Feng Guan-Jun, Gao Feng, Huang Xiao-Yuan, Hati Paer, Yang Xiao-Peng, Wu Hong-Xing
Department of Neurosurgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.
Medicine (Baltimore). 2020 Nov 20;99(47):e23235. doi: 10.1097/MD.0000000000023235.
Carotid-ophthalmic aneurysms are relatively rare, and represent 1% of all intracranial aneurysms. Generally, endovascular coiling and surgical clipping are the 2 most commonly used methods to treat ruptured carotid-ophthalmic aneurysms, it provides the most favorable outcome for a patient. This study aims to assess the efficiency and safety of endovascular coiling vs surgical clipping for patients with a ruptured carotid-ophthalmic aneurysm.
A comprehensive systematic literature review was done in PubMed, EMBASE, Cochrane Library, Web of Science, Scopus, China National Knowledge Infrastructure (CNKI), and WanFang databases. Only randomized trials that compared endovascular coiling with surgical clipping in patients with ruptured carotid-ophthalmic aneurysm was included. Data was extracted independently by 2 review authors. Moreover, the quality of study and bias risk was evaluated by utilizing an appropriate method. Triallists will be contacted to acquire missing information. The data is presented as risk ratio and mean difference, or standardized mean difference with 95% confidence intervals.
The results from the present research shall be published in a peer-reviewed journal.
The present study summarizes the direct and in-direct evidence to judge the efficiency and safety of these 2 methodologies to treat ruptured carotid-ophthalmic aneurysms and attempt to find the most efficiency and safety therapeutical method.
The present study is a meta-analysis based on published evidence. As a result, ethics approval and patient consent are not needed.
颈眼动脉瘤相对少见,占所有颅内动脉瘤的1%。一般来说,血管内栓塞和外科夹闭是治疗破裂颈眼动脉瘤最常用的两种方法,能为患者带来最有利的结果。本研究旨在评估血管内栓塞与外科夹闭治疗破裂颈眼动脉瘤患者的有效性和安全性。
在PubMed、EMBASE、Cochrane图书馆、科学网、Scopus、中国知网和万方数据库中进行了全面的系统文献综述。仅纳入比较血管内栓塞与外科夹闭治疗破裂颈眼动脉瘤患者的随机试验。由2名综述作者独立提取数据。此外,采用适当方法评估研究质量和偏倚风险。将联系试验者获取缺失信息。数据以风险比和平均差或标准化平均差及95%置信区间表示。
本研究结果将发表在同行评审期刊上。
本研究总结了判断这两种治疗破裂颈眼动脉瘤方法有效性和安全性的直接和间接证据,并试图找到最有效和安全的治疗方法。
本研究是基于已发表证据的荟萃分析。因此,无需伦理批准和患者同意。