Ventriculostomy-related hemorrhage in patients on antiplatelet therapy for endovascular treatment of acutely ruptured intracranial aneurysms. A meta-analysis.
Antiplatelet therapy
External ventricular drainage
Hemorrhage
Intracranial aneurysms
Subarachnoid hemorrhage
Ventriculostomy
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
17
04
2018
accepted:
18
06
2018
revised:
13
05
2018
pubmed:
4
7
2018
medline:
21
10
2020
entrez:
4
7
2018
Statut:
ppublish
Résumé
The risk of ventriculostomy-related hemorrhage among patients requiring antiplatelet therapy (AT) for the endovascular treatment of acutely ruptured intracranial aneurysms needed further investigation. The authors performed a systematic review and meta-analysis of the literature examining the EVD-related hemorrhage rate among patients with and without AT (controls). According to PRISMA guidelines, a comprehensive review of studies published between January 1990 and April 2018 was carried out. The authors identified series with > 5 patients reporting the EVD-associated hemorrhage rate among the AT group and the control group. Variables influencing outcomes were analyzed using a random-effects meta-analysis model. We included 13 studies evaluating 516 (with AT) and 647 (without AT) patients requiring ventriculostomy. EVD-related hemorrhage rates were higher among the AT group (125/516 = 20.9%, 95% CI = 11.9-30%, I
Identifiants
pubmed: 29968172
doi: 10.1007/s10143-018-0999-0
pii: 10.1007/s10143-018-0999-0
doi:
Substances chimiques
Platelet Aggregation Inhibitors
0
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
397-406Références
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