Evidence map›Paper›PMID 27610122›Full record

ArticleInterventional neurology2016

Consecutive Endovascular Treatment of 20 Ruptured Very Small (<3 mm) Anterior Communicating Artery Aneurysms.

Kaiz S Asif, Ahsan Sattar, Marc A Lazzaro, Brian-Fred Fitzsimmons, John R Lynch, Osama O Zaidat

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Interventional neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Kaiz S AsifDepartments of Neurology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA.
Ahsan SattarDepartments of Neurology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA.
Marc A LazzaroDepartments of Neurology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA; Departments of Neurosurgery, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA.
Brian-Fred FitzsimmonsDepartments of Neurology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA; Departments of Neurosurgery, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA; Departments of Radiology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA.
John R LynchDepartments of Neurology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA; Departments of Neurosurgery, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA; Departments of Radiology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA.
Osama O ZaidatDepartments of Neurology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, Wis., USA; Neuroscience and Stroke Center, Mercy Health St Vz Medical Center, Toledo, Ohio, USA.
Neurology, Inc · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmall aneurysms located at the anterior communicating artery carry significant procedural challenges due to a complex anatomy. Recent advances in endovascular technologies have expanded the use of coil embolization for small aneurysm treatment. However, limited reports describe their safety and efficacy profiles in very small anterior communicating artery aneurysms.

objectiveWe sought to review and report the immediate and long-term clinical as well as radiographic outcomes of consecutive patients with ruptured very small anterior communicating artery aneurysms treated with current endovascular coil embolization techniques.

methodsA prospectively maintained single-institution neuroendovascular database was accessed to identify consecutive cases of very small (<3 mm) ruptured anterior communicating artery aneurysms treated endovascularly between 2006 and 2013.

resultsA total of 20 patients with ruptured very small (<3 mm) anterior communicating artery aneurysms were consecutively treated with coil embolization. The average maximum diameter was 2.66 ± 0.41 mm. Complete aneurysm occlusion was achieved for 17 (85%) aneurysms and near-complete aneurysm occlusion for 3 (15%) aneurysms. Intraoperative perforation was seen in 2 (10%) patients without any clinical worsening or need for an external ventricular drain. A thromboembolic event occurred in 1 (5 %) patient without clinical worsening or radiologic infarct. Median clinical follow-up was 12 (±14.1) months and median imaging follow-up was 12 (±18.4) months.

conclusionThis report describes the largest series of consecutive endovascular treatments of ruptured very small anterior communicating artery aneurysms. These findings suggest that coil embolization of very small aneurysms in this location can be performed with acceptable rates of complications and recanalization.

Indexed as

AneurysmAnterior communicating arteryCoilingEndovascular treatmentRuptured anterior communicating artery aneurysms

Identifiers

PMID27610122
PMCPMC4934484
OpenAlexW2409044010

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.