Evidence map›Paper›PMID 31903355›Full record

ArticleAsian journal of neurosurgery

Management of Recurrent Aneurysms after Endovascular Coiling: A Fujita Experience.

Raja K Kutty, Ambuj Kumar, Yasuhiro Yamada, Riki Tanaka, Satish Kannan, Vigneshwar Ravisankar, Aaron Musara, Kyosuke Miyatani, Saeko Higashiguchi, Katsumi Takizawa and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Asian journal of neurosurgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Flow diverter retreatment for intracranial aneurysms: A meta-analysis of efficacy and feasibility.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
  3. Article
  4. 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

12 authors at 3 institutions in 2 countries.

Raja K KuttyDepartment of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Ambuj KumarDepartment of Neurosurgery, NSCB Medical College, Jabalpur, Madhya Pradesh, India.
Yasuhiro YamadaDepartment of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan.
Riki TanakaDepartment of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan.
Satish KannanDepartment of Neurosurgery, MGM Hospital, Chennai, Tamil Nadu, India.
Vigneshwar RavisankarDepartment of Neurosurgery, MGM Hospital, Chennai, Tamil Nadu, India.
Aaron MusaraDepartment of Neurosurgery, College of Health Sciences, Harare, Zimbabwe.
Kyosuke MiyataniDepartment of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan.
Saeko HigashiguchiDepartment of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan.
Katsumi TakizawaDepartment of Neurosurgery, Asahikawa Redcross Hospital, Hokkaido, Japan.
Tsukasa KawaseDepartment of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan.
Yoko KatoDepartment of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan.
Fujita Health University Hospital · JPJapanese Red Cross Asahikawa Hospital · JPNetaji Subhash Chandra Bose Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMicrosurgical clipping and Endovascular coiling (EC) are both effective alternatives in the management of intracranial aneurysms. EC has been shown to be associated with the risk of recurrent aneurysm (RA) growth. Considering the minimally invasive nature of this procedure, the management of intracranial aneurysms has been skewed toward EC, especially in the developed world. In this scenario, there has been an upsurge of RAs after EC. Since the optimal management of these RAs has not been defined, they pose a unique challenge to the treating surgeons. AIMS AND

objectivesThe aim of this study is to elucidate the optimal management of RAs after EC. MATERIALS AND

methodsMedical records of all patients who underwent surgery for RAs were reviewed from the period January 2014 to March 2019. The demographic and angiographic patterns of the patients and operative techniques and complications were studied. The outcome was dichotomized into good and bad depending on the Glasgow outcome scale (GOS).

resultsThere were four cases of RAs operated in our institution between the above-mentioned period. There were varied differences between the initial coiling and time to recurrences. All four patients were operated under neuromonitoring. Three underwent clipping and one patient underwent clipping with bypass. All four patients had good outcome with a GOS of 5/5.

conclusionOperations for RAs constitute many technical challenges and require a lot of expertise. Such surgeries are recommended in high-volume centers, with sufficient experience in both clipping and cerebral bypass.

Indexed as

Aneurysmsendovascular coilingmanagementrecurrence

Identifiers

PMID31903355
PMCPMC6896644
OpenAlexW2991228042

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.