背景:已专门开发了WovenEndoBridge(WEB)来管理宽颈分叉颅内动脉瘤。在不同的论文中报道了广泛的动脉瘤闭塞率和与设备相关的并发症。在这方面缺乏集体证据。
目的:阐明使用WEB设备治疗颅内动脉瘤的长期疗效和安全性结果。
方法:在PubMed上进行了系统的文献检索,Scopus,WebofScience,和Embase数据库在2023年4月25日。考虑到资格标准,纳入了所有报告在1年和/或超过1年时使用WEB装置治疗颅内动脉瘤结局的研究.使用R软件版本4.2.1提取和分析感兴趣的数据元素。
结果:共纳入27篇。完全闭塞率为56.85%,67.10%,一年为56.34%,超过一年,在/超过两年的随访期间,分别。1年的闭塞率为87.11%,超过一年的91.16%,和88.87%/超过两年的随访。WEB压缩和动脉瘤复发率从一年的17.62%和0.58%增加到一年后的42.59%和18.99%,分别。发现再治疗率从一年的3.45%增加到一年后的7.15%。
结论:目前的研究支持WEB设备治疗颅内动脉瘤的长期疗效。然而,WEB压缩的增加,动脉瘤复发,和超过一年的再治疗率揭示了第一年的WEB安置后随访的重要性。
BACKGROUND: The Woven EndoBridge (WEB) has been specifically developed to manage wide neck bifurcation intracranial aneurysms. A wide range of aneurysm occlusion rates and device-related complications are reported in different papers, and a lack of collective evidence in this regard.
OBJECTIVE: To clarify the long-term efficacy and safety outcomes of intracranial aneurysm treatment with WEB devices.
METHODS: A systematic literature search was performed on PubMed, Scopus, Web of Science, and Embase databases on April 25, 2023. Considering the eligibility criteria, all the studies reporting the outcomes of the intracranial aneurysm treatment with WEB device at 1 and/or more than 1 year were included. Data elements of interest were extracted and analyzed using R software version 4.2.1.
RESULTS: Twenty-seven articles were included. Complete occlusion rate was 56.85%, 67.10%, and 56.34% at one year, beyond one year, and at/beyond two years of follow-up, respectively. Adequate occlusion rate was 87.11% at one year, 91.16% beyond one year, and 88.87% at/beyond two years of follow-up. WEB compression and aneurysm recurrence rates increased from 17.62% and 0.58% at one year to 42.59% and 18.99% beyond one year of follow-up, respectively. An increase in retreatment rate from 3.45% at one year to 7.15% beyond one year of follow-up was found.
CONCLUSIONS: The current study supports the long-term efficacy of WEB devices for the treatment of intracranial aneurysms. However, an increase in WEB compression, aneurysm recurrence, and retreatment rates beyond one year reveals the importance of follow-ups after the first year of WEB placement.