Article Figures & Data
Figures
- Fig 1.
Flow chart illustrating study selection.
- Fig 2.
Forest plot demonstrating the overall rate of silent infarcts following endovascular aneurysm treatment.
- Fig 3.
Forest plot demonstrating the overall rate of silent infarcts following treatment with coiling and flow diversion.
Tables
Study Design No. of Patients Mean Age Sex Aneurysms Circulation Treatment Time until Imaging (hr) Risk of Bias M F Ruptured Unruptured Total Anterior Posterior Altay et al, 201112 R 184 58.8 44 154a 65 133 198 147 51 C, SAC, BAC <72 M Biondi et al, 200025 R 20 50 5 15 11 9 20 16 4 C 2–4 and 24–48 M Brasiliense et al, 201616 P 59 59 11 48 70 0 70 60 10 FD 24 M Cronqvist et al, 200532 P 40 49.4 13 27 16 30 46 38 8 C 18–52 M Hahnemann et al, 20147 R 75 52.6 21 54 0 75 75 35 40 SAC <120 H Heller et al, 201317 P 76 56 11 65 68 10 78 53 25 SAC 24–48 H Iosif et al, 201518 P 38 53 7 31 – – 49 48 1 FD <48 H Ishibashi et al, 200615 R 74 – – – 29 45 74 63 11 C, BAC <48 H Kang et al, 20136 R 343 – 99 283a 0 382 382 323 59 C, SAC, BAC – M Kang et al, 201324 P 40 54.8 13 27 0 40 40 33 7 C, SAC <24 M Kim et al, 201311 R 90 58 20 72a 0 92 92 78 14 C <24 M Kim et al, 201410 R 58 – 23 35 0 62 62 – – C, SAC 23–46 M Kim et al, 201627 R 309 – 84 225 0 338 338 306 32 C, SAC 24–48 M McGuinness et al, 201533 P 31 56 4 27 8 25 33 30 3 FD 48–240 H Nagahata et al, 201134 R 14 58.6 1 13 0 14 14 14 0 C, BAC <96 M Nishikawa et al, 20134 R 154 58.8 37 117 0 157 157 108 49 C, SAC, BAC 48–120 M Park et al, 20165 R 271 57.2 68 203 0 271 271 226 45 C, SAC, BAC 24 L Rordorf et al, 20019 P 14 57.2 4 10 0 14 14 14 0 C, BAC <48 M Sim and Shin, 20128 P 39 57.7 11 28 26 13 39 32 7 C, SAC, BAC <48 M Soeda et al, 200313 R 26 60 8 18 0 26 26 0 26 C, BAC 48–120 M Takigawa et al, 201414 R 119 62.9 30 89 0 119 119 95 24 SAC, BAC 24 M Tan et al, 201519 R 74 60 12 62 0 74 74 58 16 FD <24 M Note:—R indicates retrospective; P, prospective; C, coiling only; SAC, stent-assisted coiling; BAC, balloon-assisted coiling; FD, flow diversion; H, high; M, moderate; L, low; –, data was not available.
↵a Authors reported sex distribution by number of aneurysms.
% DWI+ (95% CI) I2 P Value Overall 49 (42–56) 90 – Location Anterior 35 (25–47) 76 .83 Posterior 31 (9–59) 87 Treatment type Coiling alone 45 (33–56) 86 Ref Balloon-assisted coiling 44 (29–60) 54 .99 Stent-assisted coiling 43 (24–63) 93 .89 Flow diversion 67 (46–85) 87 .07 Sex Male 32 (17–48) 58 .47 Female 41 (28–54) 84 Rupture status Ruptured 42 (17–69) 90 .87 Unruptured 44 (35–53) 87 Size Small 52 (39–65) 62 .55 Large 61 (34–86) 38 Note:—Ref indicates reference.
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