Evidence map›Paper›PMID 26965468›Full record

ArticleAJNR. American journal of neuroradiology2016

Fate of Coiled Aneurysms with Minor Recanalization at 6 Months: Rate of Progression to Further Recanalization and Related Risk Factors.

J P Jeon, Y D Cho, J K Rhim, D H Yoo, W-S Cho, H-S Kang, J E Kim, M H Han

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Risk factors of recurrence after endovascular embolization of posterior communicating artery aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  7. Article
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  9. Risk Factors for Recanalization after Coil Embolization.Journal of personalized medicine · 2021
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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

8 authors.

J P JeonFrom the Department of Neurosurgery (J.P.J.), Hallym University College of Medicine, Chuncheon, Korea.ORCID 0000-0001-8543-6855
Y D ChoDepartments of Radiology (Y.D.C., J.K.R., D.H.Y., M.H.H.) aronnn@empal.com.ORCID 0000-0002-5293-2761
J K RhimDepartments of Radiology (Y.D.C., J.K.R., D.H.Y., M.H.H.).ORCID 0000-0003-2538-8374
D H YooDepartments of Radiology (Y.D.C., J.K.R., D.H.Y., M.H.H.).ORCID 0000-0003-1658-5341
W-S ChoNeurosurgery (W.s.C., H.-S.K., J.E.K.), Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-3345-8718
H-S KangNeurosurgery (W.s.C., H.-S.K., J.E.K.), Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-6957-1907
J E KimNeurosurgery (W.s.C., H.-S.K., J.E.K.), Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-6927-3109
M H HanDepartments of Radiology (Y.D.C., J.K.R., D.H.Y., M.H.H.).ORCID 0000-0001-5476-3482

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMinor recanalization in coiled aneurysms may remain stable with time or may progress to major recanalization. Our aim was to monitor the aneurysms displaying minor recanalization in imaging studies at 6 months, gauging major recanalization rates and related risk factors through extended follow-up. MATERIALS AND

methodsSixty-five aneurysms (in 65 patients) showing minor recanalization in follow-up imaging at 6 months were reviewed retrospectively. Medical records and radiologic data accruing during extended monitoring (mean, 24.8 ± 8.2 months) were assessed. Univariate and multivariate analyses were conducted to identify risk factors for progression from minor-to-major recanalization.

resultsProgression to major recanalization was observed in 24 (36.9%) of the initially qualifying aneurysms during a follow-up of 112.5 aneurysm-years, for an annual rate of 17.84% per aneurysm-year. Progression was determined chronologically as follows: 14 (58.3%) at 6 months, 8 (33.3%) at 18 months, and 2 (8.4%) at 30 months. Stent deployment significantly decreased the occurrence of major recanalization (OR = 0.22, P = .03), whereas antiplatelet therapy (OR = 0.82, P = .75), posterior location (OR = 0.24, P = .20), and second coiling for recanalized aneurysms (OR = 0.96, P = .96) were unrelated.

conclusionsOur analysis determined a 36.9% rate of major recanalization during a follow-up of 112.5 aneurysm-years in coiled aneurysms showing minor recanalization at 6 months. Stent deployment alone conferred a protective effect, preventing further recanalization without additional treatment. Given the fair probability of late major recanalization, aneurysms showing minor recanalization at 6 months should be monitored diligently, particularly in the absence of stent placement.

Indexed as

Embolization, TherapeuticDisease ProgressionFemaleHumansIntracranial AneurysmMaleMultivariate AnalysisRecurrenceRetrospective StudiesRisk FactorsStentsTreatment Outcome

Identifiers

PMID26965468
PMCPMC7960270

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.