Evidence map›Paper›PMID 25767585›Full record

ArticleAsian journal of neurosurgery

Role of endoscopy in multi-modality monitoring during aneurysm surgery: A single center experience with 175 consecutive unruptured aneurysms.

Yasuhiro Yamada, Yoko Kato, Kohei Ishihara, Keisuke Ito, Takafumi Kaito, Mohsen Nouri, Motoki Oheda, Joji Inamasu, Yuichi Hirose

Abstract read
In one paragraph

Article in Asian journal of neurosurgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. [Value of 640-slice 3D CT angiography plus 3D printing for improving surgeries for intracranial aneurysms].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2017
    Article
  7. Article
  8. 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.

Yasuhiro YamadaDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Yoko KatoDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Kohei IshiharaDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Keisuke ItoDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Takafumi KaitoDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Mohsen NouriDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Motoki OhedaDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Joji InamasuDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Yuichi HiroseDepartment of Neurosurgery, Fujita Health University Hospital, Toyoake, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

OBJECTIVE AND

backgroundUnruptured aneurysm surgery is a challenge to all vascular neurosurgeons as the patient is asymptomatic and no even slight neurological deficits should be expected postoperatively. To this aim, multi-modality checking of the vessels during the surgery is highly recommended to assure of the patency of the parent and perforator arteries next to an aneurysm. In this paper, we present our experience in the last 1.5 years with emphasis on the role of endoscope assisted microsurgery.

methodsOne hundred and seventy-five patients with unruptured intracranial aneurysms were operated in our institute in the last 1½ years. All patients underwent endoscope assisted microsurgery with pre- and post-clipping indocyanine green angiography. In selected cases, motor evoked potential monitoring was implemented.

resultsNo mortality was observed in this period, and only 6 patients (3.4%) suffered new permanent neurological deficits postoperatively. Our illustrative cases show how endoscopy may help the surgeon to visualize hidden vessels behind and medial to an aneurysm.

conclusionsOur results indicated that multi-modality monitoring during unruptured aneurysm surgeries is associated with excellent outcome. Endoscope is able to show blind corners during aneurysm surgery which cannot be routinely observed with microscope and its application in aneurysm surgery assists the surgeon to make certain of complete neck clipping and preservation of perforating arteries around the aneurysm.

Indexed as

Brainclippingendoscopymonitoringunruptured aneurysm

Identifiers

PMID25767585
PMCPMC4352638

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LicenceCC BY-NC-SA
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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.