Evidence map›Paper›PMID 29273960›Full record

ArticleNeuroradiology2018

Stent-assisted coiling of intracranial aneurysms using LEO stents: long-term follow-up in 153 patients.

Jacques Sedat, Yves Chau, Jean Gaudart, Marina Sachet, Stephanie Beuil, Michel Lonjon

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Article in Neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  9. Endovascular Treatment of Intracranial Aneurysms.Life (Basel, Switzerland) · 2021
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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

6 authors.

Jacques SedatUnité de NeuroInterventionnelle, Hôpital Pasteur 2, 06000, Nice, France. jsedat@yahoo.fr.
Yves ChauUnité de NeuroInterventionnelle, Hôpital Pasteur 2, 06000, Nice, France.
Jean GaudartAix Marseille University, IRD, INSERM, SESSTIM, Marseille, France.
Marina SachetUnité de NeuroInterventionnelle, Hôpital Pasteur 2, 06000, Nice, France.
Stephanie BeuilUnité d'Ultrasons, Hôpital Pasteur 2, Nice, France.
Michel LonjonUnité de Neurochirurgie, Hôpital Pasteur 2, Nice, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCoiling associated with placement of a self-expandable intracranial stent has improved the treatment of intracranial wide-necked aneurysms. Little is known, however, about the durability of this treatment. The purpose of this report is to present our experience with the LEO stent and to evaluate the complications, effectiveness, and long-term results of this technique.

methodsWe analyzed the records of 155 intracranial unruptured aneurysms that were treated by stent-assisted coiling with a LEO stent between 2008 and 2012. Procedural, early post-procedural, and delayed complications were recorded. Clinical and angiographic follow-up of patients was conducted over a period of at least 36 months.

resultsNo procedural mortality was observed. One-month morbidity was observed in 14 out of 153 patients (9,15%). One hundred thirty-eight patients (with 140 aneurysms) had clinical and angiographic follow-up for more than 36 months. No aneurysm rupture was observed during follow-up. Four patients presented an intra-stent stenosis at 8 months, and 6 patients who had an early recurrence were retreated. Final results showed 85% complete occlusion, 13% neck remnants, and 2% stable incomplete occlusion.

conclusionStent-assisted coiling with the LEO stent is a safe and effective treatment for unruptured intracranial aneurysms. The long-term clinical outcomes with the LEO stent are excellent with a high rate of complete occlusion that is stable over time.

Indexed as

StentsAdultAgedAngiography, Digital SubtractionCerebral AngiographyCombined Modality TherapyEmbolization, TherapeuticFemaleHumansImaging, Three-DimensionalIntracranial AneurysmMaleMiddle AgedPlatelet Aggregation InhibitorsRecurrenceRetrospective StudiesPlatelet Aggregation InhibitorsClinical outcomeEndovascular treatmentIntracranial aneurysmLEO stentStent-assisted coiling

Identifiers

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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.