Evidence map›Paper›PMID 12372750›Full record

ArticleAJNR. American journal of neuroradiology2002

Thrombus formation at the neck of cerebral aneurysms during treatment with Guglielmi detachable coils.

Michael J Workman, Harry J Cloft, Frank C Tong, Jacques E Dion, Mary E Jensen, William F Marx, David F Kallmes

Open access · greenAbstract readCase Reports
In one paragraph

Article in AJNR. American journal of neuroradiology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
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  7. Article
  8. Review
  9. Endovascular treatment of middle cerebral artery aneurysms: A single center experience with a focus on thromboembolic complications.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2018
    Article
  10. Article
  11. Thrombus remnant despite intra-arterial thrombolysis for thrombus formation during endovascular treatment of ruptured cerebral aneurysms: Does it harm?Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2016
    Article
  12. Article
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  14. Review
  15. Article
  16. Article
  17. Rescue stenting in endovascular treatment of acutely ruptured cerebral aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2013
    Article
  18. Review
  19. Article
  20. The mechanism of catheter kickback in the final stage of coil embolization for aneurysms: the straightening phenomenon.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2010
    Article
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

7 authors at 1 institution in 1 country.

Michael J WorkmanDepartment of Radiology, Emory University Hospital, 1365 Clifton Road NE, Atlanta, GA 30322, USA.
Harry J Cloft
Frank C Tong
Jacques E Dion
Mary E Jensen
William F Marx
David F Kallmes
Emory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThromboembolic events are a common source of complications during Guglielmi detachable coil (GDC) treatment of intracranial aneurysms. Thrombus formation at the coil-parent artery interface is not commonly reported but is an important potential source of emboli. We describe nine cases in which thrombus propagated from GDCs into the parent artery during coil therapy of cerebral aneurysms and subsequent treatment of the thrombus.

methodsA retrospective review of a procedural database was performed to identify cases in which thrombus occurred during GDC treatment of cerebral aneurysms during a 30-month period. All images were reviewed at the time of the procedure. Nine cases of thrombus forming at the coil-parent artery interface and five cases of distal emboli were identified among 210 cases. All patients underwent anticoagulation with heparin during GDC treatment procedures.

resultsThrombus was identified at the coil-parent artery interface during GDC treatment in nine (4.3%) of 210 cases. In each case, the thrombus was recognized before distal embolic complication occurred and was successfully treated with heparin alone (five patients) or with heparin plus a glycoprotein IIb-IIIa inhibitor (four patients).

conclusionPotential clinical complications can be avoided by early recognition of thrombus at the coil-parent artery interface and by administering appropriate medical therapy.

Indexed as

AbciximabAgedAntibodies, MonoclonalCerebral AngiographyEmbolization, TherapeuticFemaleFibrinolytic AgentsHeparinHumansImmunoglobulin Fab FragmentsIntracranial AneurysmMaleMiddle AgedPlatelet Glycoprotein GPIIb-IIIa ComplexRadiography, InterventionalRetrospective StudiesAbciximabAntibodies, MonoclonalFibrinolytic AgentsHeparinImmunoglobulin Fab FragmentsPlatelet Glycoprotein GPIIb-IIIa Complex

Identifiers

PMID12372750
PMCPMC7976790
OpenAlexW1931014035

What OpenQuestion 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 OpenQuestion graph.