Evidence map›Paper›PMID 29669856›Full record

ArticleJournal of neurointerventional surgery2018

The LUNA aneurysm embolization system for intracranial aneurysm treatment: short-term, mid-term and long-term clinical and angiographic results.

Michel Piotin, Alessandra Biondi, Nader Sourour, Charbel Mounayer, Maciej Jaworski, Salvatore Mangiafico, Tommy Andersson, Michael Söderman, Pierre Goffette, René Anxionnat and 1 more

Open access · hybridAbstract readMulticenter Study
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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. A review and journey in intrasaccular treatment of intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Observational
  10. Article
  11. A new era in the treatment of wide necked bifurcation aneurysms: Intrasaccular flow disruption.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Review
  12. Article
  13. Treatment of a ruptured shallow trilobed cerebral aneurysm with the novel saccular endovascular aneurysm lattice (SEAL) device: A case report with one year follow-up.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  14. Article
  15. Review
  16. Article
  17. Will Coiling Survive through the Next Decade?Journal of clinical medicine · 2022
    Article
  18. Article
  19. Article
  20. Review
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

11 authors at 10 institutions in 5 countries.

Michel PiotinDepartment of Interventional Neuroradiology, Foundation Rothschild Hospital, Paris, France.ORCID http://orcid.org/0000-0002-1354-4328
Alessandra BiondiDepartment of Neuroradiology and Endovascular Therapy, CHU Besançon, Besançon, France.
Nader SourourDepartment of Interventional Neuroradiology, CHU Pitié Salpêtrière, Paris, France.
Charbel MounayerDepartment of Interventional Neuroradiology, CHU Limoges, Limoges, France.
Maciej JaworskiSecond Department of Radiology, Medical University of Warsaw, Warsaw, Poland.
Salvatore MangiaficoDepartment of Interventional Neuroradiology, Careggi University Hospital, Florence, Italy.
Tommy AnderssonDepartment of Neuroradiology, The Karolinska University Hospital in Solna, Stockholm, Sweden.
Michael SödermanDepartment of Neuroradiology, The Karolinska University Hospital in Solna, Stockholm, Sweden.
Pierre GoffetteDepartment of Neuroradiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
René AnxionnatDepartment of Neuroradiology, CHU Nancy, Nancy, France.
Raphaël BlancDepartment of Interventional Neuroradiology, Foundation Rothschild Hospital, Paris, France.
Karolinska University Hospital · SEAzienda Ospedaliero-Universitaria Careggi · ITCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Limoges · FRCliniques Universitaires Saint-Luc · BEFondation de Rothschild · FRFondation Ophtalmologique Adolphe de Rothschild · FRMedical University of Warsaw · PLSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIntrasaccular aneurysm flow disruption represents an emerging endovascular approach to treat intracranial aneurysms. The purpose of this study was to determine the clinical and angiographic outcomes of using the LUNA aneurysm embolization system (AES) for treatment of intracranial aneurysms. MATERIALS AND

methodsThe LUNA AES Post-Market Clinical Follow-Up study is a prospective, multicenter, single-arm study that was designed to evaluate device safety and efficacy. Bifurcation and sidewall aneurysms were included. Aneurysm occlusion was assessed using the Raymond-Roy classification scale. Disability was assessed using the Modified Rankin Scale (mRS). Morbidity was defined as mRS >2 if baseline mRS ≤2, increase in mRS of 1 or more if baseline mRS >2, or mRS >2 if aneurysm was ruptured at baseline. Clinical and angiographic follow-up was conducted at 6, 12 and 36 months.

resultsSixty-three subjects with 64 aneurysms were enrolled. Most aneurysms were unruptured (60/63 (95.2%)); 49 were bifurcation or terminal (49/64 (76.6%)). Mean aneurysm size was 5.6±1.8 mm (range, 3.6-14.9 mm), and mean neck size was 3.8±1.0 mm (range, 1.9-8.7 mm). Though immediate postoperative adequate occlusion was low (11/63, 18%), adequate occlusion was achieved in 78.0% (46/59) and 79.2% (42/53) of the aneurysms at 12 months and 36 months, respectively. Four patients were retreated by the 12-month follow-up (4/63 (6.3%)) and three patients were retreated by the 36-month follow-up (3/63 (4.8%)). There were two major strokes (2/63 (3.2%)), one minor stroke (1/63 (1.6%)) and three incidents of intracranial hemorrhage in two subjects (2/63 (3.2%)) prior to the 12-month follow-up. There was one instance of mortality (1/63, 1.6%). Morbidity was 0% (0/63) and 1.8% (1/63) at the 12-month and 36-month follow-ups, respectively.

conclusionsLUNA AES is safe and effective for the treatment of bifurcation and sidewall aneurysms. CLINICAL

trial registrationISRCTN72343080; Results.

Indexed as

AdultAgedCerebral AngiographyEmbolization, TherapeuticEndovascular ProceduresFemaleFollow-Up StudiesHumansIntracranial AneurysmMaleMiddle AgedProspective StudiesRegistriesTime FactorsTreatment Outcomeaneurysmendovascular proceduresflow disruptionLUNA device

Identifiers

PMID29669856
PMCPMC6288707
OpenAlexW2799755342

What OpenQuestion holds

Textmetadata
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.