Risk factors of in⁃stent restenosis for intracranial artery stenosis: a Meta⁃analysis
Objective To assess the risk factors of in-stent restenosis (ISR) for intracranial artery stenosis by Meta-analysis. Methods Retrieve relevant case-control studies or cohort studies from online databases (January 1, 1990-August 1, 2017) as PubMed, EBMASE/SCOPUS and Cochrane Library with key words: i...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Tianjin Huanhu Hospital
2018-03-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
| Subjects: | |
| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/1757 |
| _version_ | 1818097275784658944 |
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| author | Qian LI Da XU Deng CHEN Li⁃na ZHU Hai⁃jiao WANG Ge TAN Yu ZHANG Ling LIU |
| author_facet | Qian LI Da XU Deng CHEN Li⁃na ZHU Hai⁃jiao WANG Ge TAN Yu ZHANG Ling LIU |
| author_sort | Qian LI |
| collection | DOAJ |
| description | Objective To assess the risk factors of in-stent restenosis (ISR) for intracranial artery stenosis by Meta-analysis. Methods Retrieve relevant case-control studies or cohort studies from online databases (January 1, 1990-August 1, 2017) as PubMed, EBMASE/SCOPUS and Cochrane Library with key words: intracranial artery, stent, restenosis, risk factors, predictors. Selection of studies was performed according to pre-designed inclusion and exclusion criteria. Quality of studies was evaluated by using Newcastle-Ottawa Scale (NOS). All data were pooled by RevMan 5.3 software for Meta-analysis. Results The research enrolled 305 articles, from which 16 high-quality (NOS score>=6) studies were chosen after excluding duplicates and those not meeting the inclusion criteria. A total of 1102 cases (ISR:N =245; non-ISR: N=857) were included. Meta-analysis showed that diabetes (OR=1.880, 95%CI:1.290-2.740; P=0.001), lesions stenosis length>10 mm (OR=3.550, 95%CI:1.160-10.850; P=0.030), anterior circulation lesions (OR=1.680, 95%CI:1.170-2.420; P=0.005), postoperative residual stenosis>=30% (OR=3.290, 95%CI:1.460-7.410; P=0.004) and bare metal stents (OR=4.290, 95%CI:1.130-16.260; P=0.030) increased the risk of ISR significantly. Conclusions Diabetes, lesions stenosis length>10 mm, anterior circulation lesions, postoperative residual stenosis>=30% and bare metal stents were risk factors of in-stent restenosis. Clinicians should avoid related risk factors and reduce the occurrence of in-stent restenosis. |
| first_indexed | 2024-12-10T23:17:56Z |
| format | Article |
| id | doaj.art-bcca4d0d6f3d4a7ab13fc30c3f413649 |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-12-10T23:17:56Z |
| publishDate | 2018-03-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-bcca4d0d6f3d4a7ab13fc30c3f4136492022-12-22T01:29:48ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312018-03-011831831911714Risk factors of in⁃stent restenosis for intracranial artery stenosis: a Meta⁃analysisQian LI0Da XU1Deng CHEN2Li⁃na ZHU3Hai⁃jiao WANG4Ge TAN5Yu ZHANG6Ling LIU7Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, ChinaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, ChinaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, ChinaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, ChinaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, ChinaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, ChinaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, ChinaDepartment of Neurology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, ChinaObjective To assess the risk factors of in-stent restenosis (ISR) for intracranial artery stenosis by Meta-analysis. Methods Retrieve relevant case-control studies or cohort studies from online databases (January 1, 1990-August 1, 2017) as PubMed, EBMASE/SCOPUS and Cochrane Library with key words: intracranial artery, stent, restenosis, risk factors, predictors. Selection of studies was performed according to pre-designed inclusion and exclusion criteria. Quality of studies was evaluated by using Newcastle-Ottawa Scale (NOS). All data were pooled by RevMan 5.3 software for Meta-analysis. Results The research enrolled 305 articles, from which 16 high-quality (NOS score>=6) studies were chosen after excluding duplicates and those not meeting the inclusion criteria. A total of 1102 cases (ISR:N =245; non-ISR: N=857) were included. Meta-analysis showed that diabetes (OR=1.880, 95%CI:1.290-2.740; P=0.001), lesions stenosis length>10 mm (OR=3.550, 95%CI:1.160-10.850; P=0.030), anterior circulation lesions (OR=1.680, 95%CI:1.170-2.420; P=0.005), postoperative residual stenosis>=30% (OR=3.290, 95%CI:1.460-7.410; P=0.004) and bare metal stents (OR=4.290, 95%CI:1.130-16.260; P=0.030) increased the risk of ISR significantly. Conclusions Diabetes, lesions stenosis length>10 mm, anterior circulation lesions, postoperative residual stenosis>=30% and bare metal stents were risk factors of in-stent restenosis. Clinicians should avoid related risk factors and reduce the occurrence of in-stent restenosis.http://www.cjcnn.org/index.php/cjcnn/article/view/1757Intracranial arteriosclerosisStentsRisk factorsMeta⁃analysis |
| spellingShingle | Qian LI Da XU Deng CHEN Li⁃na ZHU Hai⁃jiao WANG Ge TAN Yu ZHANG Ling LIU Risk factors of in⁃stent restenosis for intracranial artery stenosis: a Meta⁃analysis Chinese Journal of Contemporary Neurology and Neurosurgery Intracranial arteriosclerosis Stents Risk factors Meta⁃analysis |
| title | Risk factors of in⁃stent restenosis for intracranial artery stenosis: a Meta⁃analysis |
| title_full | Risk factors of in⁃stent restenosis for intracranial artery stenosis: a Meta⁃analysis |
| title_fullStr | Risk factors of in⁃stent restenosis for intracranial artery stenosis: a Meta⁃analysis |
| title_full_unstemmed | Risk factors of in⁃stent restenosis for intracranial artery stenosis: a Meta⁃analysis |
| title_short | Risk factors of in⁃stent restenosis for intracranial artery stenosis: a Meta⁃analysis |
| title_sort | risk factors of in⁃stent restenosis for intracranial artery stenosis a meta⁃analysis |
| topic | Intracranial arteriosclerosis Stents Risk factors Meta⁃analysis |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/1757 |
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