Evidence map›Paper›PMID 24831597›Full record

ArticleAJNR. American journal of neuroradiology2014

Thromboembolic complications in patients with clopidogrel resistance after coil embolization for unruptured intracranial aneurysms.

B Kim, K Kim, P Jeon, S Kim, H Kim, H Byun, J Cha, S Hong, K Jo

Open access · bronzeAbstract read
In one paragraph

Article 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 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 9% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  8. Review
  9. Global outflow angle influences silent ischemic events in coil embolization for unruptured distal anterior cerebral artery aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Risk Factors for Recanalization after Coil Embolization.Journal of personalized medicine · 2021
    Article
  15. Article
  16. Article
  17. Article
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  19. Article
  20. Thromboembolism during coiling of intracranial aneurysms: predictors and clinical outcome.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    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

9 authors at 2 institutions in 2 countries.

B KimFrom the Departments of Radiology (B.K., K.K., P.J., S.K., H.K., H.B., J.C.).
K KimFrom the Departments of Radiology (B.K., K.K., P.J., S.K., H.K., H.B., J.C.) somatom.kim@samsung.com.
P JeonFrom the Departments of Radiology (B.K., K.K., P.J., S.K., H.K., H.B., J.C.).
S KimFrom the Departments of Radiology (B.K., K.K., P.J., S.K., H.K., H.B., J.C.).
H KimFrom the Departments of Radiology (B.K., K.K., P.J., S.K., H.K., H.B., J.C.).
H ByunFrom the Departments of Radiology (B.K., K.K., P.J., S.K., H.K., H.B., J.C.).
J ChaFrom the Departments of Radiology (B.K., K.K., P.J., S.K., H.K., H.B., J.C.).
S HongNeurosurgery (S.H., K.J.), Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
K JoNeurosurgery (S.H., K.J.), Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Norwegian Womens Public Health Association · NOSamsung Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAntiplatelet resistance is known to be associated with symptomatic ischemic complication after endovascular coil embolization. The purpose of our study was to evaluate the relationship between antiplatelet resistance and clinically silent thromboembolic complications using DWI in patients who underwent coil embolization for unruptured intracranial aneurysm. MATERIALS AND

methodsBetween October 2011 and May 2013, 58 patients with 62 unruptured aneurysms who were measured for antiplatelet response using VerifyNow assay and underwent elective coil embolization for an unruptured aneurysm with posttreatment DWI were enrolled. Diffusion-positive lesions were classified into 3 groups according to the number of lesions (n=0 [grade 0], n<6 [grade I], and n≥6 [grade II]). The relationship between antiplatelet resistance and diffusion-positive lesions was analyzed.

resultsSixty-two endovascular coiling procedures were performed on 58 patients. Clopidogrel resistance was revealed in 23 patients (39.7%) and diffusion-positive lesions were demonstrated in 28 patients (48.3%); these consisted of 19 (32.8%) grade I and 9 (15.5%) grade II lesions. Clopidogrel resistance was not relevant to the development of any diffusion-positive lesion (grade I and II, P=.789) but was associated with the development of multiple diffusion-positive lesions (grade II, P=.002). In the logistic regression prediction model, clopidogrel resistance showed significant correlation with the development of grade II lesions (P=.001).

conclusionsMultiple diffusion-positive lesions (≥6 in number) occurred more frequently in patients with clopidogrel resistance after endovascular coiling for unruptured aneurysms.

Indexed as

AdultAgedBlood Vessel ProsthesisClopidogrelDiffusion Magnetic Resonance ImagingDrug ResistanceEmbolization, TherapeuticEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedPlatelet Aggregation InhibitorsThromboembolismTiclopidineClopidogrelPlatelet Aggregation InhibitorsTiclopidine

Identifiers

PMID24831597
PMCPMC7966273
OpenAlexW2115855594

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.