Self-expanding versus balloon expandable stent for intracranial arterial stenosis : A systematic review and meta-analysis
© 2024 American Society of Neuroimaging..
BACKGROUND AND PURPOSE: There are limited data regarding the comparison of balloon expandable stents (BES) and self-expanding stents (SES) for the treatment of intracranial arterial stenosis.
METHODS: We conducted a systematic review to identify studies that compared SES and BES in patients with symptomatic intracranial arterial stenosis. Data were extracted from relevant studies found through a search of PubMed, Scopus, and Web of Science until from January 1, 2010 to September 28, 2023. Statistical pooling with random-effects meta-analysis was undertaken to compare the rates/severity of postprocedure stenosis, technical success, 30-day stroke and/or death, cumulative clinical endpoints, and restenosis rates.
RESULTS: A total of 20 studies were included. The standardized mean difference (SMD) for postprocedure stenosis (%) was significantly lower (SMD: -0.52, 95% confidence interval [CI]: -0.79 to -0.24, p < .001, 10 studies involving 1515 patients) with BES. The odds for 30-day stroke and/or death were significantly lower (odds ratio [OR] 0.68, 95% CI: 0.50-0.94, p = .019, 15 studies involving 2431 patients), and cumulative clinical endpoints on follow-up were nonsignificantly lower (OR 0.64, 95% CI: 0.30-1.37, p = .250, 10 studies involving 947 patients) with BES. The odds for restenosis during follow-up were significantly lower (OR 0.50, 95% CI: 0.31-0.80, p = .004, 13 studies involving 1115 patients) with BES.
CONCLUSIONS: Compared with SES, BES were associated with lower rates of postprocedure 30-day stroke and/or death with lower rates of restenosis during follow up and the treatment of symptomatic intracranial arterial stenosis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Journal of neuroimaging : official journal of the American Society of Neuroimaging - (2024) vom: 15. Jan. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Qureshi, Adnan I [VerfasserIn] |
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| Links: |
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| Themen: |
Balloon expandable stents |
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| Anmerkungen: |
Date Revised 15.01.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1111/jon.13188 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM367162326 |
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| 100 | 1 | |a Qureshi, Adnan I |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Self-expanding versus balloon expandable stent for intracranial arterial stenosis |b A systematic review and meta-analysis |
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| 520 | |a © 2024 American Society of Neuroimaging. | ||
| 520 | |a BACKGROUND AND PURPOSE: There are limited data regarding the comparison of balloon expandable stents (BES) and self-expanding stents (SES) for the treatment of intracranial arterial stenosis | ||
| 520 | |a METHODS: We conducted a systematic review to identify studies that compared SES and BES in patients with symptomatic intracranial arterial stenosis. Data were extracted from relevant studies found through a search of PubMed, Scopus, and Web of Science until from January 1, 2010 to September 28, 2023. Statistical pooling with random-effects meta-analysis was undertaken to compare the rates/severity of postprocedure stenosis, technical success, 30-day stroke and/or death, cumulative clinical endpoints, and restenosis rates | ||
| 520 | |a RESULTS: A total of 20 studies were included. The standardized mean difference (SMD) for postprocedure stenosis (%) was significantly lower (SMD: -0.52, 95% confidence interval [CI]: -0.79 to -0.24, p < .001, 10 studies involving 1515 patients) with BES. The odds for 30-day stroke and/or death were significantly lower (odds ratio [OR] 0.68, 95% CI: 0.50-0.94, p = .019, 15 studies involving 2431 patients), and cumulative clinical endpoints on follow-up were nonsignificantly lower (OR 0.64, 95% CI: 0.30-1.37, p = .250, 10 studies involving 947 patients) with BES. The odds for restenosis during follow-up were significantly lower (OR 0.50, 95% CI: 0.31-0.80, p = .004, 13 studies involving 1115 patients) with BES | ||
| 520 | |a CONCLUSIONS: Compared with SES, BES were associated with lower rates of postprocedure 30-day stroke and/or death with lower rates of restenosis during follow up and the treatment of symptomatic intracranial arterial stenosis | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a balloon expandable stents | |
| 650 | 4 | |a intracranial atherosclerosis | |
| 650 | 4 | |a intracranial stenosis | |
| 650 | 4 | |a restenosis | |
| 650 | 4 | |a self-expanding stents | |
| 700 | 1 | |a Lodhi, Abdullah |e verfasserin |4 aut | |
| 700 | 1 | |a Ma, Xiaoyu |e verfasserin |4 aut | |
| 700 | 1 | |a Ahmed, Rehan |e verfasserin |4 aut | |
| 700 | 1 | |a Kwok, Chun Shing |e verfasserin |4 aut | |
| 700 | 1 | |a Maqsood, Hamza |e verfasserin |4 aut | |
| 700 | 1 | |a Liaqat, Jahanzeb |e verfasserin |4 aut | |
| 700 | 1 | |a Hassan, Ameer E |e verfasserin |4 aut | |
| 700 | 1 | |a Siddiq, Farhan |e verfasserin |4 aut | |
| 700 | 1 | |a Gomez, Camilo R |e verfasserin |4 aut | |
| 700 | 1 | |a Suri, M Fareed K |e verfasserin |4 aut | |
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