A meta-analysis of comparisons of various surgical treatments for moyamoya diseases.
Brain Behav
; 11(10): e2356, 2021 10.
Article
en En
| MEDLINE
| ID: mdl-34520635
ABSTRACT
PURPOSE:
Ischemia is one of the most familiar complications in the different procedures for moyamoya disease (MMD), but the optimal surgical approaches for MMD remain unknown. We aimed to evaluate the efficiency of various surgical treatments.METHODS:
A literature search word was performed through four databases such as Cochrane Library, Web of Science, PubMed, and EMBASE for the literature published until May 2021. The I2 statistic was used to assess heterogeneity. A random/fixed-effects model was used to pool.RESULTS:
There are a total of 18 studies including three surgical treatments such as including indirect, direct, and combined bypass in this study. The result revealed that indirect bypass was related to a higher incidence of recurrence stroke compared to the direct and combined bypass treatment (p = .001). Furthermore, the cases undergoing direct bypass were associated with a better angiographic change than the indirect bypass (OR = 3.254, p = .013).CONCLUSION:
This meta-analysis demonstrated a positive effect of using the direct and combined bypass to treat MMD compared to indirect bypass due to their lower rates of recurrence stroke.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Revascularización Cerebral
/
Accidente Cerebrovascular
/
Enfermedad de Moyamoya
Tipo de estudio:
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Brain Behav
Año:
2021
Tipo del documento:
Article