Evidence map›Paper›PMID 26138139›Full record

ArticleAJNR. American journal of neuroradiology2015

Intrasaccular Flow Disruption in Acutely Ruptured Aneurysms: A Multicenter Retrospective Review of the Use of the WEB.

T Liebig, C Kabbasch, C Strasilla, A Berlis, W Weber, L Pierot, T Patankar, X Barreau, J Dervin, A Kuršumović and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in AJNR. American journal of neuroradiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 8 pooled it
7.1field-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.

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

46 citing papers in PubMed, 8 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
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  3. Woven EndoBridge device for the treatment of ruptured intracranial aneurysms: A systematic review of clinical and angiographic results.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
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  12. Intra-cranial aneurysm treatment with contour or WEB - a single center comparison of intervention times and learning curves.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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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

13 authors at 9 institutions in 3 countries.

T LiebigFrom the Department of Radiology (T.L., C.K.), Universitätsklinikum Köln, Cologne, Germany thomas.liebig@uk-koeln.de.
C KabbaschFrom the Department of Radiology (T.L., C.K.), Universitätsklinikum Köln, Cologne, Germany.
C StrasillaDepartment of Diagnostic and Interventional Radiology and Neuroradiology (C.S., J.K.), Helios General Hospital, Erfurt, Germany.
A BerlisDepartment of Diagnostic Imaging and Neuroradiology (A.B.), Klinikum Augsburg, Augsburg, Germany.
W WeberDepartment of Neuroradiology (W.W.), Knappschaftskrankenhaus, Recklinghausen, Germany Department of Neuroradiology (W.W.), Universitätsklinikum Knappschaftskrankenhaus Bochum, Bochum, Germany.
L PierotDepartment of Neuroradiology (L.P.), Hôpital Maison-Blanche, Université Reims-Champagne-Ardenne, Reims, France.
T PatankarLeeds General Infirmary (T.P.), Leeds, United Kingdom.
X BarreauDepartment of Neuroimaging (X.B.), CHU Pellegrin, Bordeaux, France.
J DervinSouthern General Hospital (J.D.), Glasgow, United Kingdom.
A KuršumovićDepartment of Neuroradiology (A.K., S.R.), Klinikum Deggendorf, Deggendorf, Germany.
S RathDepartment of Neuroradiology (A.K., S.R.), Klinikum Deggendorf, Deggendorf, Germany.
B LubiczDepartment of Neuroradiology (B.L.), Erasme University Hospital, Brussels, Belgium.
J KlischDepartment of Diagnostic and Interventional Radiology and Neuroradiology (C.S., J.K.), Helios General Hospital, Erfurt, Germany.
Deggendorf Institute of Technology · DEHelios Klinikum Erfurt · DECentre Hospitalier Universitaire de Reims · FRCentrum für Integrierte Onkologie · DEKnappschaftskrankenhaus Recklinghausen · DELeeds General Infirmary · GBSouthern General Hospital · GBUniversity Hospital Augsburg · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeUse of the WEB intra-aneurysmal flow-disruption device in unruptured wide-neck bifurcation aneurysms has proven safety and efficacy. However, ruptured aneurysms are underrepresented in existing studies. This retrospective multicenter study describes the use of the WEB in patients with a ruptured intracranial aneurysm. MATERIALS AND

methodsTen centers contributed to this study. Clinical and procedural data of 47 patients with 52 aneurysms were analyzed retrospectively together with follow-up angiographies.

resultsThere were 37 anterior and 15 posterior circulation aneurysms with a neck size of ≥4 mm in 49 of 52 (94%) aneurysms; 45 (87%) aneurysms were <10 mm, and 2 were partially thrombosed. Successful placement of the WEB was possible in every case. Adjunctive devices were used in 8 of 52 (15%) aneurysms. Thromboembolic events were observed in 4 of 52 (8%) patients. Adverse events occurred in 15 patients with 16 aneurysms, 9 of which were potentially related to the WEB procedure (3 thromboembolic events, 5 protrusions, and 1 perforations; 2 perforations were caused by the wire or catheter), but none had a clinical impact. Four patients were retreated. Short-term follow-up in 25 of 39 patients revealed complete occlusion in 15 of 25 (60%), 5 of 25 (20%) with residual neck, and 5 of 25 (20%) with residual aneurysm filling. Short- to midterm imaging in 9 of 25 patients revealed complete occlusion in 5 (55.6%), residual neck in 2 (22%), and residual aneurysm filling in 2 (22%). Of 47 patients, 23 (49%) had an mRS score of 0, 1, or 2; 13 (28%) had an mRS score of 3 or 4; and none had an mRS score of 5 at discharge.

conclusionsThis retrospective series showed good procedural safety, feasibility, and stability of midterm occlusion in ruptured wide-neck bifurcation aneurysms.

Indexed as

AdultAgedAneurysm, RupturedAngiographyEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment Outcome

Identifiers

PMID26138139
PMCPMC7968782
OpenAlexW2171496937

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.