Neurosurgical Clipping versus Endovascular Coiling for Patients with Intracranial Aneurysms: A Systematic Review and Meta-Analysis
作者: Zhiqun JiangYan ChenChunhui ZengJiugeng FengYilv WanXuezhi Zhang
作者单位: 1Department of Neurosurgery, The First Affiliated Hospital of Nanchang University, Nanchang, China
刊名: World Neurosurgery, 2020, Vol.138 , pp.e191-e222
来源数据库: Elsevier Journal
DOI: 10.1016/j.wneu.2020.02.091
关键词: Endovascular coilingIntracranial aneurysmMeta-analysisNeurosurgical clipping
原始语种摘要: Objective(#br)We compared the efficacy and safety of neurosurgical clipping with those of endovascular coiling for patients with intracranial aneurysm (IA) stratified by country, publication year, study design, sample size, mean age, percentage of male patients, percentage of aneurysms located in the anterior circulation, and follow-up duration.(#br)Methods(#br)We identified 64 studies (7 randomized controlled trials, 21 prospective cohort studies, and 36 retrospective studies) of clipping versus coiling for IA from PubMed, EmBase, and the Cochrane Library up to September 2019.(#br)Results(#br)No significant differences were found in the incidence of poor outcomes observed between clipping and coiling for patients with ruptured IAs. In contrast, the incidence of a poor outcome was...
全文获取路径: Elsevier  (合作)
影响因子:1.765 (2012)