Efficacy of Willis covered stent of intracranial pseudoaneurysms in the internal carotid artery: A systematic review and meta-analysis  

作　　者：Li Lin Shao-Wei Xiang Yan-Ling Sun Yuan Chen Zhe Wu Zhi-Feng Ning Ding-Wen Shen Xue-Qin Sima Qi-Qiang Wen Gui-Lai Wei Qing-Yong He 

机构地区：[1]Department of Biochemistry,Basic School School,Hubei University of Science and Technology,Xianning City,Hubei Province 437100,China [2]The Third Surgery Department,Enshi State Central Hospital,Enshi State,Hubei Province 445000,China [3]Department of Histology and Embryology,Basic School School,Hubei University of Science and Technology,Xianning City,Hubei Province 437100,China [4]Department of Cardiothoracic Surgery,Xianning Central Hospital,Hubei University of Science and Technology,Xianning City,Hubei provinceProvince 437100,China [5]Department of Human Anatomy,Basic School School,Hubei University of Science and Technology,Xianning City,Hubei Province 437100,China [6]Department of Parasite,Basic School School,Hubei University of Science and Technology,Xianning City,Hubei Province 437100,China [7]Hubei University of Science and Technology,Xianning City,Hubei Province 437100,China [8]School of Physical Education,Hubei University of Science and Technology,Xianning City,Hubei Province 437100,China

出　　处：《Journal of Acute Disease》2023年第5期173-178,共6页急性病杂志（英文版）

基　　金：supported by China Natural Science Funding(No.81902937);Hubei University of Science and Technology ENT special project(No.2020WG06);Hubei University of Science and Technology ENT special project(No.2)and Hubei province Key R&D plan(2022BCE011)and(No.2020XZ30)for SDW;Hubei University of Science and Technology the Second Affiliated Hospital Scientific project(No.2020LCZ001)and ENT special project(No.2021WG10).

摘　　要：Objective:To evaluate the efficacy of a novel coated stent in the treatment of intracranial pseudoaneurysm.Methods:MEDLINE,EMBASE,and PubMed databases were searched for literature published between 1990 and April 2022 according to PRISMA guidelines.All studies with≥10 patients reporting successful implantation of Willis covered stent,therapeutic effect,complications,and postoperative follow-up were included.The combined incidence and corresponding 95%confidence intervals were assessed using a generalized linear mixed method and random effects model.Results:Five studies(116 patients with pseudoaneurysms)were included.The experimental groups in the selected studies showed a combined technical success rate of 81.03%(OR=18.31,95%CI=9.39-35.69,I^(2)=79%,P<0.001).Clinical follow-up showed that the complete cure rate was as high as 94.4%after the follow-up(OR=106.81,95%CI=39.08-291.88,I^(2)=0%,P=0.71).Conclusions:Willis covered stent is feasible,safe,and effective in the treatment of intracranial pseudoaneurysm.

关 键 词：Intracranial pseudoaneurysms Willis covered stent Systematic review META-ANALYSIS Internal carotid artery ENDOLEAK NEUROSURGERY 

分 类 号：R654.3[医药卫生—外科学]