Performance assessment of the Surpass Evolve flow diverter for the treatment of intracranial aneurysms: A systematic review and meta-analysis.
| Autor: | Rodriguez-Calienes A; Neuroscience, Clinical Effectiveness and Public Health Research Group, Universidad Científica del Sur, Lima, Peru.; Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA., Vivanco-Suarez J; Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA., Castillo-Huerta NM; Grupo Estudiantil de Investigación en Neurociencias, Sociedad de Estudiantes de Medicina de la Universidad de San Martín de Porres, Lima, Peru.; School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru., Espinoza-Martinez D; Grupo Estudiantil de Investigación en Neurociencias, Sociedad de Estudiantes de Medicina de la Universidad de San Martín de Porres, Lima, Peru.; Facultad de Ciencias de la Salud, Escuela de Medicina, Universidad César Vallejo, Trujillo, Peru., Morán-Mariños C; Unidad de investigación en Bibliometría, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru., Espiritu-Vilcapoma X; Grupo Estudiantil de Investigación en Neurociencias, Sociedad de Estudiantes de Medicina de la Universidad de San Martín de Porres, Lima, Peru.; Facultad de Medicina Humana, Universidad de San Martín de Porres, Lima, Peru., Rivera-Angles V; Grupo Estudiantil de Investigación en Neurociencias, Sociedad de Estudiantes de Medicina de la Universidad de San Martín de Porres, Lima, Peru.; Facultad de Medicina Humana, Universidad de San Martín de Porres, Lima, Peru., Ortega-Gutierrez S; Department of Neurology, Neurosurgery and Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences [Interv Neuroradiol] 2024 Oct 03, pp. 15910199241284412. Date of Electronic Publication: 2024 Oct 03. |
| DOI: | 10.1177/15910199241284412 |
| Abstrakt: | Background: The Surpass Evolve (SE) has emerged as a promising alternative treatment from the flow diverter series. The utilization of the SE has gradually increased, however, there is a scarcity of comprehensive data on the solidity of this technology in the endovascular treatment of intracranial aneurysms (IAs). This meta-analysis aimed to evaluate the safety and effectiveness of the SE flow diverter. Methods: A systematic literature search from inception to April 2024 was conducted across five databases for studies involving IAs treated with the SE. The primary effectiveness outcome was the proportion of complete aneurysm occlusion at the final follow-up, and the primary safety outcome comprised a composite of early and delayed complications. Subgroup analyses based on aneurysm size, anatomical location, and rupture status were also conducted. Results: Our analysis included nine studies with 645 patients and 722 IAs. Effectiveness outcomes revealed an overall complete aneurysm occlusion rate of 69% (95% confidence interval (CI) = 58%-78%; I 2 = 72%) and a favorable aneurysm occlusion rate of 91% (95% CI = 82%-96%; I 2 = 49%). Safety outcomes demonstrated an overall complications rate of 6% (95% CI = 3%-12%; I 2 = 66%), with an early complications rate of 6% (95% CI = 4%-11%; I 2 = 0%), and a delayed complications rate of 0% (95% CI = 0%-7%; I 2 = 0%). Conclusions: Our findings suggest a favorable outcome with a high rate of complete aneurysm occlusion at the last follow-up, with acceptable rates of neurological complications. Future research efforts should focus on larger, prospective studies with standardized outcome measures to further elucidate the clinical utility of the SE flow diverter in the management of IAs. |
| Databáze: | MEDLINE |
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