Evidence map›Paper›PMID 31956171›Full record

ArticleNeurologia medico-chirurgica2020

Coil Embolization for Unruptured Intracranial Aneurysms at the Dawn of Stent Era: Results of the Japanese Registry of Neuroendovascular Therapy (JR-NET) 3.

Tetsu Satow, Go Ikeda, Jun C Takahashi, Koji Iihara, Nobuyuki Sakai, Japanese Registry of Neuroendovascular Therapy (JR-NET) investigators

Open access · goldAbstract read
In one paragraph

Article in Neurologia medico-chirurgica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-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

15 citing papers in PubMed, 22 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

6 authors at 3 institutions in 1 country.

Tetsu SatowDepartment of Neurosurgery, National Cerebral and Cardiovascular Center.
Go IkedaDepartment of Neurosurgery, National Cerebral and Cardiovascular Center.
Jun C TakahashiDepartment of Neurosurgery, National Cerebral and Cardiovascular Center.
Koji IiharaDepartment of Neurosurgery, Graduate School of Medical Sciences, Kyushu University.
Nobuyuki SakaiDepartment of Neurosurgery, Kobe City Medical Center General Hospital.
Japanese Registry of Neuroendovascular Therapy (JR-NET) investigators
National Cerebral and Cardiovascular Center · JPKobe City Medical Center General Hospital · JPKyushu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endosaccular coiling is recognized as a feasible method for treating unruptured intracranial aneurysms (UIAs). We retrospectively reviewed cases of UIAs treated by coiling in the Japanese Registry of Neuroendovascular Therapy (JR-NET) 3, a nationwide survey of NET between 2010 and 2014, the beginning period of intracranial stents in Japan. Data were extracted for 6844 UIAs (6619 procedures) from 40,169 registered records of all NETs in the JR-NET 3 databases. The features of the aneurysms and procedures, immediate radiographic findings, procedure-related complications, and clinical outcomes at 30 days after the procedures were assessed. Of 6844 UIAs, 81.8% were located in the anterior circulation. The mean patient age was 61.3 years (72.4% females). Compared with the preceding JR-NET 1 and 2, there were significant increases (P <0.05) in the rates of the following in JR-NET 3: wide-necked and small UIAs measuring <10 mm (from 56.4% to 58.8%), adjunctive techniques (54.8% to 71.8%), and stent usage (1.1% to 22.1%). Both pre- (85.6% to 96.7%) and post-procedural (84.0% to 94.6%) antiplatelet therapy were more frequently administered in JR-NET 3. Although procedure-related complication rates did not differ between the two groups, ischemic complication rates increased from 4.6% to 5.9%, leading to an increase in the 30-day morbidity (modified Rankin Scale >2) from 2.1% to 2.8%. In conclusion, introduction of neck-bridge stent was associated with an increase in cases of wide-necked aneurysms. However, the ischemic complication rate increased despite the greater use of periprocedural antiplatelet therapy.

Indexed as

Embolization, TherapeuticEndovascular ProceduresRegistriesAgedFemaleFollow-Up StudiesHealth SurveysHumansIntracranial AneurysmJapanMaleMiddle AgedPlatelet Aggregation InhibitorsPostoperative ComplicationsRetrospective StudiesSurvival RatePlatelet Aggregation Inhibitorscoil embolizationJapanese Registry of Neuroendovascular Therapyunruptured intracranial aneurysms

Identifiers

PMID31956171
PMCPMC7040433
OpenAlexW2998790280

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.