Evidence map›Paper›PMID 31727754›Full record

ArticleAJNR. American journal of neuroradiology2019

Outcome Study of the Pipeline Embolization Device with Shield Technology in Unruptured Aneurysms (PEDSU).

D Atasoy, N Kandasamy, J Hart, J Lynch, S-H Yang, D Walsh, C Tolias, T C Booth

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article 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 NCT05626504 (Outcome Study of the Pipeline Embolization Device With Vantage Technology in Unruptured Aneurysms), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT05626504 unknown statusnot on this mapstarted 2022, after this paper: background citation

Outcome Study of the Pipeline Embolization Device With Vantage Technology in Unruptured Aneurysms

TypeobservationalSponsorKing's College Hospital NHS TrustRan2022 to 2025Enrolled50ConditionsBrain Aneurysm, Intracranial Hemorrhages, StrokeArmsPipeline Embolization Device with Vantage Technology
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Angiographic and clinical outcomes from 396 aneurysms treated with the pipeline flex embolization device with shield technology.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Review
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  15. Endovascular Treatment of Intracranial Aneurysms.Life (Basel, Switzerland) · 2021
    Review
  16. The Aneurysm Occlusion Assistant, an AI platform for real time surgical guidance of intracranial aneurysms.Proceedings of SPIE--the International Society for Optical Engineering · 2021
    Article
  17. Observational
  18. Article
  19. Review
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

8 authors at 5 institutions in 5 countries.

D AtasoyFrom Karadeniz Technical University (D.A.), Farabi Hospital, Trabzon, Turkey.ORCID 0000-0001-7924-1752
N KandasamyDepartments of Neuroradiology (N.K., J.H., J.L., T.C.B.).ORCID 0000-0003-0320-4941
J HartDepartments of Neuroradiology (N.K., J.H., J.L., T.C.B.).ORCID 0000-0001-9370-4311
J LynchDepartments of Neuroradiology (N.K., J.H., J.L., T.C.B.).ORCID 0000-0002-1476-0612
S-H YangDepartment of Radiology (S.-H.Y.), Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0002-9811-7471
D WalshNeurosurgery (D.W., C.T.), King's College Hospital National Health Service Foundation Trust, London, UK.ORCID 0000-0003-1274-3285
C ToliasNeurosurgery (D.W., C.T.), King's College Hospital National Health Service Foundation Trust, London, UK.ORCID 0000-0003-0620-471X
T C BoothDepartments of Neuroradiology (N.K., J.H., J.L., T.C.B.) tombooth@doctors.org.uk.ORCID 0000-0003-0984-3998
JDSU (United States) · USNational Health Service · GBKaradeniz Technical University · TRKing's College London · GBWan Fang Hospital · TW

Funding

Wellcome Trust 203148
6 · The paper itself

Abstract

background and purposeThe recently introduced Pipeline Flex Embolization Device with Shield Technology (Pipeline Shield) is the third generation of Pipeline flow-diverter devices. It has a new stent-surface modification, which reduces thrombogenicity. We aimed to evaluate clinical and radiographic (safety and efficacy) outcomes of the Pipeline Shield. MATERIALS AND

methodsThe 30-day and 1-year mortality and morbidity rates and the 6- and 18-month radiographic aneurysm occlusion outcomes for procedures performed between March 2016 and January 2018 were analyzed. 3D-TOF-MRA was used for follow-up.

resultsForty-four attempted Pipeline Shield procedures were performed for 41 patients with 44 target aneurysms (total of 52 aneurysms treated). A total of 88.5% of devices were inserted in the anterior circulation, and 11.5%, in the posterior circulation; 49/52 (94.2%) aneurysms were saccular; and 1/52 (1.9%) was fusiform. One (1.9%) aneurysm was an iatrogenic pseudoaneurysm, and 1 (1.9%) was a dissecting aneurysm. Seventy-one percent (35/49) of the saccular aneurysms were wide-neck (neck, >4 mm), 34.6% (18/52) were large (≥10 mm), and 3.8% (2/52) were giant (≥25 mm). The mean aneurysm sac maximal diameter was 9.0 mm, and the mean neck width was 5.0 mm. The cumulative mortality and morbidity rates were 2.3% and 6.8% at 1 year, respectively. The adequate occlusion rate was 78.8% at 6 months and 90.3% at 18 months.

conclusionsIn this pragmatic and non-industry-sponsored study, the occlusion rates and safety outcomes were similar to those seen in previously published studies with flow-diverter devices and earlier generation Pipeline Embolization Devices.

Indexed as

Blood Vessel ProsthesisAdolescentAdultAgedAged, 80 and overEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMaleMiddle AgedStentsTreatment OutcomeYoung Adult

Identifiers

PMID31727754
PMCPMC6911729
OpenAlexW2989484056

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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.