当前位置： SCI文献检索 > World Neurosurgery期刊下所有文献 > Effectiveness of Endovascular Therapy for Patients with Acute Ischemic Stroke: A Meta-Analysis of Randomized Controlled Trials.

Effectiveness of Endovascular Therapy for Patients with Acute Ischemic Stroke: A Meta-Analysis of Randomized Controlled Trials.

Abstract：

OBJECTIVE:This meta-analysis of published randomized controlled trials (RCTs) aimed to investigate the efficacy and safety of endovascular therapy (ET) for patients with acute ischemic stroke. METHODS:The summary relative risks (RRs) with corresponding 95% confidence intervals were calculated to measure the effectiveness of ET using a random-effects model. RESULTS:Thirteen RCTs including 3408 patients were identified among 2851 initial electronic citations. Overall, the summary RR indicated that ET significantly increased the incidence of a modified Rankin Scale score of 0-2 (RR, 1.50; P < 0.001), asymptomatic intracerebral hemorrhage (IH) (RR, 1.42; P = 0.001), subarachnoid hemorrhage (RR, 2.36; P = 0.001), and major complications due to non-intracerebral bleeding (RR, 1.47; P = 0.014). However, ET had no significant effects on the risk of 7-day death (P = 0.827); death after 30 days (P = 0.085); symptomatic IH (P = 0.288); type 1 (P = 0.413), type 2 (P = 0.300), and total parenchymal hematoma (P = 0.160); intraventricular hemorrhage (P = 0.244); early neurologic deterioration (P = 0.570); recurrent stroke (P = 0.830); and symptomatic edema (P = 0.485). CONCLUSIONS:The findings of this meta-analysis suggest the incidence of a modified Rankin Scale score of 0-2 in patients who received ET was significantly increased. Moreover, the harmful effects of ET might exist due to greater risk of asymptomatic IH, subarachnoid hemorrhage, and non-intracerebral bleeding, and these results should be verified by further large-scale long-term RCT.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Xi F,Xue J

doi

10.1016/j.wneu.2020.07.156

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

e1-e18

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(20)31678-8

journal_volume

143

pub_type

杂志文章

相关文献

World Neurosurgery文献大全
  • Missed Culprits in Failed Microvascular Decompression Surgery for Hemifacial Spasm and Clinical Outcomes of Redo Surgery.

    abstract：OBJECTIVE:To identify causes of recurrent hemifacial spasm (HFS) after initial microvascular decompression (MVD) and to assess the feasibility of redo MVD. METHODS:The study included 21 patients who underwent redo MVD over the last 2 decades. Their medical charts were retrospectively reviewed for preoperative medical ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.05.231

    authors： Lee S,Park SK,Lee JA,Joo BE,Park K

    更新日期：2019-09-01 00:00:00

  • Robot-assisted stereotactic biopsies in 377 consecutive adult patients with supratentorial diffuse gliomas: diagnostic yield, safety and postoperative outcomes.

    abstract：BACKGROUND:Multiple biopsy samples are warranted for the histomolecular diagnosis of diffuse gliomas in the current molecular era, which possibly increases morbidity. OBJECTIVE:We assessed diagnostic yield, safety, and risk factors of postoperative morbidity after robot-assisted serial stereotactic biopsy sampling alo...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.12.127

    authors： Zanello M,Roux A,Senova S,Peeters S,Edjlali M,Espariat AT,Dezamis E,Parraga E,Zah-Bi G,Harislur M,Oppenheim C,Sauvageon X,Chretien F,Devaux B,Varlet P,Pallud J

    更新日期：2021-01-04 00:00:00

  • Posterior Cerebral Artery Pseudoaneurysm, a Rare Complication of Pituitary Tumor Transsphenoidal Surgery: Case Report and Literature Review.

    abstract：:Endoscopic endonasal transsphenoidal surgery for pituitary tumors has been the standard therapy for decades. This approach offers surgeons an effective, safe, and wide exposure to the pituitary gland, with a relatively low mortality rate and acceptable complication rates. However, severe complications, including cereb...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2015.04.043

    authors： Lee CH,Chen SM,Lui TN

    更新日期：2015-11-01 00:00:00

  • Posterior Cervical Laminectomy Results in Better Radiographic Decompression of Spinal Cord Compared with Anterior Cervical Discectomy and Fusion.

