Evidence map›Paper›PMID 28243686›Full record

SynthesisNeuroradiology2017

Flow diversion: what can clinicians learn from animal models?

Robert Fahed, Tim E Darsaut, Jean-Christophe Gentric, Behzad Farzin, Igor Salazkin, Guylaine Gevry, Jean Raymond

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. 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

7 authors.

Robert FahedNotre-Dame Hospital Research Centre (CRCHUM), Laboratory of Interventional Neuroradiology, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Tim E DarsautMackenzie Health Sciences Centre, Department of Surgery, Division of Neurosurgery, University of Alberta Hospital, Edmonton, Alberta, Canada.
Jean-Christophe GentricGroupe d'étude de la Thrombose en Bretagne Occidentale (GETBO, EA 3878), Brest, France.
Behzad FarzinNotre-Dame Hospital Research Centre (CRCHUM), Laboratory of Interventional Neuroradiology, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Igor SalazkinNotre-Dame Hospital Research Centre (CRCHUM), Laboratory of Interventional Neuroradiology, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Guylaine GevryNotre-Dame Hospital Research Centre (CRCHUM), Laboratory of Interventional Neuroradiology, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Jean RaymondNotre-Dame Hospital Research Centre (CRCHUM), Laboratory of Interventional Neuroradiology, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada. Jean.raymond@umontreal.ca.ORCID http://orcid.org/0000-0003-1978-4274

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFlow diversion is increasingly used for treating intracranial aneurysms. This article aims to review the evidence obtained from animal models and summarizes the findings that might be of clinical interest.

methodsFrom a systematic review of studies published between 2000 and 2016, we extracted the data on the following questions: What roles do aneurysm dimension, morphology, and vascular geometry have on success of flow diversion? What characteristics of a flow diverter can influence aneurysm occlusion? What are the risk factors for jailed branch occlusion?

resultsFlow diversion has been shown to be less effective in occluding large aneurysms with wide or undefined necks, as compared to smaller aneurysms with narrower necks. Straight sidewall aneurysms were more likely to occlude after flow diversion than curved sidewall aneurysms or bifurcation aneurysms with branches originating from the neck or the fundus. The main characteristics of devices that may impact on the success of flow diversion are porosity and pore-density, but challenging aneurysm models were not better occluded with devices of lower porosity. Porosity is not uniform when devices deform to adapt to local in vivo anatomy when deployed. Neointima formation on devices correlates with low porosity. Branches are rarely occluded when they are jailed, but persistent branch flow may prevent aneurysm occlusion.

conclusionExperimental models may help anticipate clinical results of flow diversion.

Indexed as

Disease Models, AnimalProstheses and ImplantsAnimalsIntracranial AneurysmAneurysmAnimal studiesFlow diverterReview

Identifiers

What OpenQuestion holds

Textmetadata
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.