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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention

The Safety and Efficacy of Flow Diversion versus Conventional Endovascular Treatment for Intracranial Aneurysms: A Meta-analysis of Real-world Cohort Studies from the Past 10 Years

S. Li, C. Zeng, W. Tao, Z. Huang, L. Yan, X. Tian and F. Chen
American Journal of Neuroradiology July 2022, 43 (7) 1004-1011; DOI: https://doi.org/10.3174/ajnr.A7539
S. Li
aFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
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C. Zeng
aFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
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  • ORCID record for C. Zeng
W. Tao
aFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
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Z. Huang
aFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
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L. Yan
aFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
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X. Tian
aFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
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F. Chen
aFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
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Article Figures & Data

Figures

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  • FIG 1.
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    FIG 1.

    The flow chart of selecting eligible studies in the present work.

  • FIG 2.
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    FIG 2.

    The complete occlusion rate of FD and CEV treatments at the last follow-up.

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    FIG 3.

    The comparison of recurrence (A) and retreatment (B) of FD and CEV treatment.

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    FIG 4.

    The subgroup analysis based on the aneurysm size to find the source of heterogeneity for the follow-up complete occlusion rate.

Tables

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    Table 1:

    The quality assessments based on Newcastle-Ottawa Scale for included cohort studies

    AuthorSelectionComparabilityOutcome
    YearABCDEFGHQuality Scores
    Chalouhi et al152013********8
    Zhang et al292016*******7
    Lanzino et al202012*******7
    Chalouhi et al142014********8
    Chalouhi et al132017********8
    Salem et al242020********8
    Durst et al172016*******7
    Yupeng Zhang et al282019*******7
    Lu et al222019******6
    Silva et al252019*******7
    Adeeb et al122017******6
    Petr et al232016*******7
    Zanaty et al272014*******7
    Di Maria et al162015*******7
    Kim et al192014*******7
    Enriquez-Marulanda et al182019*******7
    Liu et al212018*******7
    Wang et al262019******6
    • Note:—Asterisk indicates that the included study meet the quality assessment criteria.

    • A, Representativeness of the exposed cohort.

    • B, Selection of the nonexposed cohort.

    • C, Ascertainment of exposure.

    • D, Demonstration that the outcome of interest was not present at the start of the study.

    • E, Comparability of cohorts on the basis of the design or analysis.

    • F, Assessment of outcome.

    • G, Was follow-up long enough for outcomes to occur?

    • H, Adequacy of follow-up of cohorts.

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    Table 2:

    Summaries of all results of present work

    VariablesStudies, No.FD, No.CEV, No.OR/SMD95% CII2P Value
    Age9361522–0.23a–0.55–0.0978%.166
    Female1791010761.020.79–1.327%.864
    Hypertension62722101.190.82–1.720%.357
    Diameter of aneurysm104647120.22a0.03–0.4152%.026
    Periprocedural death1791010761.810.73–4.480%.197
    Periprocedural ischemia1684810530.850.53–1.360%.505
    Periprocedural hemorrhage1684810531.510.80–2.80%.204
    Procedure-related complications1791010761.41.01–1.960%.045
    Immediate occlusion73024050.270.04–1.6992%.16
    mRS at discharge62492630.430.15–1.230%.117
    Follow-up occlusion1895210552.551.70–3.8368%<.001
    Recurrence52153100.240.12–0.4638%<.001
    Retreatment116708180.310.21–0.4733%<.001
    Delayed complications115827081.140.46–2.8459%.775
    mRS at follow-up147638831.240.82–1.880%.304
    • ↵a Represents the SMD result.

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American Journal of Neuroradiology: 43 (7)
American Journal of Neuroradiology
Vol. 43, Issue 7
1 Jul 2022
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S. Li, C. Zeng, W. Tao, Z. Huang, L. Yan, X. Tian, F. Chen
The Safety and Efficacy of Flow Diversion versus Conventional Endovascular Treatment for Intracranial Aneurysms: A Meta-analysis of Real-world Cohort Studies from the Past 10 Years
American Journal of Neuroradiology Jul 2022, 43 (7) 1004-1011; DOI: 10.3174/ajnr.A7539

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Flow Diversion vs. Conventional Tx for Aneurysms
S. Li, C. Zeng, W. Tao, Z. Huang, L. Yan, X. Tian, F. Chen
American Journal of Neuroradiology Jul 2022, 43 (7) 1004-1011; DOI: 10.3174/ajnr.A7539
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