Evidence map›Paper›PMID 31996152›Full record

ArticleBMC neurology2020

SMART coils for intracranial aneurysm repair - a single center experience.

Behme Daniel, Sack Henrik, Tsogkas Ioannis, Rohde Veit, Psychogios Marios-Nikos

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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  6. Long-term follow-up results of the SMART coil in the endovascular treatment of intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Behme DanielDepartment of diagnostic and interventional Neuroradiology, University Medical Center Göttingen, Robert Koch Str. 40, 37075, Göttingen, Germany. daniel.behme@med.uni-goettingen.de.ORCID http://orcid.org/0000-0002-5353-9515
Sack HenrikDepartment of diagnostic and interventional Neuroradiology, University Medical Center Göttingen, Robert Koch Str. 40, 37075, Göttingen, Germany.
Tsogkas IoannisDepartment of diagnostic and interventional Neuroradiology, University Medical Center Göttingen, Robert Koch Str. 40, 37075, Göttingen, Germany.
Rohde VeitDepartment of Neurosurgery, University Medical Center Göttingen, Robert Koch Str. 40, 37075, Göttingen, Germany.
Psychogios Marios-NikosDepartment of diagnostic and interventional Neuroradiology, University Medical Center Göttingen, Robert Koch Str. 40, 37075, Göttingen, Germany.
Universitätsmedizin Göttingen · DEUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to uniform stiffness of standard platinum coils, dense packing of intracranial aneurysms can be difficult to achieve, since stiffer coils can cause microcatheter prolapse or coil migration. SMART coils have a varying softness along the length of the coils to improve deliverability. We report our initial 2 year experience with the SMART coil system, including direct and follow-up results.

methodsWe performed a retrospective study of all patients who underwent coil embolization of an intracranial aneurysm with SMART coils between July 2016 and August 2018 at our institution. We analyzed clinical and angiographic data before and directly after treatment as well as at 6 months follow-up.

resultsA total of 49 patients harboring 49 aneurysms were treated; 23 (47%) were ruptured aneurysms. Most aneurysms (57%) were located in the anterior circulation. Median patient age was 55 (31-88), 63% were female. Mean aneurysm size was: neck 3.4 (±1.5), height 6.3 (±2.9) and width 5.2 (±2.3) mm. SMART coils were solely used in 96% of cases. Initial favorable angiographic results were achieved in 45 (92%) of 49 cases, which were stable at 6 months in 26/29 (90%). Thromboembolic complications occurred in 4 (8%) cases without clinical sequelae; microcatheter prolapse occurred in 1 case. No aneurysm rupture or device malfunction was observed.

conclusionThe treatment of ruptured and unruptured intracranial aneurysms with SMART Coils was safe and efficacious in our cohort.

Indexed as

Blood Vessel ProsthesisAdultAgedAged, 80 and overAneurysm, RupturedCohort StudiesEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMaleMiddle AgedPlatinumRetrospective StudiesTreatment OutcomePlatinumCoil-embolizationIntracranial aneurysmNew devicesSubarachnoid hemorrhage

Identifiers

PMID31996152
PMCPMC6988290
OpenAlexW3011048419

What OpenQuestion holds

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Registered trials

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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.