Evidence map›Paper›PMID 32596773›Full record

ArticleCVIR endovascular2020

Endovascular flow-diversion of visceral and renal artery aneurysms using dual-layer braided nitinol carotid stents.

Penelope van Veenendaal, Julian Maingard, Hong Kuan Kok, Dinesh Ranatunga, Tim Buckenham, Ronil V Chandra, Michael J Lee, Duncan Mark Brooks, Hamed Asadi

Open access · goldAbstract read
In one paragraph

Article in CVIR endovascular, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

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  7. Retreatment of a recanalized splenic artery aneurysm using a low-profile microembolization platform.Journal of vascular surgery cases and innovative techniques · 2020
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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

9 authors at 4 institutions in 2 countries.

Penelope van VeenendaalInterventional Radiology Unit - Monash Imaging, Monash Health, Melbourne, Australia.
Julian MaingardInterventional Neuroradiology Unit, Monash Health, Melbourne, Australia. julian.maingard@gmail.com.ORCID http://orcid.org/0000-0001-8958-2411
Hong Kuan KokSchool of Medicine - Faculty of Health, Deakin University, Waurn Ponds, Australia.
Dinesh RanatungaInterventional Radiology Service - Department of Radiology, Austin Hospital, Melbourne, Australia.
Tim BuckenhamInterventional Radiology Unit - Monash Imaging, Monash Health, Melbourne, Australia.
Ronil V ChandraInterventional Neuroradiology Unit, Monash Health, Melbourne, Australia.
Michael J LeeInterventional Radiology Service - Department of Radiology, Beaumont Hospital, Dublin, Ireland.
Duncan Mark BrooksSchool of Medicine - Faculty of Health, Deakin University, Waurn Ponds, Australia.
Hamed AsadiInterventional Radiology Unit - Monash Imaging, Monash Health, Melbourne, Australia.
Deakin University · AUMonash Health · AUAustin Hospital · AURoyal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVisceral and renal artery aneurysms (VRAAs) are uncommon but are associated with a high mortality rate in the event of rupture. Endovascular treatment is now first line in many centres, but preservation of arterial flow may be difficult in unfavourable anatomy including wide necked aneurysms, parent artery tortuosity and proximity to arterial bifurcations. Endovascular stenting, and in particular flow-diversion, is used in neurovascular intervention to treat intracranial aneurysms but is less often utilised in the treatment of VRAAs. The CASPER stent is a low profile dual-layer braided nitinol stent designed for carotid stenting with embolic protection and flow-diversion properties. We report the novel use of the CASPER stent for the treatment of VRAAs. We present a case series describing the treatment of six patients with VRAAs using the CASPER stent.

resultsSix patients with unruptured VRAAs were treated electively. There were three splenic artery aneurysms and three renalartery aneurysms. Aneurysms were treated with the CASPER stent, with or without loose aneurysm coil packing or liquid embolic depending on size and morphology. All stents were successfully deployed with no immediate or periprocedural complications. Four aneurysms completely occluded after serial imaging follow up with one case requiring repeat CASPER stenting for complete occlusion. In one patient a single aneurysm remained patent at last follow up, A single case was complicated by delated splenic infarction and surgical splenectomy.

conclusionPreliminary experience with the CASPER stent suggests it is technically feasible and effective for use in the treatment of VRAAs.

Indexed as

AneurysmCASPERDual layerRenalSplenicStentVisceral

Identifiers

PMID32596773
PMCPMC7321844
OpenAlexW3037903413

What OpenQuestion holds

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LicenceCC BY
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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.