Evidence map›Paper›PMID 27789789›Full record

ArticleJournal of neurointerventional surgery2017

Use of flow diverters in the treatment of unruptured saccular aneurysms of the anterior cerebral artery.

P Bhogal, R Martinez Moreno, O Ganslandt, H Bäzner, H Henkes, M Aguilar Perez

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurointerventional surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Efficacy and safety of flow diverters in posterior circulation aneurysms and comparison with their efficacy in anterior circulation aneurysms: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Intraluminal Flow Diverter Design Primer for Neurointerventionalists.AJNR. American journal of neuroradiology · 2024
    Review
  8. Article
  9. Review
  10. Early clinical experience with the p48MW HPC and p64MW HPC flow diverters in the anterior circulation aneurysm using single anti-platelet treatment.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  11. The Silk Vista Baby - The UK experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  12. The p48 flow diverter: First clinical results in 25 aneurysms in three centers.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. The Silk Vista Baby: Initial experience and report of two cases.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2019
    Article
  20. Flow diversion covering the M1 origin as a last resort.Stroke and vascular neurology · 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

6 authors at 1 institution in 1 country.

P BhogalNeuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.ORCID http://orcid.org/0000-0002-5514-5237
R Martinez MorenoNeuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
O GanslandtNeurosurgical Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
H BäznerNeurological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
H HenkesNeuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
M Aguilar PerezNeuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
Klinikum Stuttgart · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew publications have dealt exclusively with the use of flow diverter stents for the treatment of aneurysms of the anterior cerebral artery (ACA).

objectiveTo determine the efficacy of flow-diverting stents in the treatment of small, unruptured aneurysms of the ACA.

methodsWe retrospectively reviewed our database of prospectively collected information for all patients treated with flow diversion for an unruptured saccular aneurysm of the ACA between September 2009 and July 2016. The aneurysm fundus size, neck size, number and type of flow-diverting stent (FDS), complications, and follow-up data were recorded.

resultsIn total 26 patients, with 27 aneurysms were identified that matched our inclusion criteria (11 male and 15 female). The average age of the patients was 59.3 years (range 27-77 years). All patients, except one, had a single aneurysm affecting the ACA. Fourteen aneurysms were located on the left (51.9%). The average aneurysm fundus size was 2.9 mm (range 2-6 mm). Twenty patients had follow-up angiographic studies. In total, 16 aneurysms were completely excluded, 1 aneurysm showed a very small remnant, and no follow-up angiographic data are available for the remaining patients. One patient had a treatment-related complication.

conclusionsTreatment of aneurysms arising from the ACA with flow diverters is technically feasible and carries a high degree of success with low complication rate.

Indexed as

StentsAdultAgedAnterior Cerebral ArteryCerebral AngiographyDatabases, FactualEmbolization, TherapeuticEndovascular ProceduresFemaleFollow-Up StudiesHumansIntracranial AneurysmMaleMiddle AgedProspective StudiesRetrospective StudiesAneurysmStent

Identifiers

PMID27789789
PMCPMC5339572
OpenAlexW2541180431

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.