Evidence map›Paper›PMID 31970465›Full record

ArticleClinical neuroradiology2021

Low-Profile Laser-Cut Stents for Endovascular Treatment of Intracranial Aneurysms : Incidence, Clinical Presentation and Risk Factors of Thromboembolic Events.

Lukas Goertz, Michael Artur Smyk, Eberhard Siebert, Bernd Turowski, Jan Borggrefe, Anastasios Mpotsaris, Georg Bohner, Marc Schlamann, Franziska Dorn, Thomas Liebig and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

8 citing papers in PubMed.

  1. Article
  2. WEB embolization of very broad-based intracranial aneurysms with a dome-to-neck ratio ≤ 1.1.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  3. Long-term results of wide-necked intracranial bifurcation aneurysms treated with stent-assisted coiling using low-profile acandis acclino stents.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

11 authors.

Lukas GoertzDepartment of Neuroradiology, University Hospital of Cologne, Kerpener Str. 67, 50937, Cologne, Germany. lukas.goertz@uk-koeln.de.ORCID http://orcid.org/0000-0002-2620-7611
Michael Artur SmykDepartment of Neuroradiology, University Hospital of Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Eberhard SiebertInstitute of Neuroradiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Bernd TurowskiDepartment of Neuroradiology, University Hospital of Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Jan BorggrefeDepartment of Neuroradiology, University Hospital of Cologne, Kerpener Str. 67, 50937, Cologne, Germany.
Anastasios MpotsarisDepartment of Neuroradiology, University Hospital of Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.
Georg BohnerInstitute of Neuroradiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Marc SchlamannDepartment of Neuroradiology, University Hospital of Cologne, Kerpener Str. 67, 50937, Cologne, Germany.
Franziska DornDepartment of Neuroradiology, LMU University Hospital of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Thomas LiebigDepartment of Neuroradiology, LMU University Hospital of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Christoph KabbaschDepartment of Neuroradiology, University Hospital of Cologne, Kerpener Str. 67, 50937, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLow-profile intracranial stents are characterized by a miniaturized design that enables deployment via a 0.0165″ or 0.017″ internal diameter microcatheter, which is typically intended for coil delivery. This study analyzed the incidence, clinical relevance and risk factors of thromboembolic events (TEE) occurring during low-profile stent-assisted coiling of intracranial aneurysms.

methodsThis was a retrospective, multicenter analysis of consecutive patients who underwent stent-assisted aneurysm coiling (SAC) with the laser-cut Acandis Acclino and Neuroform Atlas stents. The study evaluated the incidence of symptomatic and asymptomatic TEEs and the impact on functional outcome. Risk factors for TEEs were determined by univariate and bivariate logistic regression analyses.

resultsAmong 131 procedures (mean patient age 56.5 ± 12.8 years, mean aneurysm size: 6.7 ± 3.9 mm) TEEs occurred in 14 cases (10.7%) of which 2 patients (1.5%) developed ischemic stroke, while the remaining TEEs remained asymptomatic. Multivariate analysis revealed Y‑stenting as potential risk factor for TEEs (odds ratio: 3.9, 95% confidence interval: 1.0-16.5; p = 0.08).

conclusionThe use of SAC with low-profile intracranial stents is associated with a favorable safety profile; however, Y‑stenting may carry an increased risk of TEEs, which needs to be considered during treatment planning.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmCerebral AngiographyHumansIncidenceLasersMiddle AgedRetrospective StudiesRisk FactorsStentsTreatment OutcomeAcandis AcclinoNeuroform AtlasStent-assisted coilingStrokeThromboembolic event

Identifiers

What OpenQuestion holds

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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.