    abstract：BACKGROUND:Cervical spondylitic myelopathy is a degenerative condition resulting from chronic spinal cord compression and a leading cause of nontraumatic spinal cord dysfunction. The chief surgical goal in the management of cervical spondylitic myelopathy is adequate spinal cord decompression with or without fusion to ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.11.017

    authors： Piazza M,McShane BJ,Ramayya AG,Sullivan PZ,Ali ZS,Marcotte PJ,Welch WC,Ozturk AK

    更新日期：2018-02-01 00:00:00

  • Orbital Arteriovenous Fistula Coexistent with an Arteriovenous Hemangioma: A Rare Occurrence and Review of Literature.

    abstract：BACKGROUND:Orbital arteriovenous fistula (AVF) is a rare entity with only 17 cases reported so far. An arteriovenous hemangioma is a distinct entity of an angioma that most frequently affects the skin. However, to our knowledge, there has not been a case arising in the orbit. CASE DESCRIPTION:A previously healthy, 73-...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2018.11.003

    authors： Tsutsumi S,Oishi H,Nonaka S,Okura H,Suzuki T,Yasumoto Y,Ishii H

    更新日期：2019-02-01 00:00:00

  • Isolated Subcallosal Artery Infarction Secondary to Localized Cerebral Vasospasm of Anterior Communicating Artery Complex Following Subarachnoid Hemorrhage.

    abstract：BACKGROUND:Subcallosal artery (ScA) infarction is a well-recognized but uncommon complication of surgical treatment of anterior communicating artery aneurysms. CASE DESCRIPTION:An elderly man presented with massive subarachnoid hemorrhage due to left posterior communicating artery aneurysm with thick clots in the ante...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.07.052

    authors： Kannath SK,Malik V,Rajan JE

    更新日期：2017-11-01 00:00:00

  • A Technically Simple and Safe Method for Preparing an Anterior Pericranial Flap Using Saline Injection into the Subgaleal Space: A Technical Note.

    abstract：BACKGROUND:Cranial defects following anterior cranial base surgery have been frequently reconstructed using the pericranial flap. METHODS:We present a simple technique for preparing the flap using injection of saline into the subgaleal space. RESULTS:We inserted a 20-gauge needle perpendicular to 8-10 spots in the fr...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.12.019

    authors： Ryu J,Chung SB,Choi SK,Lee SH,Chung Y

    更新日期：2017-03-01 00:00:00

  • Accuracy of K-Wireless Insertion of Percutaneous Pedicle Screws Using Computer-Assisted Spinal Navigation: A Systematic Review and Single-Center Experience.

    abstract：OBJECTIVE:This study sought to 1) describe the use K-wireless pedicle screw insertion among adults (age ≥18 years) undergoing a minimally invasive fusion and 2) perform a systematic review (SR) of all studies that describe a navigated, K-wireless technique with 3-dimensional fluoroscopy. METHODS:Patients undergoing a ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.02.079

    authors： O'Donohoe TJ,Dawes BH,Thien C,Wang YY

    更新日期：2020-06-01 00:00:00

  • Acute Bilateral Isolated Foot Drop: Changing the Paradigm in Management of Degenerative Spine Surgery with Percutaneous Endoscopy.

    abstract：BACKGROUND:Acute bilateral isolated foot drop due to lumbar disk prolapse with canal stenosis is rare with only 3 cases reported in literature. Our patient was managed using the percutaneous full endoscopic technique. This is mainly to highlight the ease of access and patient outcome with preoperative and postoperative...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.11.128

    authors： Adsul N,Kim HS,Choi SH,Jang JS,Jang IT,Oh SH

    更新日期：2018-02-01 00:00:00

  • Treatment of a Scalp Arteriovenous Malformation by a Combination of Embolization and Surgical Removal.

    abstract：BACKGROUND:Scalp arteriovenous malformation is a rare disease. In terms of treatment, surgical removal is often effective and performed. With the development of endovascular treatments, a combination of surgical removal and embolization is now often performed. CASE DESCRIPTION:A 44-year-old man presented with a mass i...

