Risk factors for perioperative cerebral infarction in moyamoya disease: a meta-analysis.

IF 2.8 3区医学 Q2 CLINICAL NEUROLOGY Frontiers in Neurology Pub Date : 2025-01-24 eCollection Date: 2025-01-01 DOI:10.3389/fneur.2025.1530137

Jincan Wu, Shiju Li, Ruixin Liang, Yanxu Wang, Fangyuan Shi, Xiaoming Pan, Xinyi Chen

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Abstract

Background: The present study explored the risk factors for cerebral infarction perioperative moyamoya disease by meta-analysis.

Methods: The PubMed, Embase, Cochrane library, Web of science databases were searched for case-control/cohort studies on risk factors for the emergence of cerebral infarction perioperative moyamoya disease, the search was done from the database creation to June 1, 2024, and the data was analyzed by using stata15.0.

Result: Ten retrospective cohort studies (N = 3,239) were included. Meta-analysis results suggested posterior cerebral artery involvement [OR = 2.62, 95%CI (1.36, 5.06)], preoperative magnetic resonance angiography [OR = 2.81, 95%CI (1.27, 6.22)], previous infarction [OR = 2.52, 95% CI (1.69, 3.75)] were risk factor for the development of cerebral infarction perioperative moyamoya disease.

Conclusion: This study proves that posterior cerebral artery involvement and grade of preoperative magnetic resonance angiography is higher, and the previous infarction happened moyamoya disease a risk factor for cerebral infarction. Therefore, people with these risk factors should be intervened in advance to prevent the occurrence of perioperative cerebral infarction.

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烟雾病围手术期脑梗死的危险因素：荟萃分析

背景：本研究通过荟萃分析探讨脑梗死围手术期烟雾病的危险因素。方法：检索PubMed、Embase、Cochrane library、Web of science数据库，检索自建库至2024年6月1日脑梗死围手术期烟雾病发生危险因素的病例对照/队列研究，采用stata15.0软件对数据进行分析。结果：纳入10项回顾性队列研究（N = 3,239）。meta分析结果提示，脑后动脉受损伤[OR = 2.62,95%CI(1.36, 5.06)]、术前磁共振血管造影[OR = 2.81,95%CI(1.27, 6.22)]、既往梗死[OR = 2.52,95%CI(1.69, 3.75)]是脑梗死围手术期烟雾病发生的危险因素。结论：本研究证实脑后动脉受累程度及术前磁共振血管造影分级较高，既往梗死发生烟雾病是脑梗死的危险因素。因此，有这些危险因素的患者应提前干预，防止围手术期脑梗死的发生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Neurology CLINICAL NEUROLOGYNEUROSCIENCES -NEUROSCIENCES

CiteScore

4.90

自引率

8.80%

发文量

2792

审稿时长

14 weeks

期刊介绍： The section Stroke aims to quickly and accurately publish important experimental, translational and clinical studies, and reviews that contribute to the knowledge of stroke, its causes, manifestations, diagnosis, and management.