Evidence map›Paper›PMID 32900908›Full record

Observational studyJournal of neurointerventional surgery2021

Derivo embolization device in the treatment of unruptured intracranial aneurysms: a prospective multicenter study.

Christian A Taschner, Christian Paul Stracke, Franziska Dorn, Krzysztof Bartosz Kadziolka, Kornelia Kreiser, László Solymosi, Mirko Pham, Jan Hendrik Buhk, Bernd Turowski, Wolfgang Reith and 10 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of neurointerventional surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. First clinical experience with the Derivo 2heal embolization device for the treatment of intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  7. Review
  8. Article
  9. Observational
  10. Article
  11. Article
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  14. The DERIVO®2 Embolization Device in the treatment of ruptured and unruptured intracranial aneurysms: A multicenter analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  15. Review
  16. The DERIVO 2heal embolisation device: A technical report using single antiplatelet therapy for intracranial pseudoaneurysm treatment.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  17. Article
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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

20 authors at 13 institutions in 2 countries.

Christian A TaschnerDepartment of Neuroradiology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg im Breisgau, Germany christian.taschner@uniklinik-freiburg.de.
Christian Paul StrackeDepartment of Intracranial Endovascular Therapy, Alfried Krupp Krankenhaus Essen, Essen, Germany.ORCID http://orcid.org/0000-0003-1242-4372
Franziska DornDepartment of Neuroradiology, LMU University Hospital of Munich, Munich, Germany.
Krzysztof Bartosz KadziolkaEndovascular Neurosurgery, Neurosurgery Department, The Children's Memorial Health Institute, Western Hospital, Grodzisk Mazowiecki, Poland.
Kornelia KreiserDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
László SolymosiDepartment of Neuroradiology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0001-9647-8647
Mirko PhamDepartment of Neuroradiology, University Hospital Würzburg, Würzburg, Germany.
Jan Hendrik BuhkKlinik und Poliklinik für Neuroradiologische Diagnostik und Intervention, Universitätsklinikum Hamburg Eppendorf, Hamburg, Germany.
Bernd TurowskiDepartment of Neuroradiology, University Hospital of Düsseldorf, Düsseldorf, Germany.
Wolfgang ReithDepartment of Diagnostic and Interventional Neuroradiology, Saarland University, Homburg-Saar, Germany.
Samer ElsheikhDepartment of Neuroradiology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg im Breisgau, Germany.
Stephan MeckelDepartment of Neuroradiology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg im Breisgau, Germany.
Hendrik JanssenDepartment of Neuroradiology, Paracelsus Medical University, Nuremberg, Germany.ORCID http://orcid.org/0000-0001-5903-1280
Alexander HammerDepartment of Neuroradiology, Paracelsus Medical University, Nuremberg, Germany.
Oliver BeuingDepartment of Neuroradiology, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
Olav JansenDepartment of Radiology and Neuroradiology, Campus Kiel, University Hospital Schleswig-Holstein, Kiel, Germany.
Horst UrbachDepartment of Neuroradiology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg im Breisgau, Germany.
Michael KnauthInstitute for Diagnostic and Interventional Neuroradiology, University Medicine Göttingen, Göttingen, Germany.
Carolin JenknerFaculty of Medicine, Universityof Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-8478-0045
René ChapotDepartment of Intracranial Endovascular Therapy, Alfried Krupp Krankenhaus Essen, Essen, Germany.ORCID http://orcid.org/0000-0002-2584-8361
University of Freiburg · DEAlfried Krupp Hospital · DEParacelsus Medizinische Privatuniversität · DEUniversitätsklinikum Würzburg · DEChildren's Memorial Health Institute · PLChristian-Albrechts-Universität zu Kiel · DEDüsseldorf University Hospital · DELMU Klinikum · DEOtto-von-Guericke-Universität Magdeburg · DESaarland University · DETUM Klinikum · DEUniversitätsmedizin Göttingen · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlow diverters (FD) are used regularly for the endovascular treatment of unruptured intracranial aneurysms. We aimed to assess the safety and effectiveness of the Derivo embolization device (DED) with respect to long-term clinical and angiographic outcomes.

methodsA prospective multicenter trial was conducted at 12 centers. Patients presenting with modified Rankin Score (mRS) of 0-1, treated for unruptured intracranial aneurysms with DED were eligible. Primary endpoint was the mRS assessed at 18 months with major morbidity defined as mRS 3-5. Satisfactory angiographic occlusion was defined as 3+4 on the Kamran scale.

resultsBetween July 2014 and February 2018, 119 patients were enrolled. Twenty-three patients were excluded. Ninety-six patients, 71 (74%) female, mean age 54±12.0 years, were included in the analysis. Mean aneurysm size was 14.2±16.9 mm. The mean number of devices implanted per patient was 1.2 (range 1-3). Clinical follow-up at 18 months was available in 90 (94%) patients, resulting in a mean follow-up period of 14.8±5.2 months. At last available follow-up of 96 enrolled patients, 91 (95%) remained mRS 0-1. The major morbidity rate (mRS 3-5) was 3.1% (3/96), major stroke rate was 4.2% (4/96), and mortality was 0%. Follow-up angiographies were available in 89 (93%) patients at a median of 12.4±5.84 months with a core laboratory adjudicated satisfactory aneurysm occlusion in 89% (79/89).

conclusionOur results suggest that DED is a safe and effective treatment for unruptured aneurysms with high rates of satisfactory occlusion and comparably low rates of permanent neurological morbidity and mortality.

trial registrationDRKS00006103.

Indexed as

AdultAgedCerebral AngiographyEmbolization, TherapeuticEndovascular ProceduresFemaleFollow-Up StudiesHumansIntracranial AneurysmMaleMiddle AgedProspective StudiesTreatment Outcomeaneurysmflow diverter

Identifiers

PMID32900908
PMCPMC8142444
OpenAlexW3083864468

What OpenQuestion holds

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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.