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Endovascular treatment outcomes of vertebrobasilar junction aneurysms: Systematic review and meta-analysis by Yigit Can Senol; Hassan Kobeissi; Atakan Orscelik; Cem Bilgin; Sherief Ghozy; Santhosh Arul; David F Kallmes; Ramanathan Kadirvel is a Medicine article available to read on EtoBox.
What is Endovascular treatment outcomes of vertebrobasilar junction aneurysms: Systematic review and meta-analysis about?
## Background Vertebrobasilar junction (VBJ) aneurysms represent a relatively rare and often anatomically complex subgroup of saccular aneurysms. This systematic review and meta-analysis aimed to assess the safety and efficacy of endovascular treatment (EVT) of VBJ aneurysms. ## Methods PubMed, Web of Science, Ovid Medline, Ovid Embase, and Scopus were searched from inception to 20 December 2022. We included primary studies assessing the long-term clinical and angiographic outcomes for VBJ aneurysms treated with endovascular techniques. We excluded surgically managed studies. All data were analyzed using R software version 4.2.1. We calculated pooled prevalence rates and their corresponding 95% confidence intervals (CI). ## Results In this meta-analysis, a total of 76 VBJ aneurysms from seven studies were included for quantitative analysis. The results showed that the rate of adequate occlusion (complete + near complete occlusion) was 94.1% (95% CI = 76.71–98.71), and the rate of complete occlusion was 77.7% (95% CI = 63.07–87.65). A modified Rankin Scale (mRS) score of 0–2 was achieved in 93.9% of patients (95% CI = 67.65–99.14). The mortality rate was found to be 5.9% (95% CI = 0
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- Author
- Yigit Can Senol; Hassan Kobeissi; Atakan Orscelik; Cem Bilgin; Sherief Ghozy; Santhosh Arul; David F Kallmes; Ramanathan Kadirvel
- Publisher
- SAGE Publications
- Published
- 2023
- Field
- Medicine (Health Sciences)