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 |