Evidence map›Paper›PMID 28154128›Full record

ArticleAJNR. American journal of neuroradiology2017

Lack of Association between Statin Use and Angiographic and Clinical Outcomes after Pipeline Embolization for Intracranial Aneurysms.

W Brinjikji, H Cloft, S Cekirge, D Fiorella, R A Hanel, P Jabbour, P Lylyk, C McDougall, C Moran, A Siddiqui and 2 more

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  8. Review
  9. Review
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

12 authors.

W BrinjikjiFrom the Department of Radiology (W.B., H.C., D.F.K.), Mayo Clinic, Rochester, Minnesota brinjikji.waleed@mayo.edu.ORCID 0000-0001-5271-5524
H CloftFrom the Department of Radiology (W.B., H.C., D.F.K.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-2590-3815
S CekirgeDepartment of Radiology (S.C.), Koru Hospital and Bayindir Hospitals, Ankara, Turkey.ORCID 0000-0002-4521-2301
D FiorellaDepartment of Neurosurgery (D.F.), Cerebrovascular Center, Stony Brook University Medical Center, Stony Brook, New York.ORCID 0000-0002-2677-8780
R A HanelStroke and Cerebrovascular Surgery (R.A.H.), Lyerly Neurosurgery/Baptist Neurological Institute, Jacksonville, Florida.ORCID 0000-0001-7195-5806
P JabbourDepartment of Neurosurgery (P.J.), Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID 0000-0002-8965-2413
P LylykDepartment of Neurosurgery (P.L.), Equipo de Neurocirugía Endovascular y Radiología Intervencionista de Buenos Aires-Clinica La Sagrada Familia, Buenos Aires, Argentina.ORCID 0000-0001-7044-4369
C McDougallDepartment of Endovascular Neurosurgery (C.McDougall), Barrow Neurological Institute, Phoenix, Arizona.ORCID 0000-0001-7372-7049
C MoranDivision of Interventional Neuroradiology (C.Moran), Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-5559-3390
A SiddiquiDepartment of Neurosurgery (A.S.), University at Buffalo Neurosurgery, Buffalo, New York.ORCID 0000-0002-9519-0059
I SzikoraDepartment of Neurointerventional Services (I.S.), National Institute of Clinical Neurosciences, Budapest, Hungary.ORCID 0000-0003-3730-3278
D F KallmesFrom the Department of Radiology (W.B., H.C., D.F.K.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-8495-0040

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeUse of statin medications has been demonstrated to improve clinical and angiographic outcomes in patients receiving endovascular stent placement for coronary, peripheral, carotid, and intracranial stenoses. We studied the impact of statin use on long-term angiographic and clinical outcomes after flow-diverter treatment of intracranial aneurysms. MATERIALS AND

methodsWe performed a post hoc analysis from pooled patient-level datasets from 3 Pipeline Embolization Device studies: the International Retrospective Study of the Pipeline Embolization Device, the Pipeline for Uncoilable or Failed Aneurysms Study, and the Aneurysm Study of Pipeline in an Observational Registry. We analyzed data comparing 2 subgroups: 1) patients on statin medication, and 2) patients not on statin medication at the time of the procedure and follow-up. Angiographic and clinical outcomes were compared by using the χ

resultsWe studied 1092 patients with 1221 aneurysms. At baseline, 226 patients were on statin medications and 866 patients were not on statin medications. The mean length of clinical and angiographic follow-up was 22.1 ± 15.1 months and 28.3 ± 23.7 months, respectively. There were no differences observed in angiographic outcomes at any time point between groups. Rates of complete occlusion were 82.8% (24/29) versus 86.4% (70/81) at 1-year (

conclusionsOur study found no association between statin use and angiographic or clinical outcomes among patients treated with the Pipeline Embolization Device.

Indexed as

AgedCerebral AngiographyEmbolization, TherapeuticFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIntracranial AneurysmMaleMiddle AgedRetrospective StudiesStentsStrokeTreatment OutcomeHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID28154128
PMCPMC7960242

What OpenQuestion holds

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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.