    journal_title：World neurosurgery

    pub_type：

    doi：10.1016/j.wneu.2020.02.138

    authors： Kuwano A,Naitou I,Miyamoto N,Arai K,Kawamata T

    更新日期：2020-06-01 00:00:00

  • Percutaneous Full Endoscopic Bilateral Lumbar Decompression of Spinal Stenosis Through Uniportal-Contralateral Approach: Techniques and Preliminary Results.

    abstract：BACKGROUND:When considering various risk factors such as age, comorbidities, and complications related to the surgical procedure itself, open surgery in degenerative spinal stenosis is likely to cause more complications. Here, we report the surgical procedure and preliminary clinical results of percutaneous endoscopic ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.03.130

    authors： Kim HS,Paudel B,Jang JS,Oh SH,Lee S,Park JE,Jang IT

    更新日期：2017-07-01 00:00:00

  • Recurrence of Anterior Skull Base Meningiomas After Endoscopic Endonasal Resection: 10 Years' Experience in a Series of 52 Endoscopic and Transcranial Cases.

    abstract：INTRODUCTION:Although the indication of endoscopic approaches for anterior skull base meningiomas (ASBM) has been progressively refined, there remains a paucity of data on recurrence rates after resection. To analyze and compare recurrence rates of ASBM resected through endoscopic endonasal (EEE) versus transcranial (T...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.07.210

    authors： Bernat AL,Priola SM,Elsawy A,Farrash F,Pasarikovski CR,Almeida JP,Lenck S,De Almeida J,Vescan A,Monteiro E,Zadeh GM,Gentili F

    更新日期：2018-12-01 00:00:00

  • Informatic surgery: the union of surgeon and machine.

    abstract：OBJECTIVE:Surgical robotics present new and unique opportunities for the training and practice of neurosurgery, beyond the promise of the minimally invasive paradigm. METHODS:Robotic systems have been developed that simulate the sight, sound, and touch of surgery allowing surgical training to evolve past an apprentice...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2010.04.005

    authors： Lang MJ,Sutherland GR

    更新日期：2010-07-01 00:00:00

  • Lumbosacral Subdural Hematoma After Glioblastoma Multiforme Resection: Possible Radiographic Evidence for the Downward Migration of Intracranial Blood.

    abstract：BACKGROUND:Spinal subdural hematomas (SSDHs) are rare and usually associated with bleeding diatheses, trauma, iatrogenic injury, spinal vascular malformations, or intraspinal tumors. CASE DESCRIPTION:We report a case of a 75-year-old man who developed a symptomatic lumbosacral SSDH after undergoing resection of a righ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.08.189

    authors： Paisan GM,Buell TJ,Raper D,Asthagiri A

    更新日期：2017-12-01 00:00:00

  • Solitary Cysticercal Cyst Inside the Blake's Pouch Remnant of Mega Cisterna Magna with Associated Aqueductal Stenosis: Clinical and Management Implications.

    abstract：BACKGROUND:Intraventricular and subarachnoid forms represent the relatively complex, albeit uncommon, manifestations of central nervous system involvement by cysticercal cysts. Cysticercal encystation inside the Blake's pouch remnant of mega cisterna magna (MCM) remains an extremely rare clinical scenario that, to the ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.04.067

    authors： Das KK,Gosal JS,Singh S,Mehrotra A,Jaiswal A,Jaiswal S,Kumar R

    更新日期：2017-06-01 00:00:00

  • Hydrocephalus Secondary to Intradural Extramedullary Malignant Melanoma of Spinal Cord.

    abstract：BACKGROUND:Hydrocephalus secondary to spinal cord tumors is rare. CASE DESCRIPTION:We present a 39-year-old male with gradual-onset headache whose initial diagnosis was cerebral aneurysm and communicating hydrocephalus. The correct diagnosis was primary intradural extramedullary malignant melanoma of the spinal cord. ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.07.046

    authors： Hironaka K,Tateyama K,Tsukiyama A,Adachi K,Morita A

    更新日期：2019-10-01 00:00:00

  • Malignant peripheral nerve sheath tumor of the abducens nerve and a review of the literature.

