Evidence map›Paper›PMID 26206810›Full record

ArticleAJNR. American journal of neuroradiology2015

pCONus Device for the Endovascular Treatment of Wide-Neck Middle Cerebral Artery Aneurysms.

B Gory, M Aguilar-Pérez, E Pomero, F Turjman, W Weber, S Fischer, H Henkes, A Biondi

Abstract 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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Review
  3. [Brain aneurysms treatment with pCONus2 device. Initial experience at IMSS].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Article
  4. Long-term follow-up of the pCONus device for the treatment of wide-neck bifurcation aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  5. Article
  6. pCONUS 2 and pCONUS 2-HPC for the treatment of wide-necked intracranial aneurysms: Periprocedural, 6-month, and early 2-year follow-up outcomes.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  7. Article
  8. Neuroform Atlas stent deployment through the Barrel vascular reconstruction device for the treatment of a wide-necked acutely ruptured basilar aneurysm.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2019
    Article
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Combined use of a pCONus and a Solitaire stent: Report of two cases.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Misaligned pCONus Device: Case Report of a Unique Complication.Journal of clinical imaging science · 2017
    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.

B GoryFrom the Department of Interventional Neuroradiology (B.G., F.T.), Neurologic Hospital Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France.ORCID http://orcid.org/0000-0001-8424-4464
M Aguilar-PérezDepartment of Neuroradiology (M.A.-P., H.H.), Klinikum Stuttgart, Stuttgart, Germany.
E PomeroDepartment of Neuroradiology and Endovascular Therapy (E.P., A.B.), Jean-Minjoz Hospital, Franche-Comté University, Besançon, France.
F TurjmanFrom the Department of Interventional Neuroradiology (B.G., F.T.), Neurologic Hospital Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France.
W WeberDepartment of Neuroradiology (W.W., S.F.), Knappschaftskrankenhaus, Recklinghausen, Germany.
S FischerDepartment of Neuroradiology (W.W., S.F.), Knappschaftskrankenhaus, Recklinghausen, Germany.
H HenkesDepartment of Neuroradiology (M.A.-P., H.H.), Klinikum Stuttgart, Stuttgart, Germany.
A BiondiDepartment of Neuroradiology and Endovascular Therapy (E.P., A.B.), Jean-Minjoz Hospital, Franche-Comté University, Besançon, France. biondi.alessandra@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeEndovascular treatment of bifurcation middle cerebral artery aneurysms with a wide neck could be challenging, and many lesions are still treated by a surgical approach. The pCONus is a newly emerging device for wide-neck bifurcation intracranial aneurysms. To date, a single report on the treatment of intracranial aneurysms including all locations has been published. We report our experience with pCONus in the treatment of wide-neck MCA aneurysms. MATERIALS AND

methodsMCA aneurysms treated with pCONus in 4 European centers were retrospectively reviewed.

resultsForty MCA aneurysms (mean dome size, 7.7 mm; mean neck size, 5.6 mm) were treated in 40 patients (mean age, 62 years). Aneurysm coiling was performed after deployment of 1 pCONus in 95% (38/40) of cases and after deployment of 2 pCONus devices in 5% (2/40). No procedural angiographic complications were observed. Reversible neurologic complications were noted in 5% (2/40), and permanent neurologic complication, in 2.5% (1/40) at 1 month. There was no mortality. No aneurysms bled or rebled after treatment. Immediate angiographic results were complete aneurysm occlusion in 25% (10/40), neck remnant in 47.5% (19/40), and aneurysm remnant in 27.5% (11/40). Follow-up (mean, 6.8 months) was available for 33 aneurysms (82.5%). Stable or improved results were observed in all except 3 cases, including 48.5% complete occlusions (16/33), 30.3% neck remnants (10/33), and 21.2% aneurysm remnants (7/33). There was no in-stent stenosis or jailed branch occlusion. There was no angiographic recurrence of initially totally occluded aneurysms.

conclusionsMCA aneurysms with a wide neck are amenable to treatment with pCONus.

Indexed as

AdultAgedAged, 80 and overEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMaleMiddle AgedRetrospective StudiesTreatment Outcome

Identifiers

PMID26206810
PMCPMC7968775

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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.