Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysis
Abstract Background Intracranial aneurysms are weak spots in brain vessels that are at a higher risk of rupture and hemorrhage. This review investigates the safety and efficacy of the stent plus balloon technique for intracranial aneurysm management. Methods PubMed, Scopus, Web of Science, and Embas...
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| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-025-00358-0 |
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| author | Mohammad Amin Habibi Mohammad Reza Arshadi Hossein Gharedaghi Farhang Rashidi Ali Asgarzadeh |
| author_facet | Mohammad Amin Habibi Mohammad Reza Arshadi Hossein Gharedaghi Farhang Rashidi Ali Asgarzadeh |
| author_sort | Mohammad Amin Habibi |
| collection | DOAJ |
| description | Abstract Background Intracranial aneurysms are weak spots in brain vessels that are at a higher risk of rupture and hemorrhage. This review investigates the safety and efficacy of the stent plus balloon technique for intracranial aneurysm management. Methods PubMed, Scopus, Web of Science, and Embase were systematically searched using the related key terms such as “Stent”, “Balloon”, “Intracranial”, and “Aneurysm” until July 22, 2024. Results Eleven studies comprising 481 aneurysms were included. The pooled angiographic outcome rate, according to Raymond–Roy occlusion classification (RROC), for RROC1 was 64% (95% CI 50–79%, p-heterogeneity < 0.001, I2 = 87%), while for the RROC2 was 18% (95% CI 14–23%, p-heterogeneity = 0.12, I2 = 1%), and the RROC3 rate was 17% (95% CI 3–30%, p-heterogeneity < 0.001, I2 = 100%). In addition, the intraprocedural complication and adverse event rate were 17% (95% CI 3% to %32, p-heterogeneity < 0.001, I2 = 97%) and 15% (95% CI 0–30%, p-heterogeneity < 0.001, I2 = 100%), respectively. Furthermore, the overall ischemic stroke occurred in % 4 (95% CI 1–8%, p-heterogeneity < 0.001, I2 = 100%), as well as 4% (95% CI 2–10% p-heterogeneity = 0.30, I2 = 30%), respectively. Conclusion The balloon plus stent technique is an innovative procedure; surgeons should know about and utilize in intracranial aneurysms. Our analysis observed minimal complications and mortality during the surgical procedure, which were identical to the rates observed with alternative techniques. |
| format | Article |
| id | doaj-art-5c403295e938405695ef20eca6862363 |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-5c403295e938405695ef20eca68623632025-02-02T12:12:50ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-0140111110.1186/s41984-025-00358-0Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysisMohammad Amin Habibi0Mohammad Reza Arshadi1Hossein Gharedaghi2Farhang Rashidi3Ali Asgarzadeh4Department of Neurosurgery, Shariati Hospital, Tehran University of Medical SciencesAdvanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical SciencesSchool of Medicine, Zanjan University of Medical ScienceSchool of Medicine, Tehran University of Medical SciencesStudents Research Committee, School of Medicine, Ardabil University of Medical SciencesAbstract Background Intracranial aneurysms are weak spots in brain vessels that are at a higher risk of rupture and hemorrhage. This review investigates the safety and efficacy of the stent plus balloon technique for intracranial aneurysm management. Methods PubMed, Scopus, Web of Science, and Embase were systematically searched using the related key terms such as “Stent”, “Balloon”, “Intracranial”, and “Aneurysm” until July 22, 2024. Results Eleven studies comprising 481 aneurysms were included. The pooled angiographic outcome rate, according to Raymond–Roy occlusion classification (RROC), for RROC1 was 64% (95% CI 50–79%, p-heterogeneity < 0.001, I2 = 87%), while for the RROC2 was 18% (95% CI 14–23%, p-heterogeneity = 0.12, I2 = 1%), and the RROC3 rate was 17% (95% CI 3–30%, p-heterogeneity < 0.001, I2 = 100%). In addition, the intraprocedural complication and adverse event rate were 17% (95% CI 3% to %32, p-heterogeneity < 0.001, I2 = 97%) and 15% (95% CI 0–30%, p-heterogeneity < 0.001, I2 = 100%), respectively. Furthermore, the overall ischemic stroke occurred in % 4 (95% CI 1–8%, p-heterogeneity < 0.001, I2 = 100%), as well as 4% (95% CI 2–10% p-heterogeneity = 0.30, I2 = 30%), respectively. Conclusion The balloon plus stent technique is an innovative procedure; surgeons should know about and utilize in intracranial aneurysms. Our analysis observed minimal complications and mortality during the surgical procedure, which were identical to the rates observed with alternative techniques.https://doi.org/10.1186/s41984-025-00358-0BalloonStentIntracranial aneurysmWEBWide-neckBifurcation |
| spellingShingle | Mohammad Amin Habibi Mohammad Reza Arshadi Hossein Gharedaghi Farhang Rashidi Ali Asgarzadeh Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysis Egyptian Journal of Neurosurgery Balloon Stent Intracranial aneurysm WEB Wide-neck Bifurcation |
| title | Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysis |
| title_full | Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysis |
| title_fullStr | Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysis |
| title_full_unstemmed | Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysis |
| title_short | Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysis |
| title_sort | combined balloon plus stent technique for treatment of intracranial aneurysm a systematic review and meta analysis |
| topic | Balloon Stent Intracranial aneurysm WEB Wide-neck Bifurcation |
| url | https://doi.org/10.1186/s41984-025-00358-0 |
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