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Table 1 Characteristics of studies table

From: Surgical management of cerebrovascular disease in Africa: a systematic review of state

Author

Year

Country

Study design

Population

Conditions

Diagnostic tool

Interventions

Outcome

Omotosho et al. [20]

2021

South Africa

Case series

3 Adults

Vertebrobasilar junction fenestration

Computed tomography angiography

Endovascular

0% mortality

Thioub et al. [21]

2018

Senegal

Case series

10 Pediatrics

Intracranial aneurysm

Computed tomography angiography, arteriography, magnetic resonance angiography

Surgical—7

Endovascular—1

Non-surgical—2

1% mortality

Waterkeyn et al. [22]

2023

Tanzania

Retrospective case–control

22 Adults

Intracranial aneurysm

CT angiography, MR angiography

Surgical clippings—14

Non-surgical—8

Endovascular not available in the country

4 operated within 72 h of presentation

62.5% mortality in the non-surgical group

Dokponu et al. [23]

2023

17 Sub-Saharan African countries

Cross-sectional

44 Neurosurgeon

–

–

Assessment of aneurysmal clipping and endovascular treatment of an aneurysm

40.91% of neurosurgeons have a basic level of training in aneurysmal clipping. None have training in endovascular treatment

Taha et al. [24]

2010

Egypt versus Finland and England

Comparative studies

–

Stroke, transient ischemic attack

–

Carotid Endarterectomy

Provision of CEA to needs in England & Finland is 100% while in Egypt is 1.5%

Dokponu et al. [25]

2021

16 African countries

Cross-sectional

36 Neurosurgical center

Aneurysmal Subarachnoid hemorrhage

–

Access to diagnostic tools and endovascular management

81% of the center has access to CT angiography

47% of centers could obtain CT within 2 h

61% of centers provide clipping of Intracranial aneurysm

22% of centers could provide endovascular treatment

64% of Centers don't have endovascular specialist

  1. CT = Computed tomography, MR = magnetic resonance, CEA = carotid endarterectomy