Evidence map›Paper›PMID 27531863›Full record

ArticleThe neuroradiology journal2016

Stand-alone coil embolization of anterior communicating artery aneurysms: Efficacy and technical issues.

Damian Kocur, Miłosz Zbroszczyk, Nikodem Przybyłko, Mariusz Hofman, Tomasz Jamróz, Jan Baron, Piotr Bażowski, Stanisław Kwiek

Abstract read
In one paragraph

Article in The neuroradiology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Angiographic and clinical results of anterior communicating artery aneurysm endovascular treatment.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    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.

Damian KocurMedical University of Silesia, School of Medicine in Katowice, Department of Neurosurgery, Poland damkocur@gmail.com.
Miłosz ZbroszczykMedical University of Silesia, School of Medicine in Katowice, Department of Radiology and Nuclear Medicine, Poland.
Nikodem PrzybyłkoMedical University of Silesia, School of Medicine in Katowice, Department of Neurosurgery, Poland.
Mariusz HofmanMedical University of Silesia, School of Medicine in Katowice, Department of Neurosurgery, Poland.
Tomasz JamrózMedical University of Silesia, School of Medicine in Katowice, Department of Neurosurgery, Poland.
Jan BaronMedical University of Silesia, School of Medicine in Katowice, Department of Radiology and Nuclear Medicine, Poland.
Piotr BażowskiMedical University of Silesia, School of Medicine in Katowice, Department of Neurosurgery, Poland.
Stanisław KwiekMedical University of Silesia, School of Medicine in Katowice, Department of Neurosurgery, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe report our experience with endovascular coiling of anterior communicating artery aneurysms with special consideration of angiographic and clinical outcomes and periprocedural complications. MATERIALS AND

methodsThe analysis included treatment results of 28 patients with ruptured and unruptured aneurysms. The aneurysm size ranged from 1.8 to 9.8 mm (mean 5.2, SD 1.7). Clinical examinations with the use of modified Rankin Score and angiographic outcomes were evaluated initially post-embolization and at a minimum follow-up of six months.

resultsInitial post-treatment complete and near-complete aneurysm occlusion was achieved in 27 (96%) cases and incomplete occlusion in one (4%) case. Imaging follow-up, performed in 15 (53.6%) patients, showed no change in the degree of occlusion in 11 (73%), coil compaction in one (7%) and progressive occlusion in three (20%) patients. Three (20%) patients underwent a second coil embolization. The procedure-related severe morbidity and mortality rate was 6.4% (2/31). Coil prolapse was present in one (3.2%) case and intraprocedural aneurysm rupture in three (9.6%) cases. The clinical follow-up evaluation achieved in 19 (67.9%) patients showed no change in 17 (89.5%) patients and improvement in two (10.5%) patients.

conclusionsAlthough the efficacy of coil embolization of anterior communicating artery aneurysms is unquestionable and the procedure-related complications are acceptable, they should not be neglected. Further investigations are needed to better understand protective factors, as well as to establish unequivocally appropriate management strategy of these complications.

Indexed as

Blood Vessel ProsthesisAdultAgedAneurysm, RupturedAngiography, Digital SubtractionEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMaleMiddle AgedRetrospective StudiesTreatment OutcomeaneurysmAnterior communicating arteryembolization

Identifiers

PMID27531863
PMCPMC5033104

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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.