The Rate of Symptomatic Ischemic Events after Passing Balloon Test Occlusion of the Major Intracranial Arteries: Meta-Analysis.

摘要: Background Balloon test occlusion is a widely used method for predicting tolerance of vessel in the treatment aneurysms, fistulae, and head neck neoplasms. However, false-negative rate variably reported due part to diversity perfusion monitoring methods. Objective To evaluate symptomatic ischemic events after negative balloon determine whether methods contribute differences these rates. Methods PubMed was systematically searched studies between 1990 2020 that rates outcomes parental patients who passed occlusion. A generalized linear mixed model meta-analysis performed. Results were expressed as without bypass Thirty-two met inclusion criteria. The overall pooled passing 3.7% (95% confidence interval [CI]: 1.7–7.8). This 3.8% CI: 1.1–12.8) when monitored with angiography, 2.2% 0.4–10.2) by form computed tomography, 5.3% 1.2–20.4) 2 or more assessment. complication 0.8% 0.2–2.7). Conclusions results low subsequent events, conclusive evidence variation choice should focus on reduction risk, experience interventional team, avoidance prolonged times.