Evidence map›Paper›PMID 31203413›Full record

ArticleNeuroradiology2019

Safety and efficacy of intracranial aneurysm embolization using the "combined remodeling technique": low-profile stents delivered through double lumen balloons: a multicenter experience.

Mario Martínez-Galdámez, Kirill Orlov, Krzysztof Kadziolka, Mani Puthuran, Vladimir Kalousek, Boris Pabón, Jorge Escartín, Claudio Rodríguez, Arun Chandran, Dmitry Kislitsin and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  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. Article
  4. Article
  5. Deployment of low-profile flow-diverter through a double lumen balloon catheter (remo-diversion technique) to treat recurrent middle cerebral artery bifurcation aneurysm: A technical note.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Strut remodeling with hypercompliant balloon: A new approach to Y stent-assisted coil embolization in the treatment of complex wide-neck bifurcation aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  11. Balloon-assisted coiling of intracranial aneurysms using the Eclipse 2L double lumen balloon.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

14 authors.

Mario Martínez-GaldámezEndovascular Neurosurgery/Interventional Neuroradiology, Hospital Universitario Fundación Jiménez Diaz, Grupo Quironsalud, Madrid, Spain. mariomgaldamez@hotmail.com.
Kirill OrlovEndovascular Neurosurgery, Neurosurgery Department, National Medical Research Center, Meshalkin Clinic, Novosibirsk, Russian Federation.
Krzysztof KadziolkaEndovascular Neurosurgery, Neurosurgery Department, The Children's Memorial Health Institute, Western Hospital, Grodzisk Mazowiecki, Poland.
Mani PuthuranDepartment of Neuroradiology, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Vladimir KalousekInterventional Neuroradiology, Department of Radiology, Clinical Hospital Center "Sestre Milosrdnice", Zagreb, Croatia.
Boris PabónInterventional Neuroradiology, Angioteam-Angiosur, Medellín, Colombia.
Jorge EscartínEndovascular Neurosurgery/Interventional Neuroradiology, Hospital Universitario Fundación Jiménez Diaz, Grupo Quironsalud, Madrid, Spain.
Claudio RodríguezEndovascular Neurosurgery/Interventional Neuroradiology, Hospital Universitario Fundación Jiménez Diaz, Grupo Quironsalud, Madrid, Spain.
Arun ChandranDepartment of Neuroradiology, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Dmitry KislitsinEndovascular Neurosurgery, Neurosurgery Department, National Medical Research Center, Meshalkin Clinic, Novosibirsk, Russian Federation.
Vadim BerestovEndovascular Neurosurgery, Neurosurgery Department, National Medical Research Center, Meshalkin Clinic, Novosibirsk, Russian Federation.
Pedro VegaInterventional Neuroradiology, Radiology Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
Carlos DiazInterventional Neuroradiology, Angioteam-Angiosur, Medellín, Colombia.
Guilherme DabusEndovascular Neurosurgery, Miami Cardiac and Vascular Institute and Baptist Neuroscience Center, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSince appearance of the balloon-remodeling technique and stent-assisted coiling, complex aneurysms have been treated successfully by endovascular means worldwide. Although these two techniques have been widely proven, the combination of both traditionally made the procedures more complicated technically. The aim of our study was to determine the technical success, safety, and efficacy of the low-profile stents delivered through double lumen balloons.

methodsClinical, procedural, and angiographic data were analyzed.

resultsEighty-four patients (55 women; age range 20-81 years) harboring 86 aneurysms were included in this study. Aneurysm maximal diameter ranged from 2 to 26 mm, with mean 7.5 mm. There were 62 unruptured, 15 recanalized, and 9 acutely ruptured aneurysms. Aneurysm locations were ACoA (31), MCA (36), supraclinoid ICA (4), carotid bifurcation (2), basilar (7), PCA (3), PICA (2), and VA (1). Ninety-three devices were implanted (63 LVIS jr, 15 LEO Baby, 14 ACCLINO Flex and 1 Neuroform Atlas) through the double lumen balloons (Scepter C or XC and Eclipse 2 L). We found 2 minor clinical events (2.4%) and 1 major event (1.2%). Total intra-procedural technical complication rate was 11.6%. Follow-up was available for 71 patients with an average follow-up of 7 months. Complete and near complete occlusion was 90.1%. Residual aneurysms were seen in 9.9%.

conclusionThe "combined remodeling technique" with low-profile stents delivered through double-lumen balloons is technically feasible, safe, and effective for the treatment of intracranial aneurysms. This technique allows the operator to avoid extra maneuvers.

Indexed as

StentsAdultAgedAged, 80 and overCerebral AngiographyEmbolization, TherapeuticEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultDouble-lumen balloonIntracranial aneurysmLow-profile stent

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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.