Evidence map›Paper›PMID 30872418›Full record

SynthesisAJNR. American journal of neuroradiology2019

Treatment of Unruptured Distal Anterior Circulation Aneurysms with Flow-Diverter Stents: A Meta-Analysis.

F Cagnazzo, P Perrini, C Dargazanli, P-H Lefevre, G Gascou, R Morganti, D di Carlo, I Derraz, C Riquelme, A Bonafe and 1 more

Registry-linked trialOpen access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06134557 (Analysis of the Therapeutic Effect of Blood Flow Reconstruction in the Treatment of Intracranial Dissection Aneurysm of Vertebral Artery), which is not on this map. Cited by 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 pooled it
6.9field-weighted citation impact, top 3% 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.

NCT06134557 unknown statusnot on this mapstarted 2023, after this paper: background citation

Analysis of the Therapeutic Effect of Blood Flow Reconstruction in the Treatment of Intracranial Dissection Aneurysm of Vertebral Artery

TypeobservationalSponsorQilu Hospital of Shandong UniversityRan2023 to 2024Enrolled200ConditionsIntracranial AneurysmArmsconventional stents
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 5 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Patient outcomes after treatment of brain aneurysm in small diameter vessels with the silk vista baby flow diverter: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
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  10. Comparative safety, efficacy, and predictors of complete occlusion of flow diverter devices in the treatment of unruptured distal anterior cerebral artery aneurysms.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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 3 institutions in 3 countries.

F CagnazzoFrom the Neuroradiology Department (F.C., C.D., P.-H.L., G.G., I.D., C.R., A.B., V.C.), University Hospital Güi-de-Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France f.cagnazzo86@gmail.com.ORCID 0000-0003-3159-1678
P PerriniDepartment of Neurosurgery (P.P., D.d.C.).ORCID 0000-0002-3251-6111
C DargazanliFrom the Neuroradiology Department (F.C., C.D., P.-H.L., G.G., I.D., C.R., A.B., V.C.), University Hospital Güi-de-Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.ORCID 0000-0003-1891-9157
P-H LefevreFrom the Neuroradiology Department (F.C., C.D., P.-H.L., G.G., I.D., C.R., A.B., V.C.), University Hospital Güi-de-Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.ORCID 0000-0002-6196-3869
G GascouFrom the Neuroradiology Department (F.C., C.D., P.-H.L., G.G., I.D., C.R., A.B., V.C.), University Hospital Güi-de-Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.ORCID 0000-0002-0817-7324
R MorgantiSection of Statistics (R.M.), University of Pisa, Pisa, Italy.ORCID 0000-0001-7783-0262
D di CarloDepartment of Neurosurgery (P.P., D.d.C.).ORCID 0000-0001-7136-4408
I DerrazFrom the Neuroradiology Department (F.C., C.D., P.-H.L., G.G., I.D., C.R., A.B., V.C.), University Hospital Güi-de-Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.ORCID 0000-0003-0632-3399
C RiquelmeFrom the Neuroradiology Department (F.C., C.D., P.-H.L., G.G., I.D., C.R., A.B., V.C.), University Hospital Güi-de-Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.ORCID 0000-0003-2070-6775
A BonafeFrom the Neuroradiology Department (F.C., C.D., P.-H.L., G.G., I.D., C.R., A.B., V.C.), University Hospital Güi-de-Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.ORCID 0000-0002-9187-1375
V CostalatFrom the Neuroradiology Department (F.C., C.D., P.-H.L., G.G., I.D., C.R., A.B., V.C.), University Hospital Güi-de-Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.ORCID 0000-0001-8428-9101
Centre Hospitalier Universitaire de Montpellier · FRD&P (United States) · USUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe safety and efficacy of flow diversion among distal anterior circulation aneurysms must be proved. PURPOSE: Our aim was to analyze the outcomes after flow diversion among MCA, anterior communicating artery, and distal anterior cerebral artery aneurysms. DATA SOURCES: A systematic search of 3 databases was performed for studies published from 2005 to 2018. STUDY SELECTION: According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we included studies reporting flow diversion of distal anterior circulation aneurysms. DATA ANALYSIS: Random-effects meta-analysis was used to pool aneurysm occlusion and complication rates. From the individual patient data, univariate and multivariate analyses were used to test predictors of occlusion and complications. DATA SYNTHESIS: We included 27 studies (484 aneurysms). The long-term adequate occlusion rate (O'Kelly-Marotta scale, C-D) was 82.7% (295/364; 95% CI, 77.4%-87.9%; I LIMITATIONS: We reviewed small and retrospective series.

conclusionsFlow diversion among distal anterior circulation aneurysms is effective, leading to adequate aneurysm occlusion in 83% of cases. However, this strategy has some limitations among MCA and larger lesions, especially related to the higher rate of complications. Compared with the other devices, the Pipeline Embolization Device seems to be associated with a higher occlusion rate.

Indexed as

Blood Vessel ProsthesisStentsAdultAgedEmbolization, TherapeuticEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedRetrospective StudiesTreatment Outcome

Identifiers

PMID30872418
PMCPMC7048521
OpenAlexW2921721259

What OpenQuestion holds

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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.