Evidence map›Paper›PMID 26615534›Full record

ArticleNeuroradiology2016

Incidence of delayed ipsilateral intraparenchymal hemorrhage after stent-assisted coiling of intracranial aneurysms in a high-volume single center.

Yasha Kayan, Josser E Delgado Almandoz, Jennifer L Fease, Kira Tran, Anna M Milner, Jill M Scholz

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Article in Neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Dyna three-dimensional imaging enables reliable evaluation of neointimal formation after flow diverter treatment.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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  9. The profile of blunt traumatic infratentorial cranial bleed types.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2019
    Article
  10. Article
  11. Aneurysm size and the Windkessel effect: An analysis of contrast intensity in digital subtraction angiography.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017
    Article
  12. Changes in contrast transit times on digital subtraction angiography post-Pipeline Embolization Device deployment.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017
    Article
  13. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Yasha KayanDivision of Interventional Neuroradiology, Neuroscience Institute, Abbott Northwestern Hospital, Consulting Radiologists Ltd, Mail Route 11113, 800 E. 28th Street, Minneapolis, MN, 55407, USA. yasha.kayan@crlmed.com.ORCID http://orcid.org/0000-0002-7747-0188
Josser E Delgado AlmandozDivision of Interventional Neuroradiology, Neuroscience Institute, Abbott Northwestern Hospital, Consulting Radiologists Ltd, Mail Route 11113, 800 E. 28th Street, Minneapolis, MN, 55407, USA.
Jennifer L FeaseDivision of Interventional Neuroradiology, Neuroscience Institute, Abbott Northwestern Hospital, Consulting Radiologists Ltd, Mail Route 11113, 800 E. 28th Street, Minneapolis, MN, 55407, USA.
Kira TranDivision of Interventional Neuroradiology, Neuroscience Institute, Abbott Northwestern Hospital, Consulting Radiologists Ltd, Mail Route 11113, 800 E. 28th Street, Minneapolis, MN, 55407, USA.
Anna M MilnerDivision of Interventional Neuroradiology, Neuroscience Institute, Abbott Northwestern Hospital, Consulting Radiologists Ltd, Mail Route 11113, 800 E. 28th Street, Minneapolis, MN, 55407, USA.
Jill M ScholzDivision of Interventional Neuroradiology, Neuroscience Institute, Abbott Northwestern Hospital, Consulting Radiologists Ltd, Mail Route 11113, 800 E. 28th Street, Minneapolis, MN, 55407, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDelayed ipsilateral intraparenchymal hemorrhage (IPH) has been reported following technically successful treatment of intracranial aneurysms using flow-diverting stents in up to 8.5% of patients. We report a similar, though less frequent phenomenon in the setting of stent-assisted coil embolization.

methodsInstitutional review board approval was obtained. A retrospective analysis of a prospective neurointerventional procedure registry was performed to review all IPHs that occurred in aneurysm patients within 90 days of endovascular treatment performed between November 2002 and November 2014 at one institution. Age, sex, hypertension, dual antiplatelet therapy, and technical details of the procedure were recorded.

resultsA total of 1697 patients underwent endovascular treatment of an intracranial aneurysm without a flow diverter at our institution during the study period. Among these, 138 patients underwent stent-assisted coiling (8.1%). Of these, three patients (2.2%) suffered a delayed IPH within the vascular territory distal to the treated lesion (one woman, median age 60 years).

conclusionsRecently described in the setting of flow diversion, delayed ipsilateral IPH is not limited to flow-diverting stents. Though less frequent, a potential for this complication may exist following any intracranial stenting procedure, possibly related to hemorrhagic conversion of microembolic phenomena in the setting of dual antiplatelet or anticoagulation therapy.

Indexed as

AgedCausalityCerebral AngiographyCerebral HemorrhageComorbidityEndovascular ProceduresFemaleHospitals, High-VolumeHumansIncidenceIntracranial AneurysmMaleMiddle AgedMinnesotaPostoperative ComplicationsRisk FactorsAneurysmComplicationHemorrhageInterventionStent

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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.