Evidence map›Paper›PMID 32419609›Full record

ArticleThe neuroradiology journal2020

Application of flow diverters in the treatment of aneurysms in the internal carotid artery bifurcation region.

Mostafa Mahmoud, Ahmed Farag, Mostafa Farid, Ahmed Elserwi, Amr Abdelsamad, Wessam Guergues, Farouk Hassan

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Article in The neuroradiology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Review
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

7 authors.

Mostafa MahmoudRadiology Department, Ain Shams University Hospital, Egypt.ORCID https://orcid.org/0000-0003-2247-5843
Ahmed FaragRadiology Department, Ain Shams University Hospital, Egypt.
Mostafa FaridRadiology Department, Ain Shams University Hospital, Egypt.
Ahmed ElserwiRadiology Department, Ain Shams University Hospital, Egypt.
Amr AbdelsamadRadiology Department, Ain Shams University Hospital, Egypt.
Wessam GuerguesRadiology Department, Ain Shams University Hospital, Egypt.
Farouk HassanRadiology Department, Cairo University, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe treatment of aneurysms in the internal carotid bifurcation region (ICABR), including aneurysms of the true internal carotid artery (ICA) terminus, those inclined on the proximal A1 or M1 segments or at the most distal pre-bifurcation (ICA) segment, is often challenging in microsurgical clipping and endovascular surgery. Few reports had discussed flow diversion as a therapeutic option for this group.

methodsThis was a retrospective study analysing flow diversion in treating ICABR aneurysms. Seven patients harbouring eight aneurysms in the ICABR were treated with flow diversion. Five aneurysms were inclined on the proximal A1 segment, and three were located at the most distal pre-bifurcation segment. Patients' demographics, presentation, procedure technical description, angiographic and clinical follow-up were recorded. PubMed and Ovid MEDLINE were also reviewed for articles published in English, including case series or case reports, for ICABR aneurysms treated with flow diverters.

resultsAll patients except one underwent angiographic follow-up. The Karman-Byrne occlusion scale was used to determine the occlusion rate. All six patients with documented angiographic follow-up had a class IV occlusion score. No permanent or transient neurological or non-neurological complications were encountered in this study.

conclusionTreating ICABR aneurysms using flow diversion is feasible, with a promising angiographic occlusion rate. Further studies are needed to analyse long-term clinical and angiographic results.

Indexed as

Carotid Artery, InternalAdultAngiography, Digital SubtractionCarotid Artery DiseasesCerebral AngiographyEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedPlatelet Aggregation InhibitorsRetrospective StudiesPlatelet Aggregation Inhibitorsbifurcation aneurysmsFlow diverterICA terminationICA terminusproximal A1 segment

Identifiers

PMID32419609
PMCPMC7416353

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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.