Evidence map›Paper›PMID 19193745›Full record

Trial reportAJNR. American journal of neuroradiology2009

Bailout stent deployment during coil embolization of intracranial aneurysms.

E Yoo, D J Kim, D I Kim, J-W Lee, S H Suh

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in AJNR. American journal of neuroradiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04499508 (APPLY Study), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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.

NCT04499508 naunknown statusnot on this mapstarted 2020, after this paper: background citation

APPLY Study: A Prospective, Single Center Study Appraising the Embolization of Aneurysms Using the Balt Optima™ Coil System

TypeinterventionalSponsorVascular Neurology of Southern California Inc.Ran2020 to 2023Enrolled30ConditionsAneurysm, Intracranial Aneurysm, Ruptured Aneurysm, Subarachnoid Hemorrhage, AneurysmalArmsOptima Coil System
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  8. Coil herniation following intra-arterial verapamil infusion for the treatment of cerebral vasospasm: Case report and literature review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2015
    Article
  9. Article
  10. Article
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  12. Rescue stenting in endovascular treatment of acutely ruptured cerebral aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2013
    Article
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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 2 institutions in 1 country.

E YooDepartment of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
D J Kim
D I Kim
J-W Lee
S H Suh
Severance Hospital · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSelf-expandable stents are an effective tool for coil embolization of wide-neck intracranial aneurysms. The purpose of this study was to assess the feasibility and results of bailout stent positioning during rescue situations after deployment of > or =1 coil. MATERIALS AND

methodsAmong 318 aneurysms treated by coil embolization in 267 patients, 16 patients who were treated by bailout stent deployment were retrospectively reviewed. Bailout procedures were performed to relieve potential parent artery compromise caused by the protruded coil loops or to prevent migration of the unstable coil basket. The size/location of the aneurysm, technical feasibility, successful stabilization rate, and procedure-related complications were evaluated.

resultsThe locations of the aneurysms were the internal carotid artery (n = 12) and basilar artery (n = 4). The mean aneurysm size was 8.3 mm (range, 3.5-19.4 mm) with hemorrhagic presentation in 3 patients. Relief/prevention of parent artery compromise was achieved by molding the encroached loops back into the sac (n = 11), scaffolding the aneurysmal neck in cases with an unstable coil basket (n = 4), and sidetacking the migrated loop to the parent vessel wall (n = 1). The procedure was technically successful in 87.5% (n = 14). Satisfactory molding or stabilization of the coil was seen in 75% (n = 12). Unsatisfactory molding of the protruded small coil loop was noted in 2 cases of small aneurysms. Acute in-stent thrombosis was successfully managed by thrombolysis (n = 1).

conclusionsBailout self-expandable stent deployment may be a feasible and effective method for relief/prevention of parent artery compromise or coil migration caused by prolapsed or unstable coil loops during embolization of aneurysms.

Indexed as

Blood Vessel ProsthesisStentsAgedEmbolization, TherapeuticEquipment DesignEquipment FailureFeasibility StudiesFemaleHumansIntracranial AneurysmMaleMiddle AgedTreatment Outcome

Identifiers

PMID19193745
PMCPMC7051677
OpenAlexW2107180743

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.