Evidence map›Paper›PMID 14625229›Full record

ArticleAJNR. American journal of neuroradiology

Intraarterial administration of Abciximab for thromboembolic events occurring during aneurysm coil placement.

Charbel Mounayer, Michel Piotin, Sebastian Baldi, Laurent Spelle, Jacques Moret

Open access · greenAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Glycoprotein IIb/IIIa inhibitors for the neurointerventionalist.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Safety of Abciximab injection during endovascular treatment of ruptured aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2015
    Article
  10. Article
  11. Review
  12. Article
  13. Rescue stenting in endovascular treatment of acutely ruptured cerebral aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2013
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Occlusion of the middle cerebral artery due to synthetic fibers.AJNR. American journal of neuroradiology · 2006
    Article
  19. Article
  20. 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

5 authors at 1 institution in 1 country.

Charbel MounayerDepartment of Interventional Neuroradiology, Fondation Rothschild, Paris, France.
Michel Piotin
Sebastian Baldi
Laurent Spelle
Jacques Moret
Fondation de Rothschild · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePlatelet-derived thrombi may occur during intracranial aneurysm coiling. We report a series of 13 patients treated with intraarterial Abciximab for thrombus formation complicating aneurysm coiling.

methodsFour patients were treated for acutely ruptured aneurysms. Three procedures consisted of the retreatment of previously coiled aneurysms. Six patients had asymptomatic untreated aneurysms. Abciximab was administered intraarterially through a microcatheter as a bolus of 4-10 mg over a period of 10-20 minutes. All patients underwent postthrombolysis control angiography. They also underwent immediate pre- and postoperative cranial CT.

resultsIn 10/13 cases, the thrombi developed without coil protrusion into the parent artery. In one case, the thrombus was generated from the guiding catheter and embolized remote from the aneurysm site. In one case, the thrombus developed before any coil placement. In another patient, a coil loop protruded into the parent artery favoring a heightened thrombotic state. Arterial thrombi were totally occlusive in two patients, whereas in the remaining 11 cases, the thrombi were not totally obstructive. Complete recanalization was achieved in 92% (12/13) of cases within 20-30 minutes. Incomplete arterial reopening was noted in one case, in which a thrombus fragment embolized distally, causing cerebral infarction. There were no Abciximab-related intracranial hemorrhages.

conclusionIntraarterial Abciximab was effective in this series for the treatment of thrombotic complications occurring during aneurysm coiling.

Indexed as

AbciximabAdultAneurysm, RupturedAntibodies, MonoclonalAnticoagulantsArterial Occlusive DiseasesCerebral AngiographyEmbolization, TherapeuticFemaleHumansImmunoglobulin Fab FragmentsInjections, Intra-ArterialIntracranial EmbolismMaleMiddle AgedThromboembolismAbciximabAntibodies, MonoclonalAnticoagulantsImmunoglobulin Fab Fragments

Identifiers

PMID14625229
PMCPMC8148902
OpenAlexW1899652467

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.