Evidence map›Paper›PMID 27631680›Full record

ArticleLa Radiologia medica2017

Stent-assisted coiling in ruptured cerebral aneurysms: multi-center experience in acute phase.

Mario Muto, Francesco Giurazza, Gennaro Ambrosanio, Pasquale Vassallo, Francesco Briganti, Mario Tecame, Emiliano Schena, Maurizio De Nicola, Alessandro Sgreccia, Mirko Giannoni and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Comparison of Stent-Assisted and Non-Stent-Assisted coil embolization in the treatment of Wide-Neck intracranial aneurysms: A Meta-Analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. Safety of stent-assisted coiling for the treatment of wide-necked ruptured aneurysm: A systematic literature review and meta-analysis of prevalence.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Pooled it
  3. Article
  4. Analysis of safety, efficacy, and risk factors for poor clinical prognosis of dual antiplatelet therapy after stent-assisted coil embolization for intracranial ruptured aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
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  9. An Updated Review on Glycoprotein IIb/IIIa Inhibitors as Antiplatelet Agents: Basic and Clinical Perspectives.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023
    Review
  10. Modified balloon-assisted coiling instead of acute stenting in the treatment of ruptured wide necked intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
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  15. Review
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  18. Clinical Study on Complications of Intracranial Ruptured Aneurysm Embolization by Stent-Assisted Coil.Medical science monitor : international medical journal of experimental and clinical research · 2018
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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

14 authors at 5 institutions in 1 country.

Mario MutoNeuroradiology Department, Cardarelli Hospital, Naples, Italy.
Francesco GiurazzaRadiology Department, Campus Bio-Medico University, Viale Regina Margherita 278, 00198, Rome, Italy. francescogiurazza@hotmail.it.ORCID http://orcid.org/0000-0002-9080-8833
Gennaro AmbrosanioNeuroradiology Department, Cardarelli Hospital, Naples, Italy.
Pasquale VassalloNeuroradiology Department, Cardarelli Hospital, Naples, Italy.
Francesco BrigantiNeuroradiology Department, Università Federico II di Napoli, Naples, Italy.
Mario TecameSeconda Università degli studi di Napoli, Naples, Italy.
Emiliano SchenaMeasurements and Biomedical Instrumentation Lab, Engineering Faculty, Campus Bio-Medico University, Rome, Italy.
Maurizio De NicolaNeuroradiology Department, Ospedali riuniti di Ancona, Ancona, Italy.
Alessandro SgrecciaNeuroradiology Department, Ospedali riuniti di Ancona, Ancona, Italy.
Mirko GiannoniNeuroradiology Department, Ospedali riuniti di Ancona, Ancona, Italy.
Simone PeschilloDepartment of Neurology and Psychiatry, Endovascular Neurosurgery/Interventional Neuroradiology, "Sapienza" University of Rome, Rome, Italy.
Francesco DianaDepartment of Neurology and Psychiatry, Endovascular Neurosurgery/Interventional Neuroradiology, "Sapienza" University of Rome, Rome, Italy.
Giulio GuidettiDepartment of Neurology and Psychiatry, Endovascular Neurosurgery/Interventional Neuroradiology, "Sapienza" University of Rome, Rome, Italy.
Gianluigi GuarnieriNeuroradiology Department, Cardarelli Hospital, Naples, Italy.
Fatebenefratelli Hospital · ITOspedali Riuniti di Ancona · ITSapienza University of Rome · ITUniversità Campus Bio-Medico · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this study is to report on a multi-center experience of ruptured intracranial aneurysms treated in acute phase with stent-assisted coil embolization, including primary success rates and midterm follow-up results. MATERIALS AND

methodsRetrospective analysis was performed on a sample of 40 patients (14 men, 26 women, mean age 59.7 years) affected by ruptured saccular aneurysms and treated by stent-assisted coiling in acute phase; double antiplatelet therapy with clopidogrel bisulphate and acetylsalicylic acid was started after the procedure. Angiographic follow-up at 1 year was recorded.

results20 % of the aneurysms were located in the posterior circulation, and 85 % presented a wide neck. Mean size of the sac was 7 mm (range 3-22 mm). Complete sac exclusion was obtained in 92.5 % and neck remnant in 7.5 %. The overall complications rate was 15 %. In 7.5 %, stent occlusion occurred intra-procedurally. In 12.5 %, re-bleeding was detected within 3 weeks after the procedure. Ischemic area related to the procedure was observed at follow-up in 7.5 %. Hydrocephalus developed in 15 %. 7.5 % presented with sac re-bleeding between 1 and 5 months after the procedure. In 15 %, the 3-6 months of follow-up revealed aneurysm refilling. 25 % of the patients presented vessel stenosis at the 1-year DSA of control. 33 % of the patients reported sensory-motor deficits. 82.5 % had a favorable outcome (GOS: IV-V), while 17.5 % presented a poor score (GOS: I-III).

conclusionsStent-assisted coil embolization is a feasible endovascular treatment option for ruptured intracranial aneurysms, which is difficult to approach with simple coiling; however, neurointerventionalists need to consider a mild increase of post-procedural complications rate.

Indexed as

StentsAcute DiseaseAneurysm, RupturedAspirinClopidogrelEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMaleMiddle AgedNeuroimagingPlatelet Aggregation InhibitorsRadiography, InterventionalRetrospective StudiesTiclopidineAspirinClopidogrelPlatelet Aggregation InhibitorsTiclopidineAcuteAneurysmCerebralCoilingRupturedStent

Identifiers

PMID27631680
OpenAlexW2511810899

What OpenQuestion holds

Textmetadata
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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.