    abstract：BACKGROUND:Malignant peripheral nerve sheath tumors are rare, and intracranial occurrences are even more rare. Treatment strategies have varied widely. This article reports the first case of a malignant peripheral nerve sheath tumor of the abducens nerve and provides a literature review that includes 61 cases of intrac...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2012.08.007

    authors： Voorhies J,Hattab EM,Cohen-Gadol AA

    更新日期：2013-11-01 00:00:00

  • The Identification of Factors That Influence the Quality of Bypass Anastomosis and an Evaluation of the Usefulness of an Experimental Practical Scale in This Regard.

    abstract：BACKGROUND:Several factors associated with interrupted and continuous suturing techniques affect the quality of bypass anastomosis. It is difficult to determine the impact of these factors during surgery. The primary objective of this study was to evaluate factors with the potential to influence the quality of bypass a...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.09.031

    authors： Hafez A,Huhtakangas J,Muhammad S,Lawton MT,Tanikawa R,Niemelä M

    更新日期：2019-01-01 00:00:00

  • Long-Term Causes of Death and Excess Mortality After Carotid Artery Ligation.

    abstract：OBJECTIVE:Carotid artery ligation (CAL) is used to treat large and complex intracranial aneurysms. However, little is known about long-term survival and causes of death in patients who undergo the procedure. This study was intended to evaluate if patients who have undergone CAL have long-term excess mortality and what ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.01.023

    authors： Ibrahim TF,Jahromi BR,Miettinen J,Raj R,Andrade-Barazarte H,Goehre F,Kivisaari R,Lehto H,Hernesniemi J

    更新日期：2016-06-01 00:00:00

  • Rechallenging Recurrent Glioblastoma with Intra-Arterial Bevacizumab with Blood Brain-Barrier Disruption Results in Radiographic Response.

    abstract：BACKGROUND:High-dose bevacizumab delivered via super selective intra-arterial cerebral infusion (SIACI) is one promising clinical trial combination for patients with glioblastoma (GBM). Although both continuous intravenous and intra-arterial administration of bevacizumab, and rechallenge with intravenous bevacizumab, h...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.07.137

    authors： Faltings L,Kulason KO,Patel NV,Wong T,Fralin S,Li M,Schneider JR,Filippi CG,Langer DJ,Ortiz R,Boockvar JA

    更新日期：2019-11-01 00:00:00

  • Tethered Cord Syndrome-A Study of the Short-Term Effects of Surgical Detethering on Markers of Neuronal Injury and Electrophysiologic Parameters.

    abstract：OBJECTIVE:Several studies have assessed clinical and radiologic outcomes after detethering of the cord for tethered cord syndrome (TCS). However, no data regarding the impact of detethering on the metabolism or electrophysiologic functioning of the cord are available. The aim of this study was to assess the changes in ...

    journal_title：World neurosurgery

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.wneu.2016.07.005

    authors： Maurya VP,Rajappa M,Wadwekar V,Narayan SK,Barathi D,Madhugiri VS

    更新日期：2016-10-01 00:00:00

  • Technical Modification of Amygdalo-Hippocampectomy in Temporal Lobe Epilepsy Surgery to Further Reduce Severe Neurological Complications: A Clinical-Anatomical Study.

    abstract：BACKGROUND:Temporal lobe resection (TLR) including amygdalohippocampectomy (AHE) is the most frequent performed procedure in epilepsy surgery. Owing to the close anatomic relationship of the mesial temporal structures and the midbrain and choroidal fissure, the incidence of severe complications, such as postoperative s...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.02.098

    authors： Roessler K,Kasper BS,Coras R,Arinrad S,Scholz M,Hamer HH,Blümcke I,Buchfelder M

    更新日期：2018-06-01 00:00:00

  • Effect of Tranexamic Acid on Prevention of Hemorrhagic Mass Growth in Patients with Traumatic Brain Injury.

    abstract：BACKGROUND:Intracranial hemorrhage is a common complication of traumatic brain injury (TBI). The purpose of this study is evaluation of the effect of tranexamic acid (TXA) on hemorrhagic mass growth in TBI patients. PATIENTS AND METHODS:In this randomized, double-blind clinical trial, 149 patients with TBI and any kin...

    journal_title：World neurosurgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.wneu.2017.10.075

    authors： Fakharian E,Abedzadeh-Kalahroudi M,Atoof F

    更新日期：2018-01-01 00:00:00

  • Interleukin-17A Promotes Human Disc Degeneration by Inhibiting Autophagy Through the Activation of the Phosphatidylinositol 3-Kinase/Akt/Bcl2 Signaling Pathway.

