Suprarenal versus infrarenal stent graft fixation on renal complications after endovascular aneurysm repair Larry E. Miller, PhD, Mahmood K. Razavi,

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Suprarenal versus infrarenal stent graft fixation on renal complications after endovascular aneurysm repair Larry E. Miller, PhD, Mahmood K. Razavi, MD, Brajesh K. Lal, MD Journal of Vascular Surgery Volume 61, Issue 5, Pages 1340-1349.e1 (May 2015) DOI: 10.1016/j.jvs.2015.01.037 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flow diagram. Journal of Vascular Surgery 2015 61, 1340-1349.e1DOI: (10.1016/j.jvs.2015.01.037) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Suprarenal (SR) vs infrarenal (IR) endovascular aneurysm repair (EVAR) on the risk of renal infarct. Random effects meta-analysis using the Mantel-Haenszel (MH) risk difference (RD) statistic. The absolute RD between SR and IR fixation is plotted for each study with solid squares that are proportional to the weights used in the meta-analysis. A pooled estimate of overall RD (diamond) and 95% confidence interval (CI; diamond width) summarizes the effect size. Effects to the left of 0 indicate higher risk with IR fixation; effects to the right of 0 indicate higher risk with SR fixation. When the horizontal bars of an individual study or the pooled diamond width cross 0, the effect is not significantly different. An arrow implies that the upper-bound confidence limit extends beyond the plotted boundary. Journal of Vascular Surgery 2015 61, 1340-1349.e1DOI: (10.1016/j.jvs.2015.01.037) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 Suprarenal (SR) vs infrarenal (IR) endovascular aneurysm repair (EVAR) on the risk of hemodialysis. Random effects meta-analysis using the Mantel-Haenszel (MH) risk difference (RD) statistic. The absolute RD between SR and IR fixation is plotted for each study. A pooled estimate of overall RD (diamond) and 95% confidence interval (CI; diamond width) summarizes the effect size. Effects to the left of 0 indicate a higher risk with IR fixation; effects to the right of 0 indicate higher risk with SR fixation. When the horizontal bars of an individual study or the pooled diamond width cross 0, the effect is not significantly different. The solid squares indicate the mean RD and are proportional to the weights used in the meta-analysis. Journal of Vascular Surgery 2015 61, 1340-1349.e1DOI: (10.1016/j.jvs.2015.01.037) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Suprarenal (SR) vs infrarenal (IR) endovascular aneurysm repair (EVAR) on the risk of renal artery occlusion. Random effects meta-analysis using the Mantel-Haenszel (MH) risk difference (RD) statistic. The absolute RD between SR and IR fixation is plotted for each study. A pooled estimate of overall RD (diamond) and 95% confidence interval (CI; diamond width) summarizes the effect size. Effects to the left of 0 indicate higher risk with IR fixation; effects to the right of 0 indicate higher risk with SR fixation. When the horizontal bars of an individual study or the pooled diamond width cross 0, the effect is not significantly different. The solid squares indicate the mean RD and are proportional to the weights used in the meta-analysis. Journal of Vascular Surgery 2015 61, 1340-1349.e1DOI: (10.1016/j.jvs.2015.01.037) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 5 Suprarenal (SR) vs infrarenal (IR) endovascular aneurysm repair (EVAR) on the risk of renal artery stenosis. Random effects meta-analysis using the Mantel-Haenszel (MH) risk difference (RD) statistic. The absolute RD between SR and IR fixation is plotted for each study. A pooled estimate of overall RD (diamond) and 95% confidence interval (CI; diamond width) summarizes the effect size. Effects to the left of 0 indicate higher risk with IR fixation; effects to the right of 0 indicate higher risk with SR fixation. When the horizontal bars of an individual study or the pooled diamond width cross 0, the effect is not significantly different. The solid squares indicate the mean RD and are proportional to the weights used in the meta-analysis. Journal of Vascular Surgery 2015 61, 1340-1349.e1DOI: (10.1016/j.jvs.2015.01.037) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 6 Suprarenal (SR) vs infrarenal (IR) endovascular aneurysm repair (EVAR) on the risk of renal dysfunction. Random effects meta-analysis using the Mantel-Haenszel (MH) risk difference (RD) statistic. The absolute RD between SR and IR fixation is plotted for each study. A pooled estimate of overall RD (diamond) and 95% confidence interval (CI; diamond width) summarizes the effect size. Effects to the left of 0 indicate higher risk with IR fixation; effects to the right of 0 indicate higher risk with SR fixation. When the horizontal bars of an individual study or the pooled diamond width cross 0, the effect is not significantly different. An arrow implies that the lower bound confidence limit extends beyond the plotted boundary. The solid squares indicate the mean RD and are proportional to the weights used in the meta-analysis. Journal of Vascular Surgery 2015 61, 1340-1349.e1DOI: (10.1016/j.jvs.2015.01.037) Copyright © 2015 Society for Vascular Surgery Terms and Conditions