Evidence map›Paper›PMID 24524918›Full record

Trial reportAJNR. American journal of neuroradiology2014

Role of C-arm VasoCT in the use of endovascular WEB flow disruption in intracranial aneurysm treatment.

J Caroff, C Mihalea, H Neki, D Ruijters, L Ikka, N Benachour, J Moret, L Spelle

Abstract readClinical Trial
In one paragraph

Trial report in AJNR. American journal of neuroradiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Woven Endobridge as a treatment for acutely ruptured aneurysms: A review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Review
  8. Article
  9. Article
  10. Technical aspects of combined intrasaccular and endoluminal flow diversion.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  11. Article
  12. Safety and feasibility of the Woven EndoBridge device deployment with monitored anesthesia care.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Article
  13. Article
  14. Review
  15. Article
  16. Optimizing contrast-enhanced cone-beam CT protocol to facilitate simultaneous visualization of neurovascular pathologies and surrounding structures of interest.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2019
    Article
  17. WEB Device: Ready for Ruptured Aneurysms?AJNR. American journal of neuroradiology · 2017
    Article
  18. Large Basilar Apex Aneurysms Treated with Flow-Diverter Stents.AJNR. American journal of neuroradiology · 2017
    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

8 authors.

J CaroffFrom the Department of Interventional Neuroradiology (J.C., C.M., H.N., L.I., N.B., J.M., L.S.), Beaujon Medical Centre, Clichy, France Jildaz.caroff@gmail.com.
C MihaleaFrom the Department of Interventional Neuroradiology (J.C., C.M., H.N., L.I., N.B., J.M., L.S.), Beaujon Medical Centre, Clichy, France.
H NekiFrom the Department of Interventional Neuroradiology (J.C., C.M., H.N., L.I., N.B., J.M., L.S.), Beaujon Medical Centre, Clichy, France.
D RuijtersInterventional X-Ray Innovation (D.R.), Philips Healthcare, Best, the Netherlands.
L IkkaFrom the Department of Interventional Neuroradiology (J.C., C.M., H.N., L.I., N.B., J.M., L.S.), Beaujon Medical Centre, Clichy, France.
N BenachourFrom the Department of Interventional Neuroradiology (J.C., C.M., H.N., L.I., N.B., J.M., L.S.), Beaujon Medical Centre, Clichy, France.
J MoretFrom the Department of Interventional Neuroradiology (J.C., C.M., H.N., L.I., N.B., J.M., L.S.), Beaujon Medical Centre, Clichy, France.
L SpelleFrom the Department of Interventional Neuroradiology (J.C., C.M., H.N., L.I., N.B., J.M., L.S.), Beaujon Medical Centre, Clichy, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe WEB aneurysm embolization system is still under evaluation but seems to be a promising technique to treat wide-neck bifurcation aneurysms. However, this device is barely visible using conventional DSA; thus, high-resolution contrast-enhanced flat panel detector CT (VasoCT) may be useful before detachment to assess the sizing and positioning of the WEB. The purpose of this study was to evaluate the interest of VasoCT during WEB procedures. MATERIALS AND

methodsFrom March 2012 to July 2013, twelve patients (10 women and 2 men; age range, 44-55 years) were treated for 13 intracranial aneurysms with the WEB device. DSA and VasoCT were used and compared to depict any protrusion of the device in parent arteries before detachment. Two neuroradiologists reviewed each VasoCT scan, and the quality was graded on a subjective quality scale.

resultsThe mesh of the WEB was very well-depicted in all cases, allowing a very good assessment of its deployment. Device protrusion was clearly detected with VasoCT in 5 cases, leading to WEB repositioning or size substitution. During follow-up, VasoCT also allows good assessment of eventual residual blood flow inside the aneurysm or the WEB device.

conclusionsUnlike DSA, VasoCT is an excellent tool to assess WEB deployment and positioning. In our experience, it allowed a precise evaluation of the WEB sizing and its relation to the parent vessel. Such information very likely enhances the ability to safely use this device, avoiding potential thromboembolic events in cases of protrusion in the parent arteries.

Indexed as

StentsX-Ray Intensifying ScreensAdultCerebral AngiographyFemaleHumansIntracranial AneurysmMaleMiddle AgedRadiographic Image EnhancementRadiography, InterventionalReproducibility of ResultsSensitivity and SpecificityTomography, X-Ray ComputedTreatment Outcome

Identifiers

PMID24524918
PMCPMC7966600

What OpenQuestion holds

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Registered trials

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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.