Evidence map›Paper›PMID 32572512›Full record

ArticleNeuroradiology2020

Treatment with flow diverter stent during pregnancy.

Raoul Pop, Helene Cebula, Aude Lambert, Dan Mihoc, Monica Manisor, Cosmin Cindea, Anca Hasiu, Philippe Deruelle, Salvatore Chibbaro, Luc Mertz and 2 more

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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  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

12 authors at 3 institutions in 1 country.

Raoul PopInterventional Neuroradiology Department, Strasbourg University Hospitals, Strasbourg, France. pop.raoul@gmail.com.ORCID http://orcid.org/0000-0003-4417-1496
Helene CebulaNeurosurgery Department, Strasbourg University Hospitals, Strasbourg, France.
Aude LambertPharmacology Department, Strasbourg University Hospitals, Strasbourg, France.
Dan MihocInterventional Neuroradiology Department, Strasbourg University Hospitals, Strasbourg, France.
Monica ManisorInterventional Neuroradiology Department, Strasbourg University Hospitals, Strasbourg, France.
Cosmin CindeaInterventional Neuroradiology Department, Strasbourg University Hospitals, Strasbourg, France.
Anca HasiuInterventional Neuroradiology Department, Strasbourg University Hospitals, Strasbourg, France.
Philippe DeruelleObstetrics and Gynecology Department, Strasbourg University Hospitals, Strasbourg, France.
Salvatore ChibbaroNeurosurgery Department, Strasbourg University Hospitals, Strasbourg, France.
Luc MertzMedical Physics Department, Strasbourg University Hospitals, Strasbourg, France.
Francois ProustNeurosurgery Department, Strasbourg University Hospitals, Strasbourg, France.
Remy BeaujeuxInterventional Neuroradiology Department, Strasbourg University Hospitals, Strasbourg, France.
Université de Strasbourg · FRHôpitaux Universitaires de Strasbourg · FRInstitut de Chirurgie Guidée par l'Image · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intracranial aneurysms are rarely diagnosed during pregnancy. If treatment is necessary, surgery was traditionally preferred over embolization in case of ongoing pregnancy, due to concerns regarding foetal radiation exposure. We present a case of 21 mm unruptured carotid-ophthalmic aneurysm diagnosed during pregnancy and treated with flow diversion. Foetal radiation dose was estimated between 1 and 5 mGy, well below recommended limits. Double antiplatelet therapy with prasugrel and aspirin was administered between week 17 and week 37, followed by uneventful vaginal delivery at 39 weeks. The new-born infant did not present any clinical abnormalities. Post-natal angiography showed complete aneurysm occlusion. To our knowledge, this is the first report of flow diverter stent placement during ongoing pregnancy. Although a good outcome was observed in this case, this result should be interpreted with caution. Further studies are needed in order to better define the safety profiles of intracranial stents and double antiplatelet therapies during pregnancy.

Indexed as

StentsAdultAngiography, Digital SubtractionCerebral AngiographyEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMagnetic Resonance AngiographyPlatelet Aggregation InhibitorsPregnancyPregnancy Complications, CardiovascularPregnancy OutcomePlatelet Aggregation InhibitorsAneurysmFlow diverterPregnancyStent

Identifiers

PMID32572512
OpenAlexW3036732432

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.