Evidence map›Paper›PMID 30187084›Full record

ArticleNeuroradiology2018

Low rates of recanalization for wide-necked aneurysms treated with stenting after balloon-assisted coiling: combination of techniques delivers stable and improved results during follow-up.

Aglaé Velasco González, P Stracke, H Nordmeyer, M Heddier, S Saleme, C Sauerland, S Berkemeyer, B Buerke, W Heindel, R Chapot

Abstract read
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Packing density and the angiographic results of coil embolization of intracranial aneurysms: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. LVIS EVO stent-through-balloon after hydrocoil embolization of intracranial aneurysms: One-year results.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Observational
  3. WEB embolization of very broad-based intracranial aneurysms with a dome-to-neck ratio ≤ 1.1.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  4. Bailout stentectomy of 47 self-expandable intracranial stents.Journal of neurointerventional surgery · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Aglaé Velasco GonzálezDepartment of Neuroradiology, Alfried-Krupp Krankenhaus Hospital, Alfried-Krupp Straße 21, 45131, Essen, Germany. Aglae.VelascoGonzalez@ukmuenster.de.ORCID http://orcid.org/0000-0001-6865-6864
P StrackeDepartment of Neuroradiology, Alfried-Krupp Krankenhaus Hospital, Alfried-Krupp Straße 21, 45131, Essen, Germany.
H NordmeyerDepartment of Neuroradiology, Alfried-Krupp Krankenhaus Hospital, Alfried-Krupp Straße 21, 45131, Essen, Germany.
M HeddierDepartment of Neuroradiology, Alfried-Krupp Krankenhaus Hospital, Alfried-Krupp Straße 21, 45131, Essen, Germany.
S SalemeDepartment of Interventional Neuroradiology, Dupuytren University Hospital, 2 avenue Martin Luther-King, 87042, Limoges, France.
C SauerlandDepartment of Biostatistics and Clinical Investigation, University of Muenster, Schmeddingstraße 56, 48149, Muenster, Germany.
S BerkemeyerDepartment of Clinical Radiology, Neuroradiology, University of Muenster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Muenster, Germany.
B BuerkeDepartment of Clinical Radiology, Neuroradiology, University of Muenster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Muenster, Germany.
W HeindelDepartment of Clinical Radiology, Neuroradiology, University of Muenster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Muenster, Germany.
R ChapotDepartment of Neuroradiology, Alfried-Krupp Krankenhaus Hospital, Alfried-Krupp Straße 21, 45131, Essen, Germany.
Alfried Krupp Hospital · DEHochschule für Gesundheit - University of Applied Sciences · DEHôpital Dupuytren · FRUniversity Hospital Münster · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the treatment of wide-necked aneurysms, stenting may be required after balloon-assisted coiling (BAC) for reconstructing the lumen/flow of the parent artery in cases of coil herniation. The potential benefits and complications of both techniques remain unclear when used together. Our aim was to assess the safety and long-term angiographic outcomes of stenting after BAC.

methodsRetrospective review of 87 unruptured wide necked aneurysms (in 80 patients) treated with BAC and requiring stent placement at the final stage of the procedure due to coil prolapse. Aneurysm characteristics, technical issues, clinical records, and MR results were assessed. Post-treatment and follow-up angiograms were evaluated by two independent reviewers and categorized as "stable," "further thrombosis," or "recanalization."

resultsThe mean maximum diameter was 9.1 ± 4.7 mm and aspect ratio 1.20 ± 0.47. Complete and near-complete initial occlusion were observed in 53 (60.9%) and 28 (32.2%) of all treated aneurysms, respectively. Angiographic follow-up (80 aneurysms; mean, 34.68 ± 25.26 months) revealed stability and further thrombosis in 92.4% (74/80). Recanalization was observed in six cases (7.5%, 6/83), four of which were retreated. No significantly different outcomes were found in terms of aneurysm size (p = 0.641). Transient and reversible procedure-related complications occurred in eight (9.2%), minor permanent deficits in 2.3%, and major deficits, including death, in four cases (4.6%).

conclusionOur results suggest that treatment of wide-necked aneuryms with stent placement after BAC yields low recanalization rates and enhanced angiographic outcomes in long-term follow-up.

Indexed as

StentsAdultAgedAged, 80 and overAngiography, Digital SubtractionCerebral AngiographyContrast MediaEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMagnetic Resonance ImagingMaleMiddle AgedRecurrenceRetreatmentContrast MediaBalloon-assisted coilingIntracranial stentingRecanalizationWide-necked aneurysms

Identifiers

PMID30187084
OpenAlexW2892070311

What OpenQuestion holds

Textmetadata
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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.