Evidence map›Paper›PMID 31997598›Full record

ArticleKorean journal of radiology2020

Alpha Stent for Coiling of Unruptured, Wide-Necked, Distal Internal Carotid Artery Aneurysms: Safety and Effectiveness at 6 Months.

Yunsun Song, Jae Jon Sheen, Joong Goo Kim, Sang Hun Lee, Su Hee Cho, Jung Cheol Park, Choong Gon Choi, Deok Hee Lee

Open access · hybridAbstract read
In one paragraph

Article in Korean journal of radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 4 institutions in 1 country.

Yunsun SongDepartment of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0003-4738-0533
Jae Jon SheenDepartment of Neurosurgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0002-0474-5830
Joong Goo KimDepartment of Neurology, Jeju National University Hospital, Jeju, Korea.ORCID 0000-0002-4166-6023
Sang Hun LeeDepartment of Neurology, Korea University Ansan Hospital, Ansan, Korea.ORCID 0000-0002-9538-446X
Su Hee ChoDepartment of Neurosurgery, Gangneung Asan Hospital, Gangneung, Korea.ORCID 0000-0002-8906-6422
Jung Cheol ParkDepartment of Neurosurgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0001-6677-455X
Choong Gon ChoiDepartment of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0002-2251-1915
Deok Hee LeeDepartment of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. dhlee@amc.seoul.kr.ORCID 0000-0003-0355-0449
Ulsan College · KRGangneung Asan Hospital · KRJeju National University Hospital · KRKorea University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Alpha stent (CGBio), a new intracranial stent featuring a re-sheathable mesh design with improved wall apposition at the curved segment, was clinically evaluated. We report the 6-month follow-up results from a prospective, single-center study in which the stent was used for coiling of wide-necked distal internal carotid artery (ICA) aneurysms. MATERIALS AND

methodsBetween April 2016 and 2018, 50 patients (mean age, 56.5 years, 45 females [90%]) with 54 unruptured distal ICA aneurysms (average diameter: 5.6 ± 1.7 mm) were enrolled. The primary endpoint for effectiveness was successful coil embolization with the Alpha stent, and subsequent complete or near-complete occlusion at the 6-month magnetic resonance angiography assessment. The primary safety endpoint was the absence of serious adverse events (SAEs) up to 6 months from the procedure.

resultsThe primary effectiveness endpoint was observed in 94.4% (51/54) aneurysms. In one patient with technical failure, the stent could not be deployed because of parent artery tortuosity; therefore, a different type of stent was used. Of the 53 aneurysms treated with the Alpha stent, complete occlusion was achieved in 64.1% (34/53) cases, and near-complete occlusion was achieved in 32.0% (17/53) cases by the 6-month follow-up. Two cases (3.7%) required retreatment because of major recurrence. In 4% (2/50) patients, SAEs, i.e., retinal artery thromboembolism and corona radiata lacunar infarction, were reported after the procedure.

conclusionFor endovascular treatment of unruptured, wide-necked, distal ICA aneurysms, coil embolization using the newly developed Alpha stent showed excellent procedural and mid-term clinical follow-up results in terms of effectiveness and safety.

Indexed as

StentsAdultAgedCarotid Artery, InternalEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMagnetic Resonance AngiographyMaleMiddle AgedProspective StudiesRecurrenceThromboembolismTreatment OutcomeAdultsAneurysmsCoil embolisationStent graftsStents

Identifiers

PMID31997598
PMCPMC6992434
OpenAlexW2995527682

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.