Evidence map›Paper›PMID 32052101›Full record

ArticleClinical neuroradiology2021

Single Center Experience in Stent-Assisted Coiling of Complex Intracranial Aneurysms Using Low-Profile Stents : The ACCLINO® Stent Versus the ACCLINO® Flex Stent.

Philipp Dietrich, Alica Gravius, Ruben Mühl-Benninghaus, Umut Yilmaz, Michael Kettner, Hagen Bomberg, Wolfgang Reith, Andreas Simgen

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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. 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
  2. Endovascular Treatment of Intracranial Aneurysms.Life (Basel, Switzerland) · 2021
    Review
  3. Observational
  4. 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.

Philipp DietrichDepartment of Neuroradiology, Universitätsklinikum des Saarlandes, Medizinische Fakultät, Universität des Saarlandes, Kirrbergerstraße, 66421, Homburg/Saar, Germany. philipp.dietrich1@gmx.de.ORCID http://orcid.org/0000-0003-3104-042X
Alica GraviusDepartment of Neuroradiology, Universitätsklinikum des Saarlandes, Medizinische Fakultät, Universität des Saarlandes, Kirrbergerstraße, 66421, Homburg/Saar, Germany.
Ruben Mühl-BenninghausDepartment of Neuroradiology, Universitätsklinikum des Saarlandes, Medizinische Fakultät, Universität des Saarlandes, Kirrbergerstraße, 66421, Homburg/Saar, Germany.
Umut YilmazDepartment of Neuroradiology, Universitätsklinikum des Saarlandes, Medizinische Fakultät, Universität des Saarlandes, Kirrbergerstraße, 66421, Homburg/Saar, Germany.
Michael KettnerDepartment of Neuroradiology, Universitätsklinikum des Saarlandes, Medizinische Fakultät, Universität des Saarlandes, Kirrbergerstraße, 66421, Homburg/Saar, Germany.
Hagen BombergDepartment of Anaesthesiology, Universitätsklinikum des Saarlandes und Medizinische Fakultät, Universität des Saarlandes, Homburg/Saar, Germany.
Wolfgang ReithDepartment of Neuroradiology, Universitätsklinikum des Saarlandes, Medizinische Fakultät, Universität des Saarlandes, Kirrbergerstraße, 66421, Homburg/Saar, Germany.
Andreas SimgenDepartment of Neuroradiology, Universitätsklinikum des Saarlandes, Medizinische Fakultät, Universität des Saarlandes, Kirrbergerstraße, 66421, Homburg/Saar, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe introduction of low-profile stent systems has broadened and facilitated the treatment of complex intracranial aneurysms. This retrospective case series study was conducted to assess and compare the clinical and angiographic outcomes of patients with complex intracranial aneurysms who were treated with ACCLINO® (AS) and ACCLINO® flex stents (AFS).

methodsIn 85 patients (female 61; male 24) a total of 95 complex intracranial aneurysms, 71 (74.7%) in the anterior circulation and 24 (25.3%) in the posterior circulation were treated. Angiographic and clinical data, aneurysm characteristics and follow-up results were analyzed.

resultsThe AS was used in 47 cases (49.5%) and the AFS in 48 cases (50.5%). Initial angiography after the intervention showed a complete occlusion in 52.6% (Raymond-Roy occlusion classification [RROC] 1), a neck remnant in 38.9% (RROC 2) and an incomplete occlusion in 8.4% (RROC 3). Follow-up (AS: 25.2 ± 15.4 months; AFS: 9.6 ± 8.0 months) revealed an occlusion rate of 70.5% (RROC 1), 27.4% (RROC 2) and 2.1% (RROC 3). There was no statistically significant difference between the initial (p = 0.484) and the follow-up occlusion rate (p = 0.284) when comparing the two devices. Recoiling was performed in 8 cases (8.4%). The overall complication rate was 9.5% with 5 strokes (5.3%), 2 hemorrhages (2.1%), 1 in-stent stenosis (1.1%), 1 stent occlusion (1.1%) and 2 stent thromboses (2.1%). There was no procedure-related mortality.

conclusionUsing the ACCLINO® and ACCLINO® flex stent system is a feasible and effective procedure with an acceptable safety profile. Initial and follow-up angiographic results were satisfactory.

Indexed as

Embolization, TherapeuticIntracranial AneurysmCerebral AngiographyFemaleFollow-Up StudiesHumansMaleRetrospective StudiesStentsTreatment OutcomeAneurysmCoilDeviceInterventionStent

Identifiers

PMID32052101

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.