Evidence map›Paper›PMID 33245069›Full record

ArticleActa bio-medica : Atenei Parmensis2020

Flow diverting devices in acute ruptured blood blister aneurysms: a three centric retrospective study.

Francesca Incandela, Giuseppe Craparo, Sergio Abrignani, Agostino Tessitore, Antonio Pitrone, Ferdinando Caranci, Antonio Arrichiello, Aldo Paolucci

Abstract readMulticenter Study
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  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

8 authors.

Francesca Incandela1. Section of Radiological Sciences, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy. incandelaf.radiologia@gmail.com.
Giuseppe CraparoNeuroradiology Unity of diagnostic and intervention, A.R.N.A.S. Civico-Di Cristina-Benfratelli, Palermo, Italy. giuseppe.craparo@arnascivico.it.
Sergio AbrignaniDepartment of Diagnostic Radiology and Radiotherapy, Federico II University of Naples, Naples, Italy. sergio.abrignani@arnascivico.it.
Agostino TessitoreNeuroradiology Unit, A.O.U. Policlinico "G.Martino" - Messina, Italy. tessitore.agostino@gmail.com.
Antonio PitroneNeuroradiology Unit, A.O.U. Policlinico "G.Martino" - Messina, Italy . a.pitrone@tin.it.
Ferdinando CaranciDepartment of Diagnostic Radiology and Radiotherapy, Federico II University of Naples, Naples, Italy. ferdinando.caranci@unicampania.it.
Antonio ArrichielloPostgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan. arrichielloantonio@gmail.com.
Aldo PaolucciOperative Unit of Neuroradiology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. aldo.paolucci@policlinico.mi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlood blister aneurysms (BBAs) are a rare tiny subset of intracranial aneurysms, located at the nonbranching site of an artery, representing a therapeutic challenge from both surgical and endovascular approach. Flow-diverting efficacy, by preserving flow through the parent artery, was approved for its use in unruptured cerebral aneurysms, but no consensus was reached on its use for BBAs ruptured in the acute setting. We report a multicenter experience of use of flow diversion in acute setting of ruptured BBA, to analyze the safety and efficacy of these devices.

methodsWe performed a retrospective study of 6 consecutive intracranial BBAs treated with flow diverter devices (FDD) between 2018 and 2020 at 3 italian institutions. Materials, therapy used, complications, clinical and radiographic outcomes were reviewed.

resultsWe used different FDD, in all cases immediate change in contrast opacification at the end of the procedure was reported. Intraprocedural IIb/IIIa inhibitor agent was the major antiplatelet protocol administered. Any complications occurred. All patients showed complete BBA obliteration at 3 months follow-up. 5/6 patients achieved good clinical outcome (0-2 mRS) at 3 months, all of which were presented with low grade SAH (Hunt Hess I-III) and a lower Fisher grade.

conclusionOur data support this endovascular technique as a safe and effective therapeutic modality for this pathology in the acute setting.

Indexed as

Aneurysm, RupturedIntracranial AneurysmCerebral AngiographyHumansRetrospective StudiesTreatment Outcome

Identifiers

PMID33245069
PMCPMC8023071

What OpenQuestion holds

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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.