Evidence map›Paper›PMID 33509011›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2021

Flow diverter stents in the treatment of recanalized intracranial aneurysms.

Erol Akgul, Hasan Bilen Onan, Irem Islek, Mehmet Tonge, Yavuz Durmus, Mehmet Barburoglu, Aynur Azizova, Cengiz Erol, Bahattin Hakyemez, Serra Sencer and 2 more

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Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2021. 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
–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

7 citing papers in PubMed.

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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

12 authors.

Erol AkgulInterventional Neuroradiology Section, Radiology Department, International School of Medicine, Istanbul Medipol University, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-0020-3759
Hasan Bilen OnanRadiology Department, School of Medicine, Cukurova University, Adana, Turkey.
Irem IslekRadiology Department, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Mehmet TongeNeurosurgery Department, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Yavuz DurmusRadiology Department, Bursa Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey.
Mehmet BarburogluDepartment of Neuroradiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Aynur AzizovaRadiology Department, School of Medicine, Hacettepe University, Ankara, Turkey.
Cengiz ErolRadiology Department, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Bahattin HakyemezRadiology Department, School of Medicine, Uludag University, Bursa, Turkey.
Serra SencerDepartment of Neuroradiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Kubilay AydinDepartment of Neuroradiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Anil AratRadiology Department, School of Medicine, Hacettepe University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the safety and efficacy of flow diverter stents (FDSs) in the treatment of recanalized or residual intracranial aneurysms treated endovascularly. MATERIALS &

methodsPatients whose recanalized or residual aneurysms were treated with FDSs in five tertiary hospitals were reviewed retrospectively. The patients' demographic data, aneurysm characteristics, types of previous treatment, and clinical complications, or serious adverse events associated with FDSs, as well as the results of neurological and angiographic follow-up assessments, were recorded.

resultsEighty-six patients (37 males) with 87 aneurysms were included in this study. Eighty (91.9%) aneurysms were in the anterior and seven (8.1%) in the posterior circulation. The initial treatment methods were the primary coiling or balloon remodeling technique in 69 (79.3%) and stent-assisted coiling in 18 (20.7%) aneurysms. The endovascular procedure was successful in all patients. Complications occurred in four patients, for a total complication rate of 4.6%. A technical complication developed in one patient (1.2%). An in-stent thrombosis treated with tirofiban was seen in two cases. Late in-stent stenosis exceeding 50% was treated with balloon angioplasty in one patient. The mean length of follow-up was 21.0 months. The first angiographic follow-up (3-6 months) revealed the complete occlusion of 74 aneurysms (85.1%). While 76 aneurysms (87.4%) were occluded at the last angiographic follow-up (mean: 26.0 months), 11 aneurysms (12.6%) were still filling. Morbimortality was zero.

conclusionThe drawback of endovascular treatment is aneurysmal remnants or recurrences, which is safely and durably amenable to flow diversion.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmCerebral AngiographyHumansMaleRetrospective StudiesStentsTreatment Outcomecerebral aneurysmendovascular treatmentflow diverterRecanalizationresidual aneurysm

Identifiers

PMID33509011
PMCPMC8580529

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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.