Combined balloon plus stent technique for treatment of intracranial aneurysm: a systematic review and meta-analysis.

Background: Intracranial aneurysms are weak spots in brain vessels that are at a higher risk of rupture and hemorrhage. This review investigates the safety and efficacy of the stent plus balloon technique for intracranial aneurysm management. Methods: PubMed, Scopus, Web of Science, and Embase were systematically searched using the related key terms such as "Stent", "Balloon", "Intracranial", and "Aneurysm" until July 22, 2024. Results: Eleven studies comprising 481 aneurysms were included. The pooled angiographic outcome rate, according to Raymond–Roy occlusion classification (RROC), for RROC1 was 64% (95% CI 50–79%, p-heterogeneity < 0.001, I2 = 87%), while for the RROC2 was 18% (95% CI 14–23%, p-heterogeneity = 0.12, I2 = 1%), and the RROC3 rate was 17% (95% CI 3–30%, p-heterogeneity < 0.001, I2 = 100%). In addition, the intraprocedural complication and adverse event rate were 17% (95% CI 3% to %32, p-heterogeneity < 0.001, I2 = 97%) and 15% (95% CI 0–30%, p-heterogeneity < 0.001, I2 = 100%), respectively. Furthermore, the overall ischemic stroke occurred in % 4 (95% CI 1–8%, p-heterogeneity < 0.001, I2 = 100%), as well as 4% (95% CI 2–10% p-heterogeneity = 0.30, I2 = 30%), respectively. Conclusion: The balloon plus stent technique is an innovative procedure; surgeons should know about and utilize in intracranial aneurysms. Our analysis observed minimal complications and mortality during the surgical procedure, which were identical to the rates observed with alternative techniques. [ABSTRACT FROM AUTHOR]