    abstract：BACKGROUND:Previous studies have suggested that interleukin (IL)-17A is a key factor that contributes to intervertebral disc degeneration (IDD), whereas autophagy has been shown to be a protective mechanism in IDD. However, the relationship between IL-17A and autophagy in IDD remains to be fully elucidated. This study ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.07.117

    authors： He WS,Zou MX,Yan YG,Yao NZ,Chen WK,Li Z,Wang WJ,Ouyang ZH

    更新日期：2020-11-01 00:00:00

  • Morphometric Analysis of Lumbar Intervertebral Disc Height: An Imaging Study.

    abstract：BACKGROUND:Little published data exist regarding normal values of disc height. Current literature relies on plain radiographs making accurate measurements of individual lumbar disc height difficult. OBJECTIVE:We seek to establish normal values for lumbar intervertebral discs in different age groups using computed tomo...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.12.014

    authors： Bach K,Ford J,Foley R,Januszewski J,Murtagh R,Decker S,Uribe JS

    更新日期：2018-12-20 00:00:00

  • Hearing Outcome Following Microvascular Decompression for Hemifacial Spasm: Series of 1434 Cases.

    abstract：OBJECTIVE:Although hearing impairment after microvasuclar decompression (MVD) for hemifacial spasm (HFS) is not common, its occurrence could detrimentally affect the patient's surgical outcome. The object of this study is to address the optimal approaches for reducing postoperative hearing problems after MVD for HFS. ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.09.053

    authors： Jung NY,Lee SW,Park CK,Chang WS,Jung HH,Chang JW

    更新日期：2017-12-01 00:00:00

  • A Primary Pigmented Choroid Plexus Papilloma Located Within the Sella Turcica: Case Report and Literature Review.

    abstract：BACKGROUND:Choroid plexus papillomas (CPPs) are rare benign tumors, and the pigmented subtype is observed even more rarely. CASE DESCRIPTION:We present the case of a 43-year-old woman with complaints of headache and progressive left monocular visual deterioration, whose initial plain computed tomography CT scan showed...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2017.06.155

    authors： Gong X,Liu C,Zhang L,Li Z,Bartley CM,Liu Z

    更新日期：2017-09-01 00:00:00

  • Ruptured Aneurysm of an Aberrant Internal Carotid Artery Successfully Treated with Simultaneous Intervention and Surgery in a Hybrid Operating Room.

    abstract：BACKGROUND:Aberrant internal carotid artery (aICA) is an anatomic anomaly whereby the internal carotid artery courses through the tympanic cavity without separation by bone. Because aICA is rare, there are no definite treatment strategies for aICA and its complications. CASE DESCRIPTION:We report a case of aICA accomp...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.03.133

    authors： Kawamura Y,Sayama T,Maehara N,Nishimura A,Iihara K

    更新日期：2017-06-01 00:00:00

  • Microdiscectomy for Lumbar Disc Herniation: A Single-Center Observational Study.

    abstract：OBJECTIVE:To examine outcomes and complications following first-time lumbar microdiscectomy. METHODS:Prospective data for patients operated on between May 2007 and July 2016 were obtained from the Norwegian Registry for Spine Surgery. The primary outcome was change in Oswestry Disability Index (ODI) score at 1 year. S...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.02.056

    authors： Vangen-Lønne V,Madsbu MA,Salvesen Ø,Nygaard ØP,Solberg TK,Gulati S

    更新日期：2020-05-01 00:00:00

  • Use of Telemedicine to Improve Interfacility Communication and Aid in Triage of Patients with Intracerebral Hemorrhage: A Pilot Study.

    abstract：INTRODUCTION:Over the past several years there has been a dramatic increase in the implementation of telemedicine technology to aid in the delivery of care across community, inpatient, and emergency settings. This technology has proved valuable for acute life-threatening clinical scenarios. We aimed to pilot a novel ne...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.12.010

    authors： Wright J,Gerges C,Shammassian B,Zhou X,Huang Wright C,Duan Y,Cabrera CI,Rosenfeld K,D'Anza B,Pronovost P,Sajatovic M,Bambakidis N

    更新日期：2020-12-10 00:00:00