Evidence map›Paper›PMID 29259122›Full record

ArticleJournal of neurointerventional surgery2018

Hemodynamics and coil distribution with changing coil stiffness and length in intracranial aneurysms.

Soichiro Fujimura, Hiroyuki Takao, Takashi Suzuki, Chihebeddine Dahmani, Toshihiro Ishibashi, Hiroya Mamori, Makoto Yamamoto, Yuichi Murayama

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurointerventional surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 27 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Soichiro FujimuraGraduate School of Mechanical Engineering, Tokyo University of Science, Tokyo, Japan.
Hiroyuki TakaoDepartment of Innovation for Medical Information Technology, The Jikei University School of Medicine, Tokyo, Japan.
Takashi SuzukiDepartment of Innovation for Medical Information Technology, The Jikei University School of Medicine, Tokyo, Japan.
Chihebeddine DahmaniDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Toshihiro IshibashiDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Hiroya MamoriDepartment of Mechanical Engineering, Tokyo University of Science, Tokyo, Japan.
Makoto YamamotoDepartment of Mechanical Engineering, Tokyo University of Science, Tokyo, Japan.
Yuichi MurayamaDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Jikei University School of Medicine · JPTokyo University of Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to investigate hemodynamics and coil distribution with changing coil stiffness and length using the finite element method (FEM) and computational fluid dynamics (CFD) analysis.

methodsBasic side-wall and bifurcation type aneurysm models were used. Six types of coil models were generated by changing the coil stiffness and length, based on commercially available embolic coils. Coil embolization was simulated using FEM. CFD was performed to characterize the hemodynamics in the aneurysms after embolization. Coil distribution and velocity reduction in the aneurysms were evaluated.

resultsThe median value of radial coil distribution was shifted from the center to the outer side of the aneurysmal dome by changing coil stiffness: harder coils entered the outer side of the aneurysmal dome more easily. Short coils were more distributed at the neck region, since their small size made it easy for them to enter the tighter area. CFD results also indicated that velocity in the aneurysm was effectively reduced when the coils were more distributed at the neck region and the outer side of the aneurysmal dome because of the disturbance in blood inflow.

conclusionsIt is easier for coils to enter the outer side of the aneurysmal sphere when they are harder. If coils are short, they can enter tighter areas more easily. In addition, high coil density at the outer side of the aneurysmal dome and at the neck region is important to achieve effective velocity reduction.

Indexed as

HydrodynamicsModels, NeurologicalBlood Vessel ProsthesisEmbolization, TherapeuticHemodynamicsHumansIntracranial Aneurysmaneurysmblood flowcoil

Identifiers

PMID29259122
PMCPMC6204941
OpenAlexW2777493187

What OpenQuestion holds

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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.