Evidence map›Paper›PMID 23124641›Full record

Trial reportAJNR. American journal of neuroradiology2013

A DSA-based method using contrast-motion estimation for the assessment of the intra-aneurysmal flow changes induced by flow-diverter stents.

V M Pereira, O Bonnefous, R Ouared, O Brina, J Stawiaski, H Aerts, D Ruijters, A P Narata, P Bijlenga, K Schaller and 1 more

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

Trial report in AJNR. American journal of neuroradiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05526352 (@neurIST), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
6.8field-weighted citation impact, top 3% 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.

NCT05526352 recruitingnot on this mapstarted 2015, after this paper: background citation

@neurIST : Informatique biomédicale intégrée Pour la Gestion Des anévrismes cérébraux

Typeobservational_patient_registrySponsorUniversity Hospital, GenevaRan2015 to 2040Enrolled20,000ConditionsIntracranial Aneurysm
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 97 citations in OpenAlex.

  1. Trial
  2. Article
  3. Modeling Fibrin Accumulation on Flow-Diverting Devices for Intracranial Aneurysms.International journal for numerical methods in biomedical engineering · 2024
    Article
  4. Experimental study using phantom models of cerebral aneurysms and 4D-DSA to measure blood flow on 3D-color-coded images.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
    Article
  5. Article
  6. Integrating computational fluid dynamics data into medical image visualization workflows via DICOM.International journal of computer assisted radiology and surgery · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Cascade device - In vitro tests to assess coil protrusion into the parent vessel.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Article
  14. Angiographic assessment of the efficacy of flow diverter treatment for cerebral aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2019
    Article
  15. Article
  16. Article
  17. Image-based modeling of blood flow in cerebral aneurysms treated with intrasaccular flow diverting devices.International journal for numerical methods in biomedical engineering · 2019
    Article
  18. Review
  19. Article
  20. In vitro angiographic comparison of the flow-diversion performance of five neurovascular stents.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2018
    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 2 institutions in 2 countries.

V M PereiraInterventional Neuroradiology Unit, Service of Neuroradiology, University Hospital of Geneva, Geneva, Switzerland. vitor.mendespereira@hcuge.ch
O Bonnefous
R Ouared
O Brina
J Stawiaski
H Aerts
D Ruijters
A P Narata
P Bijlenga
K Schaller
K-O Lovblad
University Hospital of Geneva · CHUnisys (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeFlow-diverter stents modify intra-aneurysmal blood flow and induce the progressive thrombosis of intracranial aneurysms followed by stable vascular reconstruction. The aim of this study was to report a new method for the appraisal of intracranial blood flow from DSA performed during endovascular treatment procedures. MATERIALS AND

methodsA cohort of 24 patients with unruptured IAs who underwent FDS implantation was prospectively recruited. Pre- and post-DSA sequences in combination with 3D rotational angiography were acquired. The quantification of arterial and intra-aneurysmal flow was accomplished by using an optical flow approach. Flow reduction was assessed by using a new metric termed the mean aneurysm flow amplitude ratio. The correlation between the MAFA ratio and the incidence of aneurysm thrombosis was assessed by using receiver operating characteristic analysis and the Fisher exact test when the optimum Youden index was found.

resultsThe quantification of flow was successfully achieved in 21 of 24 patients (87.5%). On the imaging follow-up, 18 aneurysms developed complete thrombosis (87.5%) and 3 displayed residual circulation (12.5%). The threshold analysis of the MAFA ratio significantly predicted thrombosis at 12 months below a threshold of 1.03 (P=.035). There was no significant correlation between the time for complete occlusion of the aneurysm and contrast stagnation inside the aneurysm after treatment (P>.05).

conclusionsThe MAFA ratio based on DSA flow quantification appears to be a reliable predictor for the assessment of stent treatment outcomes in this small study. These results open the door for perioperative flow quantification and provide indices that may help clinicians make appropriate intraprocedural decisions.

Indexed as

Models, CardiovascularAdultAgedAngiography, Digital SubtractionCerebrovascular CirculationEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedPilot ProjectsPredictive Value of TestsProspective StudiesROC CurveStents

Identifiers

PMID23124641
PMCPMC7964491
OpenAlexW2098868934

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.