Evidence map›Paper›PMID 32140782›Full record

ArticleNeuroradiology2020

Retreatment strategies for recurrent and residual aneurysms after treatment with flow-diverter devices.

Lukas Goertz, Nina Hesse, Thomas Liebig, Wael Ahmad, Nuran Abdullayev, Boris Krischek, Christoph Kabbasch, Franziska Dorn

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Flow diverter retreatment for intracranial aneurysms: A meta-analysis of efficacy and feasibility.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
  3. A novel endoleak classification for intracranial aneurysm flow diversion: A retrospective case series.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  4. Observational
  5. Article
  6. Article
  7. Retreatment of previously flow diverted intracranial aneurysms with the pipeline embolization device.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  8. Article
  9. Retrospective analysis of intracranial aneurysms after flow diverter treatment including color-coded imaging (syngo iFlow) as a predictor of aneurysm occlusion.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  10. 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 3 institutions in 1 country.

Lukas GoertzDepartment of Neuroradiology, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany. lukas.goertz@uk-koeln.de.
Nina HesseDepartment of Radiology, LMU University Hospital of Munich, Munich, Germany.
Thomas LiebigDepartment of Neuroradiology, LMU University Hospital of Munich, Munich, Germany.
Wael AhmadDepartment of Vascular and Endovascular Surgery, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany.
Nuran AbdullayevDepartment of Neuroradiology, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany.
Boris KrischekCenter for Neurosurgery, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany.
Christoph KabbaschDepartment of Neuroradiology, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany.
Franziska DornDepartment of Neuroradiology, LMU University Hospital of Munich, Munich, Germany.
University of Cologne · DELudwig-Maximilians-Universität München · DELMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe management of residual or persistent intracranial aneurysms after flow-diversion therapy is not well defined in the literature. In this multicentric study, we report clinical and angiographic outcomes of 11 patients that underwent retreatment for 12 aneurysms initially treated with flow-diverter stents.

methodsThe median patient age was 53 years. Aneurysms (median size, 7.3 mm) were located at the internal carotid artery in 9 cases, and at the posterior circulation in 3. Treatment strategies, complications, and angiographic outcome were retrospectively assessed.

resultsRetreatment was feasible in all cases and performed by overlapping flow-diverter implantation. Overall, 12 side vessels were covered during retreatment, whereof 10 (83.3%) remained patent until mid-term follow-up. There were no further technical or symptomatic complications and no treatment-related morbidity. Angiographic follow-up (median, 17 months) showed improved aneurysm occlusion in all patients. Complete or near-complete aneurysm occlusion was achieved in 11 aneurysms (91.7%).

conclusionRequired retreatment after failed flow-diversion therapy can be performed with adequate safety and efficacy by placement of additional flow-diverter stents.

Indexed as

Cerebral AngiographyAdultAgedAngiography, Digital SubtractionEndovascular ProceduresFemaleGermanyHumansIntracranial AneurysmMaleMiddle AgedRecurrenceRetreatmentRetrospective StudiesAngiographyEndovascular treatmentFlow-diverterPipeline

Identifiers

PMID32140782
OpenAlexW3010545667

What OpenQuestion holds

Textmetadata
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.