Clipping Versus Coiling in Anterior Circulation Ruptured Intracranial Aneurysms: A Meta-Analysis
Ημερομηνία
2017Γλώσσα
en
Λέξη-κλειδί
Επιτομή
Objective To evaluate open surgical versus endovascular repair of anterior circulation ruptured intracranial aneurysms based on operative mortality, permanent neurologic deficit, late mortality, and need for reintervention. Methods This meta-analysis included articles published since December 6, 2016, that compared outcomes of the 2 methods. Extracted data were organized in a standard table format, including first author, country, covered study period, publication year, number of patients and patients at follow-up, operative mortality rate (with 30 days from treatment), permanent neurologic deficit (appearing after surgery), late mortality (after 1 month), and reintervention (surgery or coiling) for both groups of patients. Follow-up was at least 1 year. Results There were 8 articles that matched our study criteria. The study population was 628 patients; 374 were treated with surgical clipping, and 254 were treated with endovascular coiling. Pooled results showed no statistically significant difference between the 2 groups in terms of operative mortality, permanent neurologic deficit, late mortality, and need for reintervention. Conclusions Selection of the appropriate procedure must be made on the basis of the special characteristics of each case. © 2017 Elsevier Inc.
Collections
Related items
Showing items related by title, author, creator and subject.
-
The Association of Spondylitis and Aortic Aneurysm Disease
Patelis N., Nana P., Spanos K., Tasoudis P., Brotis A., Bisdas T., Kouvelos G. (2021)Objectives: The aim of this study is to assess any relation between spondylitis and aortic aneurysmal disease by reviewing the current literature. Methods: A systematic search was undertaken using MEDLINE, EMBASE and CENTRAL ... -
Endovascular treatment of complex abdominal and thoracoabdominal type IV aortic aneurysms with fenestrated technology
Georgiadis G.S., Van Herwaarden J.A., Saengprakai W., Georgakarakos E.I., Argyriou C., Schoretsanitis N., Giannoukas A.D., Lazarides M.K., Moll F.L. (2017)The establishment use of fenestrated and branched devices to treat complex aortic aneurysms as a first-line management option has been previously reported. This article reviews the current literature of the use of fenestrated ... -
Multicenter Mid-term Results After Endovascular Aortic Aneurysm Repair with the Incraft® Device
Georgiadis G.S., Chatzigakis P.K., Kouvelos G., Argyriou C., Kopadis G.C., Georgakarakos E.I., Matsagkas M. (2021)Objectives: Durability after endovascular aortic aneurysm repair (EVAR) is considered an ongoing topic of investigation and was always a point of concern with smaller profile devices. Recently released five-year clinical ...