Fotakopoulos George, Gatos Charalabos, Christodoulidis Grigorios, Fotakopoulou Ourania, Fountas Kostas N
Department of Neurosurgery, General University Hospital of Larissa, Greece.
Department of General Surgery, General University Hospital of Larissa, Greece.
Maedica (Bucur). 2024 Jun;19(2):221-228. doi: 10.26574/maedica.2024.19.2.221.
The present article aimed to review the safety and the clinical and radiological outcomes of clipped ruptured and unruptured anterior circulation aneurysms.
The study investigated the relative articles involving the outcome after surgical management of ruptures versus unruptured anterior circulation aneurysms through electronic databases from January 1980 to January 2023. The primary outcomes were mortality and modified Rankin scale (mRS) >3.
Information on mRS >3 was found in six articles totalizing 2096 patients, of whom 130 subjects had ruptured and unruptured aneurysms. Data about mortality was provided by eight studies totalizing 2454 participants, of whom 140 subjects had ruptured and unruptured aneurysms.
The current meta-analysis indicates that surgical clipping is a safe procedure for both ruptured and unruptured aneurysms of anterior circulation.
本文旨在综述夹闭破裂和未破裂的前循环动脉瘤的安全性以及临床和影像学结果。
该研究通过电子数据库调查了1980年1月至2023年1月期间涉及破裂与未破裂前循环动脉瘤手术治疗后结果的相关文章。主要结果为死亡率和改良Rankin量表（mRS）评分>3。
在总共2096例患者的6篇文章中发现了mRS评分>3的信息，其中130例患者患有破裂和未破裂的动脉瘤。8项研究提供了关于死亡率的数据，共计2454名参与者，其中140例患者患有破裂和未破裂的动脉瘤。
当前的荟萃分析表明，手术夹闭对于前循环破裂和未破裂的动脉瘤都是一种安全的手术方法。
