Evidence map›Paper›PMID 28327963›Full record

ArticleNeurosurgery2017

Treatment of Intracranial Aneurysms With the SILK Embolization Device in a Multicenter Study. A Retrospective Data Analysis.

José Manuel Pumar, Alexandra Banguero, Hugo Cuellar, Leopoldo Guimaraens, Javier Masso, Salvador Miralbes, Miguel Blanco-Ulla, Fernando Vazquez-Herrero, Miguel Souto, Miguel Gelabert-Gonzalez

Abstract readMulticenter Study
In one paragraph

Article in Neurosurgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

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

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

  1. Pooled it
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  6. Predictors of flow diverter stent in large and giant unruptured intracranial aneurysms, single-center experience.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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  7. Article
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  9. Observational
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  12. Article
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  14. Article
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  19. Silk flow-diverter stent for the treatment of complex intracranial aneurysms: A one-year follow-up multicenter study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2018
    Article
  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

10 authors.

José Manuel PumarDepartment of Neuroradiology, Hospital Clinico Universitario, Universidad de Santiago de Compostela, Travesia de la Choupana s/n, Santiago de Compostela, Spain.
Alexandra BangueroDepartment of Neuroradiology, Hospital Clinico Universitario, Universidad de Santiago de Compostela, Travesia de la Choupana s/n, Santiago de Compostela, Spain.
Hugo CuellarDepartment of Neurosurgery and Radiology at LSU Health Sciences Center, Shreveport, Louisiana.
Leopoldo GuimaraensDepartment of Interventional Neuroradiology, Hospital General de Cataluña, San Cugat, Barcelona, Spain.
Javier MassoDepartment of Neuroradiology, Hospital Universitario de Donostia, San Sebastian, Spain.
Salvador MiralbesDepartment of Neuroradiology, Hospital Universitario Son Espases, Palma de Mallorca, Spain.
Miguel Blanco-UllaDepartment of Neuroradiology, Hospital Clinico Universitario, Universidad de Santiago de Compostela, Travesia de la Choupana s/n, Santiago de Compostela, Spain.
Fernando Vazquez-HerreroDepartment of Neuroradiology, Hospital Clinico Universitario, Universidad de Santiago de Compostela, Travesia de la Choupana s/n, Santiago de Compostela, Spain.
Miguel SoutoDepartment of Neuroradiology, Hospital Clinico Universitario, Universidad de Santiago de Compostela, Travesia de la Choupana s/n, Santiago de Compostela, Spain.
Miguel Gelabert-GonzalezDepartment of Neuroradiology, Hospital Clinico Universitario, Universidad de Santiago de Compostela, Travesia de la Choupana s/n, Santiago de Compostela, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlow-diverter technology has become an important stent-based embolization tool in the treatment of complex cerebrovascular pathology. We report here the experience of 4 Spanish centers with using the SILK flow-diverter (SFD) device.

objectiveTo evaluate the safety and efficacy of using the SFD in the endovascular treatment of intracranial aneurysms with complex morphology.

methodsWe retrospectively examined a prospectively maintained database of patients treated with SFD devices between July 2008 and December 2013 at 1 of 4 institutions in Spain. Data regarding patient demographics, aneurysm characteristics, and technical procedure were analyzed. Angiographic and clinical findings were recorded during the procedure and at 12 months postoperatively.

resultsA total of 175 SFD devices were implanted in 157 patients (women/men: 119/38; mean, median, and range of age: 56.2, 56.7, and 19-80 years, respectively), who were treated in a delayed manner (3-6 months from the event) for 180 aneurysms (165 unruptured and 15 ruptured). Adverse events (acute and delayed) were observed in 28.7% of cases (45/157), and most were resolved (19.1%; 30/157). Six months after the procedure, total morbidity and mortality were 9.6% (15/157) and 3.2% (5/157), respectively. Long-term imaging follow-up showed complete occlusion, neck remnants, and residual aneurysm in 78.1% (100/128), 14.0% (18/128), and 7.8% (10/128) of cases, respectively.

conclusionsThe SFD device is an effective tool for the treatment of challenging aneurysms, and allows complete occlusion within a year of the procedure in most patients, with morbidity and mortality comparable to those previously reported for similar devices.

Indexed as

AdultAgedCerebral AngiographyDatabases, FactualEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMaleMiddle AgedProspective StudiesRetrospective StudiesStatistics as TopicTreatment OutcomeFlow-diverter Embolization deviceIntracranial aneurysmSILKStent embolization

Identifiers

PMID28327963
PMCPMC5808672

What OpenQuestion holds

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LicenceCC BY
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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.