Evidence map›Paper›PMID 31405991›Full record

ArticleJournal of neurointerventional surgery2020

Visualization of stent apposition after stent-assisted coiling of intracranial aneurysms using high resolution 3D fusion images acquired by C-arm CT.

Naoki Kato, Ichiro Yuki, Toshihiro Ishibashi, Ayako Ikemura, Issei Kan, Kengo Nishimura, Tomonobu Kodama, Syougo Kaku, Yukiko Abe, Katharina Otani and 1 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of neurointerventional surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 32 citations in OpenAlex.

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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 1 institution in 2 countries.

Naoki KatoDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5041-6985
Ichiro YukiDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.
Toshihiro IshibashiDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.
Ayako IkemuraDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.
Issei KanDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.
Kengo NishimuraDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0002-0459-661X
Tomonobu KodamaDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.
Syougo KakuDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.
Yukiko AbeDepartment of Radiology, Jikei University School of Medicine, Tokyo, Japan.
Katharina OtaniAT Innovation Department, Siemens Healthcare K.K, Tokyo, Japan.ORCID http://orcid.org/0000-0002-2322-3405
Yuichi MurayamaDepartment of Neurosurgery, The Jikei University School of Medicine Tokyo, Tokyo, Japan.
Jikei University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe used an imaging technique based on 3-dimensional (3D) C-arm CT to assess the apposition of three types of stents after coiling of intracranial aneurysms.

methodsAll patients with intracranial aneurysms were considered who received stent-assisted coiling with Enterprise2, Neuroform EZ, or Neuroform Atlas stents confirmed by C-arm CT imaging at our institution between June 2015 and November 2017. A 3D digital subtraction angiography (DSA) scan for vessel imaging followed by a high-resolution cone beam CT (HR-CBCT) scan for coil and stent imaging was performed. The images were fused to obtain dual volume 3D fusion images. We investigated malapposition of the stent trunk (crescent sign) and of the stent edges (edge malapposition) and used the χ

resultsWe evaluated 75 consecutive cases. Enterprise2 stents were used in 22 cases, Neuroform EZ in 26, and Neuroform Atlas in 27 cases. By stent type, crescent sign was detected in 27% of Enterprise2, 8% of Neuroform EZ, and none of Neuroform Atlas stents (p=0.007), while edge malapposition was detected in 27% of Enterprise2, 58% of Neuroform EZ, and 30% of Neuroform Atlas stents (p=0.05). Excellent (κ=0.81) and good (κ=0.78) agreement between the raters was found for the detection of edge apposition and crescent sign, respectively.

conclusionStent malapposition was clearly visualized by dual volume 3D imaging. The Neuroform Atlas stents showed good apposition even in vessels with strong curvature.

Indexed as

Self Expandable Metallic StentsAdultAgedAngiography, Digital SubtractionCerebral AngiographyCone-Beam Computed TomographyEmbolization, TherapeuticFemaleHumansImaging, Three-DimensionalIntracranial AneurysmMaleMiddle AgedTreatment OutcomeaneurysmangiographycoilCTstent

Identifiers

PMID31405991
PMCPMC7029241
OpenAlexW2967123182

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.