Flow-Diversion Treatment of Unruptured Saccular Anterior Communicating Artery Aneurysms: A Systematic Review and Meta-Analysis.
Journal
AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
14
10
2018
accepted:
23
12
2018
pubmed:
16
2
2019
medline:
3
3
2020
entrez:
16
2
2019
Statut:
ppublish
Résumé
Flow diversion for anterior communicating artery aneurysms required further investigation. Our aim was to analyze outcomes after treatment of anterior communicating artery aneurysms with flow-diverter stents. A systematic search of 3 data bases was performed for studies published from 2008 to 2018. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we included studies reporting anterior communicating artery aneurysms treated with flow diversion. Random-effects meta-analysis was used to pool the following: aneurysm occlusion rate, complications, and factors influencing the studied outcomes. We included 14 studies and 148 unruptured saccular anterior communicating artery aneurysms treated with flow diversion. The long-term complete/near-complete (O'Kelly-Marotta C-D) occlusion rate was 87.4% (91/105; 95% CI, 81.3%-93.6%; I We reviewed small and retrospective series. Flow diversion for unruptured saccular anterior communicating artery aneurysms appears to be an effective alternative treatment for lesions difficult to treat with coiling or microsurgical clipping. The treatment-related complication rate was relatively low. However, larger studies are needed to confirm these results.
Sections du résumé
BACKGROUND
Flow diversion for anterior communicating artery aneurysms required further investigation.
PURPOSE
Our aim was to analyze outcomes after treatment of anterior communicating artery aneurysms with flow-diverter stents.
DATA SOURCES
A systematic search of 3 data bases was performed for studies published from 2008 to 2018.
STUDY SELECTION
According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we included studies reporting anterior communicating artery aneurysms treated with flow diversion.
DATA ANALYSIS
Random-effects meta-analysis was used to pool the following: aneurysm occlusion rate, complications, and factors influencing the studied outcomes.
DATA SYNTHESIS
We included 14 studies and 148 unruptured saccular anterior communicating artery aneurysms treated with flow diversion. The long-term complete/near-complete (O'Kelly-Marotta C-D) occlusion rate was 87.4% (91/105; 95% CI, 81.3%-93.6%; I
LIMITATIONS
We reviewed small and retrospective series.
CONCLUSIONS
Flow diversion for unruptured saccular anterior communicating artery aneurysms appears to be an effective alternative treatment for lesions difficult to treat with coiling or microsurgical clipping. The treatment-related complication rate was relatively low. However, larger studies are needed to confirm these results.
Identifiants
pubmed: 30765379
pii: ajnr.A5967
doi: 10.3174/ajnr.A5967
pmc: PMC7028645
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
497-502Informations de copyright
© 2019 by American Journal of Neuroradiology.
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