Evidence map›Paper›PMID 39030432›Full record

SynthesisNeurosurgical review2024

STA-MCA Double-Barrel Bypass: A Systematic Review of Technique and Single-Arm Meta-Analysis of Outcomes.

Leonardo B Oliveira, Pedro Henrique Cieslak, Marcio Yuri Ferreira, Cassiano K Fuziki, Italo C Martins, Gabriel Semione, Guilherme Nunes Marques, Lucca B Palavani, Sávio Batista, Nicollas Nunes Rabelo and 5 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Leonardo B OliveiraDepartment of Neurosurgery, State University of Ponta Grossa, Ponta Grossa, PR, Brazil. leobarrosoliveira09@gmail.com.ORCID http://orcid.org/0009-0009-5612-556X
Pedro Henrique CieslakDepartment of Neurosurgery, State University of Ponta Grossa, Ponta Grossa, PR, Brazil.
Marcio Yuri FerreiraDepartment of Neurosurgery, Ninth July University, São Paulo, SP, Brazil.
Cassiano K FuzikiDepartment of Neurosurgery, State University of Ponta Grossa, Ponta Grossa, PR, Brazil.
Italo C MartinsDepartment of Neurosurgery, Federal University of Maranhão, São Luís, MA, Brazil.
Gabriel SemioneDepartment of Neurosurgery, University of West of Santa Catarina, Joaçaba, SP, Brazil.
Guilherme Nunes MarquesDepartment of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Lucca B PalavaniDepartment of Neurosurgery, Max Planck University Center, Indaiatuba, SP, Brazil.
Sávio BatistaDepartment of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Nicollas Nunes RabeloDepartment of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil.
Stefan W KoesterDepartment of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
Raphael BertaniDepartment of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil.
Leonardo C WellingDepartment of Neurosurgery, State University of Ponta Grossa, Ponta Grossa, PR, Brazil.
Michael T LawtonDepartment of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
Eberval Gadelha FigueiredoDepartment of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConventionally, one branch of the superficial temporal artery (STA) is utilized to revascularize the middle cerebral artery (MCA). However, there is the possibility of utilizing both branches of the STA when performing the bypass, characterizing the double-barrel (DB) STA-MCA bypass. Notably, a lack of studies evaluating this technique led the authors to conduct a systematic review and single-arm meta-analysis.

methodsPubMed, Embase and Web of Science were searched systematically for publications of DB-STA-MCA bypass on November 1st, 2023. The findings were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Case reports were not included for statistical analysis purposes.

resultsThe review included 408 patients and 534 bypasses from 34 studies. The main etiology was Moyamoya disease (64.6%), followed by cerebral ischemia (22.2%) and aneurysms (12.5%). The median of the mean follow-ups of each study was 12.8 months (range 1.5-87.9). The postoperative patency was 100%. The follow-up patency was 98% (95% CI: 96%-100%; I

conclusionsThe procedure appears to be safe, with excellent patency rates. The clinical efficacy for ischemic and Moyamoya diseases warrants further standardized robust investigation with a broader number of patients, and aneurysm studies are required to enhance sample sizes. The main complication for the Moyamoya subgroup is hyperperfusion syndrome.

Indexed as

Cerebral RevascularizationMiddle Cerebral ArteryTemporal ArteriesBrain IschemiaHumansIntracranial AneurysmMoyamoya DiseaseTreatment OutcomeAneurysmCerebral revascularizationMoyamoya diseaseSTA MCA bypass

Identifiers

PMID39030432

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.