Clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis
Abstract Background Posterior circulation intracranial aneurysm (IA) treatment remains challenging, due to the anatomy of the area and the high rupture possibility. Endovascular treatment seems to be more suitable for these aneurysms, but studies focused on endovascular treatment demonstrate a high...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2019-06-01
|
Series: | Chinese Neurosurgical Journal |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s41016-019-0163-x |
id |
doaj-e9e8ebaecf5043bc86993c7d2ac0908b |
---|---|
record_format |
Article |
spelling |
doaj-e9e8ebaecf5043bc86993c7d2ac0908b2020-11-25T03:11:48ZengBMCChinese Neurosurgical Journal2057-49672019-06-015111210.1186/s41016-019-0163-xClipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysisEleni Tsianaka0Abdullah Al-Shawish1Alexander Potapov2Kostas Fountas3Michael Spyrou4Nikolay Konovalov5Department of Neurosurgery, University Hospital of LarissaDepartment of Neurosurgery, Ibn Sina HospitalDepartment of Neurotraumatology, “N.N. Burdenko” Neurosurgery InstituteDepartment of Neurosurgery, University Hospital of LarissaDepartment of Neurosurgery, Ygeia Private HospitalDepartment of Spine Neurosurgery, “N.N. Burdenko” Neurosurgery InstituteAbstract Background Posterior circulation intracranial aneurysm (IA) treatment remains challenging, due to the anatomy of the area and the high rupture possibility. Endovascular treatment seems to be more suitable for these aneurysms, but studies focused on endovascular treatment demonstrate a high rate of re-intervention needing. A meta-analysis might offer a clearer view, being useful in a more effective treatment planning. Methods A systematic search was performed, using the PubMed database platform. The final article pool contained 20 articles. Studied parameters were operative mortality, late mortality, permanent neurologic deficit (PND), and the need for re-intervention (Re-int). We divided patients into two subgroups, those with ruptured and those with unruptured aneurysm. Statistical analysis was performed using appropriate software. Results In the total population (645 patients), there was a superiority of coiling over clipping in terms of PND and of coiling in terms of Re-int. As regards mortality, there was no clear superiority of one method over the other. Conclusions The current study came to the conclusion that there is a superiority of coiling over clipping in terms of PND. On the other hand, clipping seems to be superior to coiling in terms of the need for re-intervention. As regards mortality (both operative and late), there is no clear superiority of one method over the other. Studying subgroups of patients (ruptured and unruptured posterior circulation IAs), in terms of PND, there is no superiority of one method over the other. The same goes for Op-Mo on ruptured aneurysms.http://link.springer.com/article/10.1186/s41016-019-0163-xClippingCoilingIntracranial aneurysmsMeta-analysisPosterior circulation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Eleni Tsianaka Abdullah Al-Shawish Alexander Potapov Kostas Fountas Michael Spyrou Nikolay Konovalov |
spellingShingle |
Eleni Tsianaka Abdullah Al-Shawish Alexander Potapov Kostas Fountas Michael Spyrou Nikolay Konovalov Clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis Chinese Neurosurgical Journal Clipping Coiling Intracranial aneurysms Meta-analysis Posterior circulation |
author_facet |
Eleni Tsianaka Abdullah Al-Shawish Alexander Potapov Kostas Fountas Michael Spyrou Nikolay Konovalov |
author_sort |
Eleni Tsianaka |
title |
Clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis |
title_short |
Clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis |
title_full |
Clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis |
title_fullStr |
Clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis |
title_full_unstemmed |
Clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis |
title_sort |
clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis |
publisher |
BMC |
series |
Chinese Neurosurgical Journal |
issn |
2057-4967 |
publishDate |
2019-06-01 |
description |
Abstract Background Posterior circulation intracranial aneurysm (IA) treatment remains challenging, due to the anatomy of the area and the high rupture possibility. Endovascular treatment seems to be more suitable for these aneurysms, but studies focused on endovascular treatment demonstrate a high rate of re-intervention needing. A meta-analysis might offer a clearer view, being useful in a more effective treatment planning. Methods A systematic search was performed, using the PubMed database platform. The final article pool contained 20 articles. Studied parameters were operative mortality, late mortality, permanent neurologic deficit (PND), and the need for re-intervention (Re-int). We divided patients into two subgroups, those with ruptured and those with unruptured aneurysm. Statistical analysis was performed using appropriate software. Results In the total population (645 patients), there was a superiority of coiling over clipping in terms of PND and of coiling in terms of Re-int. As regards mortality, there was no clear superiority of one method over the other. Conclusions The current study came to the conclusion that there is a superiority of coiling over clipping in terms of PND. On the other hand, clipping seems to be superior to coiling in terms of the need for re-intervention. As regards mortality (both operative and late), there is no clear superiority of one method over the other. Studying subgroups of patients (ruptured and unruptured posterior circulation IAs), in terms of PND, there is no superiority of one method over the other. The same goes for Op-Mo on ruptured aneurysms. |
topic |
Clipping Coiling Intracranial aneurysms Meta-analysis Posterior circulation |
url |
http://link.springer.com/article/10.1186/s41016-019-0163-x |
work_keys_str_mv |
AT elenitsianaka clippingversuscoilinginposteriorcirculationintracranialaneurysmsametaanalysis AT abdullahalshawish clippingversuscoilinginposteriorcirculationintracranialaneurysmsametaanalysis AT alexanderpotapov clippingversuscoilinginposteriorcirculationintracranialaneurysmsametaanalysis AT kostasfountas clippingversuscoilinginposteriorcirculationintracranialaneurysmsametaanalysis AT michaelspyrou clippingversuscoilinginposteriorcirculationintracranialaneurysmsametaanalysis AT nikolaykonovalov clippingversuscoilinginposteriorcirculationintracranialaneurysmsametaanalysis |
_version_ |
1724652912308649984 |