Evidence map›Paper›PMID 30505618›Full record

ArticleSurgical neurology international2018

The use of flow diverters to treat small (≤5 mm) ruptured, saccular aneurysms.

Pervinder Bhogal, Elina Henkes, Stefan Schob, Muhammad AlMatter, Victoria Hellstern, Hansjörg Bäzner, Oliver Ganslandt, Hans Henkes, Marta Aguilar Pérez

Open access · hybridAbstract read
In one paragraph

Article in Surgical neurology international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Comaneci stent-angioplasty for the optimization of inadequately deployed flow diverter stents.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  2. Safety and efficacy of endovascular treatment for tiny ruptured intracranial aneurysms with low-profile visualized intraluminal support stents.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  3. The Silk Vista Baby - The UK experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  4. Review
  5. Article
  6. Thrombogenicity of the p48 and anti-thrombogenic p48 hydrophilic polymer coating low-profile flow diverters in an in vitro human thrombin generation model.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Article
  7. The Cascade device - In vitro tests to assess coil protrusion into the parent vessel.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    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

9 authors at 4 institutions in 2 countries.

Pervinder BhogalDepartment of Neuroradiology, The Royal London Hospital, London, UK.
Elina HenkesNeuroradiological Clinic, Neurocenter, Leipzig, Germany.
Stefan SchobDepartment for Neuroradiology, University Hospital Leipzig, Leipzig, Germany.
Muhammad AlMatterNeuroradiological Clinic, Neurocenter, Leipzig, Germany.
Victoria HellsternNeuroradiological Clinic, Neurocenter, Leipzig, Germany.
Hansjörg BäznerNeurological Clinic, Neurocenter, Leipzig, Germany.
Oliver GanslandtNeurosurgical Clinic, Neurocenter, Klinikum Stuttgart, Leipzig, Germany.
Hans HenkesNeuroradiological Clinic, Neurocenter, Leipzig, Germany.
Marta Aguilar PérezNeuroradiological Clinic, Neurocenter, Leipzig, Germany.
Klinikum Stuttgart · DERoyal London Hospital · GBUniversity Hospital Leipzig · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited published literature on the use of flow diverting stents (FDS) to treat ruptured intracranial aneurysms in the acute stage. We present our experience of using FDS to treat small (≤5 mm) ruptured aneurysms.

methodsWe retrospectively identified all patients with ≤5 mm ruptured aneurysms treated exclusively with FDS between February 2009 and February 2016. We recorded demographic data, the Hunt and Hess score, aneurysm location and size, therapeutic intervention, immediate angiographic and clinical result, and clinical and radiological follow-up information.

resultsWe identified seven patients (four females) with average age 59.8 ± 10 years (range 48-75). The average aneurysm fundus size was 2.7 ± 0.76 mm (range 1-4 mm). The average time from ictus to treatment was 6.3 days (range 1-14 days) and there were no cases of repeat rupture prior to treatment or intraoperative rupture. Angiographic follow-up was available in five patients. At initial follow-up, aneurysms (100%) were completely occluded raymond roy classification 1 (RRC 1). None of the aneurysms re-ruptured following treatment. Clinically, six patients were discharged with good functional outcome modified Rankin Score (mRS ≤2). There were no mortalities.

conclusionThe use of FDS to treat small, ruptured, saccular aneurysms is feasible; however, the use of FDS should not be considered first-line treatment. Further studies are required to determine the safety and efficacy of the use of FDS in the acute situation.

Indexed as

Flow diverterruptured aneurysmsubarachnoid haemorrhage

Identifiers

PMID30505618
PMCPMC6219287
OpenAlexW2899113552

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.