complications after EIR. In the event of conclusive results, our findings will serve as a reference background to assess guidelines on reality of the problem of the infections linked to endovascular interventional radiology and to formulate of assumptions and propose preventive measures, based on the results of our investigations. These propositions will aim to reduce the risk and/or the severity of these complications in the concerned population in favor a positive medical economics report. It will also aim to decrease the antibio-resistance and in fine will improve health status and security of patients.Systematic review registrationPROSPERO CRD42015025594
Highlights
Interventional radiology is a clinical discipline with a procedural foundation rooted in diagnostic imaging and almost entirely innovation dependent
The spotlighted results will be analyzed in order to provide a state-of-knowledge synopsis of the current evidence base in relation to the epidemiology of the infectious complications after Endovascular interventional radiology (EIR)
In the event of conclusive results, our findings will serve as a reference background to assess guidelines on reality of the problem of the infections linked to endovascular interventional radiology and to formulate of assumptions and propose preventive measures, based on the results of our investigations
Summary
Therapeutic endovascular interventional radiology through a percutaneous route is increasing rapidly in volume, and their potential adverse effect may rise . Its use must be weighed against the potential risks of misuse (germ resistant and hypersensitivity selection) and was decided in a multidisciplinary way [38] It should be the subject of a service protocol, referring to the consensus conference of the French Anesthesia and Reanimation Society (SFAR), who, under the aegis of the French National Authority for Health (HAS) and in collaboration with the concerned societies and in particular the IRF, proceeded, in 2010, the update of the perioperative recommendations in surgery and interventional radiology [39]. Many studies have evaluated the relationship between coronary angioplasty activity level and the risk of serious complications (death of the patient and need for bypass in emergency of myocardial infarction) due to therapeutic procedures [41].
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