Format

Send to

Choose Destination
J Neurol Sci. 2016 May 15;364:160-6. doi: 10.1016/j.jns.2016.03.041. Epub 2016 Mar 25.

Stent-assisted coiling and balloon-assisted coiling in the management of intracranial aneurysms: A systematic review & meta-analysis.

Author information

1
The Second Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan province, China. Electronic address: neurosurgeonwf@aliyun.com.
2
The Second Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan province, China.

Abstract

BACKGROUND:

Stent-assisted coiling and balloon-assisted coiling are well-established minimally invasive techniques for treatment of intracranial aneurysms. The aim of this study was to use meta-analysis methods to compare clinical outcomes of aneurysms treated with stent-assisted coiling versus balloon-assisted coiling.

METHODS:

We searched for two-arm prospective studies and retrospective studies that compared the clinical outcomes in patients that received stent-assisted or balloon-assisted aneurysm treatment. Database search was performed through May 2015. Odds ratios (OR) with 95% confidence intervals (CI) were used to compare the clinical outcomes in patients that underwent either stent-assisted or balloon-assisted coiling for intracranial aneurysms management.

RESULTS:

Complete occlusion rates at the end of the coiling procedure were similar between patients that received stent-assisted and balloon-assisted aneurysm treatment (OR=0.763, 95% CI=0.47 to 1.23, P=0.270). However, complete occlusion rates were higher with stent-assisted coiling at 6months or later after the procedure (OR=1.82, 95% CI=1.21 to 2.74). The overall complication rates and retreatment rates in patients with recurrence were similar between stent-assisted and balloon-assisted aneurysm treatments.

CONCLUSION:

Stent-assisted coiling achieved better complete occlusion rates of aneurysms at 6months or later after the procedure compared to balloon-assisted coiling, without being associated with a higher risk of intraprocedural complications and retreatment.

KEYWORDS:

Aneurysm; Balloon-assisted coiling; Stent-assisted coiling

PMID:
27084238
DOI:
10.1016/j.jns.2016.03.041
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center