Evidence map›Paper›PMID 29352057›Full record

Observational studyJournal of neurointerventional surgery2018

Feasibility, complications, morbidity, and mortality results at 6 months for aneurysm treatment with the Flow Re-Direction Endoluminal Device: report of SAFE study.

Laurent Pierot, Laurent Spelle, Jérôme Berge, Anne-Christine Januel, Denis Herbreteau, Mohamed Aggour, Michel Piotin, Alessandra Biondi, Xavier Barreau, Charbel Mounayer and 4 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of neurointerventional surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02921698 (Safety and Efficacy Analysis of FRED® Embolic Device in Aneurysm Treatment), which is not on this map. Cited by 35 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 6 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.

NCT02921698 completednot on this map

Safety and Efficacy Analysis of FRED® Embolic Device in Aneurysm Treatment

Typeobservational_patient_registrySponsorMicrovention-Terumo, Inc.Ran2014 to 2017Enrolled100ConditionsIntracranial AneurysmsArmsFRED®
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Short to mid-term outcomes of flow re-direction endoluminal device X (FREDDiagnostic and interventional radiology (Ankara, Turkey) · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Flow redirection endoluminal device (FRED) for treatment of intracranial aneurysms: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Article
  9. Article
  10. The use of FD-HPC in Ruptured and Unruptured Aneurysms, the Italian Dataset (RUAID): Preliminary results on feasibility and safety.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  11. Treatment outcomes and effectiveness of FRED for fusiform vertebral artery aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  12. Article
  13. Frontiers in bioengineering and biotechnology · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Single flow diverter to manage multiple intracranial aneurysms in a parent artery.Journal of the Chinese Medical Association : JCMA · 2023
    Article
  18. Review
  19. Article
  20. Flow-diverter stent to manage intracranial aneurysms: A single center experience.Journal of the Chinese Medical Association : JCMA · 2022
    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.

Laurent PierotDepartment of Neuroradiology, Hôpital Maison-Blanche, Université Reims-Champagne-Ardenne, Reims, France.
Laurent SpelleDepartment of Neuroradiology, Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicetre, France.
Jérôme BergeDepartment of Neuroradiology, CHU Pellegrin, Bordeaux, France.
Anne-Christine JanuelDepartment of Neuroradiology, CHU Toulouse, Toulouse, France.
Denis HerbreteauDepartment of Neuroradiology, Hôpital Bretonneau, Université François Rabelais, Tours, France.
Mohamed AggourDepartment of Neuroradiology, CHU Saint-Etienne, Saint-Etienne, France.
Michel PiotinDepartment of Neuroradiology, Fondation Ophtalmologique A. de Rothschild, Paris, France.
Alessandra BiondiDepartment of Neuroradiology, Hôpital Jean-Minjoz, CHRU de Besançon, Besançon, France.
Xavier BarreauDepartment of Neuroradiology, CHU Pellegrin, Bordeaux, France.ORCID http://orcid.org/0000-0002-4932-1484
Charbel MounayerDepartment of Neuroradiology, CHU Dupuytren, Limoges, France.
Chrisanthi PapagiannakiDepartment of Neuroradiology, Hôpital Charles Nicolle, Université de Rouen, Rouen, France.
Jean-Paul LejeuneDepartment of Neurosurgery, CHU Lille, Lille, France.
Jean-Yves GauvritDepartment of Neuroradiology, CHU Rennes, Rennes, France.
Vincent CostalatDepartment of Neuroradiology, Hôpital Gui de Chauliac, Université de Montpellier, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeFlow diverters are increasingly used for the treatment of intracranial aneurysms. Evaluation of the first devices available for clinical use showed high efficacy of this treatment although safety results were worse compared with coiling or balloon-assisted coiling. The

methodsUnruptured and recanalized aneurysms located in the anterior circulation treated with FRED and FRED Jr were prospectively included. Adverse events were independently evaluated by a Clinical Event Committee with a vascular neurosurgeon and an interventional neuroradiologist. Primary safety outcome measures were morbidity and mortality rates at 6 months after treatment.

resultsA total of 103 patients/aneurysms were included in 13 interventional neuroradiology (INR) centers. Aneurysm locations were supraclinoid internal carotid artery (ICA) in 71 (68.9%), cavernous ICA in 15 (14.6%), anterior cerebral artery or anterior communicating artery in nine (8.7%), and middle cerebral artery in eight (7.8%). Aneurysms were small (<10 mm) in 71 patients (68.9%). Treatment was successfully performed in 98/103 patients (95.1%). Thromboembolic (TE) complications occurred in 5/103 patients (4.9%), intraoperative rupture in 2/103 patients (1.9%), delayed aneurysm rupture in 1/103 patient (1.0%), and delayed hematoma occurred in 1/103 patient (1.0%). Six-months' mortality and morbidity rates were 1/102 (1.0%) and 2/102 (2.0%), respectively.

conclusionsAneurysm treatment with the FRED device is safe with low mortality (1.0%) and morbidity (2.0%). CLINICAL

trial registrationNCT02921698.

Indexed as

AdultAgedAneurysm, RupturedEndovascular ProceduresFeasibility StudiesFemaleHumansIntracranial AneurysmMaleMiddle AgedMorbidityMortalityProspective StudiesSelf Expandable Metallic StentsTime FactorsTreatment Outcomeaneurysm

Identifiers

PMID29352057
PMCPMC6204937

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.