Evidence map›Paper›PMID 29556668›Full record

ArticleClinical neuroradiology2019

Treatment of Wide-Necked Bifurcation Aneurysms : Initial Results with the pCANvas Neck Bridging Device.

P Lylyk, J Chudyk, C Bleise, H Henkes, P Bhogal

Abstract read
In one paragraph

Article in Clinical neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Efficacy and safety of PulseRider for treatment of wide-necked intracranial aneurysm-A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Pooled it
  3. Article
  4. Article
  5. Contour-Assisted coiling with jailed microcatheter May result in better occlusion (CoCoJaMBO) in wide-necked intracranial aneurysms: Proof of principle and immediate angiographic results.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  6. Intrasaccular neck-bridging: A technical note on Nautilus-assisted coiling of wide-necked cerebral aneurysms. Feasibility study, immediate and early angiographic results.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  7. Review
  8. Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance.Interdisciplinary neurosurgery : Advanced techniques and case management · 2021
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. The pCONUS HPC: 30-Day and 180-Day In Vivo Biocompatibility Results.Cardiovascular and interventional radiology · 2019
    Article
  14. 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

5 authors.

P LylykClinica Sagrada Familia, ENERI, Buenos Aires, Argentina.
J ChudykClinica Sagrada Familia, ENERI, Buenos Aires, Argentina.
C BleiseClinica Sagrada Familia, ENERI, Buenos Aires, Argentina.
H HenkesNeuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Kriegsbergstr 60, 70174, Stuttgart, Germany.
P BhogalNeuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Kriegsbergstr 60, 70174, Stuttgart, Germany. bhogalweb@aol.com.ORCID http://orcid.org/0000-0002-5514-5237

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, numerous devices dedicated to the treatment of wide-necked aneurysms have become available. We present our initial experience with the pCANvas device and present the technical success rate, clinical outcome and immediate angiographic occlusion rates.

objectiveWe sought to determine the efficacy of flow with the pCANvas for the treatment of unruptured intracranial aneurysms.

methodsWe performed a retrospective review of our prospectively collected data to identify patients treated with the pCANvas device between February 2015 and February 2017. The patient demographics, aneurysm characteristics, immediate and delayed clinical and radiographic follow-up data were recorded.

resultsWe identified 17 patients (13 female) treated only with the pCANvas device. The average age of the patients was 60.5 ± 13.3 years (range 25-75 years). The average dome width was 7.6 ± 3.2 mm (range 3-15.8 mm), dome height 7.1 ± 3.2 mm (range 3-12.9 mm) and neck width 5.4 ± 3.2 (range 3-16.3 mm). The average aspect ratio was 1.5 ± 0.8 (range 0.6-3.7). At the end of the procedure 15 aneurysms continued complete filling of the aneurysm (Raymond Roy Classification[RRC] 3) with 2 aneurysms showing only filling of the neck of the aneurysm (RRC 2). Early follow-up angiography was available for 16 patients and at this stage 11 aneurysms showed persistent and complete filling of the aneurysm (RRC 3), 5 aneurysms showed complete occlusion of the aneurysm (RRC 1) and 7 aneurysms underwent repeat treatment with coiling.

conclusionThe early results on the use of the pCANvas are promising; however, longer term follow-up and larger studies are required.

Indexed as

AdultAgedCerebral AngiographyCerebrovascular CirculationEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMedical IllustrationMiddle AgedRegional Blood FlowRetreatmentRetrospective StudiesStentsTreatment OutcomeAneurysmBifurcationpCANvasStentWide neck

Identifiers

PMID29556668
PMCPMC6710216

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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.