Evidence map›Paper›PMID 32827747›Full record

ArticleWorld neurosurgery2020

Safety, Feasibility, and Patient-Rated Outcome of Sonolucent Cranioplasty in Extracranial-Intracranial Bypass Surgery to Allow for Transcranioplasty Ultrasound Assessment.

Alex R Flores, Visish M Srinivasan, Jill Seeley, Charity Huggins, Peter Kan, Jan-Karl Burkhardt

2 registry-linked trialsAbstract read
In one paragraph

Article in World neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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.

NCT05538286 narecruitingnot on this mapstarted 2022, after this paper: background citation

Transcranial Ultrasound Via Sonolucent Cranioplasty After Minimally Invasive Intracerebral Hemorrhage Evacuation

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2022 to 2027Enrolled25ConditionsTranscranial Ultrasound With Sonolucent Cranioplasty, TUSCArmsClearFit implant, transcranial ultrasonography through sonolucent cranioplasty
NCT06127615 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

The Efficacy of the Longeviti ClearFit Implant in Craniectomies for Post-Operative Monitoring in Chronic Subdural Hematomas

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2024 to 2025Enrolled0ConditionsChronic Subdural HematomaArmsClearFit
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Alex R FloresDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA. Electronic address: alexflores1901518@gmail.com.
Visish M SrinivasanDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Jill SeeleyDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Charity HugginsDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Peter KanDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Jan-Karl BurkhardtDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe sought to analyze the safety and feasibility of elective sonolucent cranioplasty in the setting of extracranial-to-intracranial (EC-IC) bypass surgery to monitor bypass patency using ultrasound.

methodsPatients who underwent direct EC-IC bypass surgery agreed to sonolucent cranioplasty at the time of surgery and received a sonolucent polymethyl methacrylate (PMMA) implant. Besides monitoring clinical outcome, all patients received transcranioplasty ultrasound (TCUS) on postoperative day 1 and at last follow-up. In addition, bypass patency was confirmed using catheter angiogram and fit of implant using computed tomography. Patient-rated outcome was assessed through phone questionnaire.

resultsEC-IC bypass surgery with PMMA cranioplasty was successful in all 7 patients with patent bypasses on postoperative angiogram. Direct TCUS was feasible in all patients, and bypass patency was monitored. There were no complications such as postoperative hemorrhagic/ischemic complications related to the bypass procedure in this patient population, as well as no complications related to the PMMA implant. Postoperative computed tomography showed favorable cosmetic results of the PMMA implant in both the pterional area for superficial temporal artery-middle cerebral artery bypasses and parietooccipital area for occipital artery-middle cerebral artery bypasses as confirmed by high-rated overall patient satisfaction with favorable cosmetic, pain, and sensory patient-rated outcomes.

conclusionsIn this study we were able to show that this novel technique is safe, allows for patency assessment of the EC-IC bypass using bedside TCUS technique, and is cosmetically satisfying for patients.

Indexed as

Cerebral RevascularizationProstheses and ImplantsAdultCraniotomyFeasibility StudiesFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresPatient SatisfactionPolymethyl MethacrylatePostoperative ComplicationsUltrasonographyPolymethyl MethacrylateExtracranial-to-intracranial bypassReal-time ultrasound monitoringSonolucent cranioplastyTranscranioplasty ultrasound

Identifiers

PMID32827747
PMCPMC7438362

What OpenQuestion holds

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Registered trials

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.