Evidence map›Paper›PMID 22937484›Full record

ArticleSurgical neurology international2012

Stent-assisted coil emboilization of ruptured intracranial aneurysms: A retrospective multicenter review.

Kiarash Golshani, Andrew Ferrel, Mark Lessne, Pratish Shah, Abhineet Chowdhary, Armen Choulakian, Michael J Alexander, Tony P Smith, David S Enterline, Ali R Zomorodi and 1 more

Abstract read
In one paragraph

Article in Surgical neurology international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Safety of stent-assisted coiling for the treatment of wide-necked ruptured aneurysm: A systematic literature review and meta-analysis of prevalence.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Stent-Assisted Embolization for Acutely Ruptured Aneurysm.Journal of neuroendovascular therapy · 2022
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Treatment of acutely ruptured wide-necked intracranial aneurysms using self-expanding stent.International journal of clinical and experimental medicine · 2015
    Article
  14. Article
  15. Review
  16. Article
  17. Stent-assisted coiling of ruptured wide-necked intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2013
    Article
  18. Endovascular treatment of ruptured intracranial aneurysms.Current neurology and neuroscience reports · 2013
    Review
  19. Article
  20. Safety of preprocedural antiplatelet medication in coil embolization of ruptured cerebral aneurysms at the acute stage.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
    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

11 authors at 3 institutions in 1 country.

Kiarash GolshaniDepartment of Neurological Surgery, Loma Linda University Medical Center, Loma Linda, USA.
Andrew Ferrel
Mark Lessne
Pratish Shah
Abhineet Chowdhary
Armen Choulakian
Michael J Alexander
Tony P Smith
David S Enterline
Ali R Zomorodi
Gavin W Britz
Duke Medical Center · USCedars-Sinai Medical Center · USLoma Linda University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study is to retrospectively review our experience with stent-assisted embolization of patients with an acutely ruptured cerebral aneurysm.

methodsMedical records and imaging were reviewed for 36 patients who underwent stent-assisted embolization of a ruptured cerebral aneurysm.

resultsSeventeen patients (47%) received a preprocedural loading dose of clopidogrel and five patients (14%) received an intraprocedural dose of clopidogrel. The remaining 14 patients (36%) were treated with antiplatelet therapy following the procedure. Six (17%) stent related intraprocedural thromboembolic complications were encountered; four of these resolved (one partial, three complete) following treatment with abciximab and/or heparin during the procedure. Five of the six thromboembolic events occurred in patients who were not pretreated with clopidogrel (P = 0.043). Two patients in this series (6%) had a permanent thrombotic complication resulting in mild hemiparesis in one patient, and hemianopsia in the second. No procedure related hemorrhagic complications occurred in any patient. One patient had a spontaneous parenchymal hemorrhage contralateral to the treated aneurysm discovered 10 days after treatment. Twenty-eight patients (78%) had a Glasgow Outcome Score of 4 or better at discharge. Seven of 21 patients (33%) with angiographic follow-up required further treatment of the coiled aneurysm.

conclusionStent-assisted coil embolization is an option for treatment of ruptured wide neck ruptured aneurysms and for salvage treatment during unassisted embolization of ruptured aneurysms but complications and retreatment rates are higher than for routine clipping or coiling of cerebral aneurysms. Pretreatment with clopidogrel appears effective in reducing thrombotic complications without significant increasing risk of hemorrhagic complications.

Indexed as

Cerebral aneurysmcoilembolizationstentstroke subarachnoid hemorrhage

Identifiers

PMID22937484
PMCPMC3424670
OpenAlexW2086876209

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.