Evidence map›Paper›PMID 28223428›Full record

Trial reportJournal of neurointerventional surgery2017

Periprocedural outcomes and early safety with the use of the Pipeline Flex Embolization Device with Shield Technology for unruptured intracranial aneurysms: preliminary results from a prospective clinical study.

Mario Martínez-Galdámez, Saleh M Lamin, Konstantinos G Lagios, Thomas Liebig, Elisa F Ciceri, Rene Chapot, Luc Stockx, Swarupsinh Chavda, Christoph Kabbasch, Giuseppe Farago and 4 more

Registry-linked trialAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Journal of neurointerventional surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02390037 (Pipeline™ Flex Embolization Device With Shield Technology™ Clinical Study), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing 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.

NCT02390037 completednot on this map

Pipeline™ Flex Embolization Device With Shield Technology™ Clinical Study

TypeobservationalSponsorMedtronic Neurovascular Clinical AffairsRan2015 to 2016Enrolled50ConditionsAneurysm
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Angiographic and clinical outcomes from 396 aneurysms treated with the pipeline flex embolization device with shield technology.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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
  12. Article
  13. The Silk Vista Baby - The UK experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  14. Article
  15. Successful flow diversion treatment of ruptured infectious middle cerebral artery aneurysms with the use of Pipeline Flex with Shield technology.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  16. Article
  17. Article
  18. Observational
  19. Review
  20. 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

14 authors.

Mario Martínez-GaldámezDepartment of Interventional Neuroradiology/Endovascular Neurosurgery, Fundación Jiménez-Díaz, Madrid, Spain.
Saleh M LaminQueen Elizabeth Hospital Birmingham, Edgbaston, UK.
Konstantinos G LagiosDepartment of Interventional Neuroradiology, Hellenic Air Force Hospital, Goudi, Greece.
Thomas LiebigDepartment of Neuroradiology, Institut für Neuroradiologie, Charite, Berlin, Germany.
Elisa F CiceriDepartment of Interventional Neuroradiology, Foundation Neurological Institution 'C Besta', Milan, Italy.
Rene ChapotDepartment of Neuroradiology, Alfried Krupp Krankenhaus, Essen, Germany.
Luc StockxDepartment of Neuroradiology, Ziekenhuizen Oost-Limburg, Genk, Belgium.
Swarupsinh ChavdaQueen Elizabeth Hospital Birmingham, Edgbaston, UK.
Christoph KabbaschDepartment of Neuroradiology, Institut für Neuroradiologie, Charite, Berlin, Germany.
Giuseppe FaragoDepartment of Interventional Neuroradiology, Foundation Neurological Institution 'C Besta', Milan, Italy.
Hannes NordmeyerDepartment of Neuroradiology, Alfried Krupp Krankenhaus, Essen, Germany.
Thierry BoulangerDepartment of Neuroradiology, Ziekenhuizen Oost-Limburg, Genk, Belgium.
Mariangela PianoDepartment of Neuroradiology, Ospedale Niguarda Ca' Granda, Milan, Italy.
Edoardo P BoccardiDepartment of Neuroradiology, Ospedale Niguarda Ca' Granda, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe Pipeline Embolization Device (PED) has become a routine first-line option for treatment of intracranial aneurysms (IAs). We assessed the early safety and technical success of a new version of PED, Pipeline Flex Embolization Device with Shield Technology (Pipeline Shield), which has the same design and configuration but has been modified to include a surface synthetic biocompatible polymer. MATERIALS AND

methodsThe Pipeline Flex Embolization Device with Shield Technology (PFLEX) study is a prospective, single-arm, multicenter study for the treatment of unruptured IAs using Pipeline Shield. The primary study endpoints included the occurrence of major stroke in the territory supplied by the treated artery or neurologic death at 1 year post-procedure. Secondary endpoints included the rate of Pipeline Shield-related or procedure-related serious or non-serious adverse events. Analyses were conducted to evaluate early safety findings in the 30-day post-procedure period as well as technical procedural success outcomes.

resultsFifty patients with 50 unruptured target IAs were enrolled. Mean aneurysm diameter was 8.82±6.15 mm. Thirty-eight aneurysms (76%) were small (<10 mm). Device deployment was technically successful with 98% of devices. Complete wall apposition was achieved immediately post-procedure in 48 cases (96%). No major strokes or neurologic deaths were reported in the 30-day post-procedure period.

conclusionsThe results of this first experience with the new Pipeline Flex corroborate the early safety of the device. Mid-term and long-term follow-up examinations will provide data on safety outcomes at the 6-month and 1-year follow-up periods. CLINICAL

trial registrationNCT02390037.

Indexed as

StentsAdultAgedEmbolization, TherapeuticFemaleFollow-Up StudiesHumansIntracranial AneurysmMaleMiddle AgedPerioperative CareProspective StudiesTreatment OutcomeAneurysmFlow DiverterTechnology

Identifiers

PMID28223428
PMCPMC5583676

What OpenQuestion holds

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Registered trials

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.