Evidence map›Paper›PMID 31399749›Full record

ArticleClinical neuroradiology2020

The p64 Flow Diverter-Mid-term and Long-term Results from a Single Center.

S Sirakov, A Sirakov, P Bhogal, M Penkov, K Minkin, K Ninov, H Hristov, V Karakostov, R Raychev

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Clinical neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06201598 (Prospective, Single-Arm, Multicenter Study to Evaluate the Effectiveness and Safety of Endovascular Treatment in Patients With Cerebral Aneurysms Using P64 and P48 Flow-Diverter Stents), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

NCT06201598 recruitingnot on this mapstarted 2024, after this paper: background citation

Prospective, Single-Arm, Multicenter Study to Evaluate the Effectiveness and Safety of Endovascular Treatment in Patients With Cerebral Aneurysms Using P64 and P48 Flow-Diverter Stents

TypeobservationalSponsorHospital Universitario Central de AsturiasRan2024 to 2025Enrolled100ConditionsCerebral Aneurysm, Thromboembolic DiseaseArmsGroup 1 - Intervention 1
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Endovascular Treatment of Intracranial Aneurysms.Life (Basel, Switzerland) · 2021
    Review
  7. Article
  8. Article
  9. p64 flow diverter: Results in 108 patients from a single center.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. 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
  16. Review
  17. Review
  18. 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.

S SirakovRadiology department, University Hospital St. Ivan Rilski, Sofia, Bulgaria. ssirakov@bsunivers.com.
A SirakovRadiology department, University Hospital St. Ivan Rilski, Sofia, Bulgaria.
P BhogalDepartment of Interventional Neuroradiology, The Royal London Hospital, London, UK.
M PenkovRadiology department, University Hospital St. Ivan Rilski, Sofia, Bulgaria.
K MinkinNeurosurgery department, University Hospital St. Ivan Rilski, Sofia, Bulgaria.
K NinovNeurosurgery department, University Hospital St. Ivan Rilski, Sofia, Bulgaria.
H HristovNeurosurgery department, University Hospital St. Ivan Rilski, Sofia, Bulgaria.
V KarakostovNeurosurgery department, University Hospital St. Ivan Rilski, Sofia, Bulgaria.
R RaychevDepartment of Neurology and Comprehensive Stroke Center, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe p64 is a flow modulation device designed to be used in endovascular treatment of intracranial aneurysms. There is limited data on the long-term effectiveness of the device. This study sought to determine the safety and long-term efficacy of this device.

methodsA retrospective review of a prospectively maintained database was performed to identify all patients treated with a p64 between March 2015 and November 2018 at University Hospital St. Ivan Rilski. Anatomical features, intraprocedural complications, clinical, and angiographic outcomes were also taken into account and reviewed.

resultsA total of 72 patients with 72 aneurysms who met the inclusion criteria were identified. Device placement was successful in all patients. Follow-up angiographic imaging at 6 months showed complete occlusion (O'Kelly-Marotta scale [OKM] D) in 55 (76.3%) patients, subtotal aneurysmal filling (OKM B) in 10 (13.8%) patients, and neck remnant (OKM C) in 7 (9.7%) patients. Catheter angiography at 12 months was available for 70 patients (97.2%) and of these patients 91.4% of the aneurysms were completely occluded (OKM D) (64/72). Delayed angiography at 24 months was available for 68 patients (94.4%) and of these 98.5% (67/68) had completely occluded aneurysms. A 36-month angiography was available for 61 patients (84.4%) by which point all aneurysms had been completely occluded (100%). Permanent morbidity due to delayed aneurysmal rupture occurred in one patient (1.38%). The mortality rate was 0%. Self-limiting mild intimal hyperplasia was seen in 2 patients (2.72%).

conclusionTreatment of intracranial aneurysms with a p64 flow modulation device is safe and effective with a high success rate and only infrequent complications.

Indexed as

StentsAdultAgedAged, 80 and overCerebral AngiographyEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedRetrospective StudiesCerebral AneurysmEmbolizationFlow diversionIntracranial stentNeuroradiology

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.