Evidence map›Paper›PMID 34078155›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2022

The Silk Vista Baby - The UK experience.

P Bhogal, Hld Makalanda, K Wong, P Keston, J Downer, J C Du Plessis, A Nania, D Simonato, M Fuschi, W Chong and 2 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Patient outcomes after treatment of brain aneurysm in small diameter vessels with the silk vista baby flow diverter: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
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  3. Review
  4. Article
  5. 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

12 authors at 4 institutions in 1 country.

P BhogalThe Royal London Hospital, London, UK.ORCID https://orcid.org/0000-0002-5514-5237
Hld MakalandaThe Royal London Hospital, London, UK.
K WongThe Royal London Hospital, London, UK.
P KestonDepartment of Clinical Neurosciences, Western General Hospital, Edinburgh, UK.
J DownerDepartment of Clinical Neurosciences, Western General Hospital, Edinburgh, UK.
J C Du PlessisDepartment of Clinical Neurosciences, Western General Hospital, Edinburgh, UK.
A NaniaDepartment of Clinical Neurosciences, Western General Hospital, Edinburgh, UK.
D SimonatoDepartment of Interventional Neuroradiology, John Radcliffe Hospital, Oxford, UK.ORCID https://orcid.org/0000-0003-3601-9136
M FuschiDepartment of Interventional Neuroradiology, John Radcliffe Hospital, Oxford, UK.
W ChongDepartment of Interventional Neuroradiology, University Hospitals Coventry and Warwickshire, Warwickshire, UK.ORCID https://orcid.org/0000-0001-5618-7132
S O'ReillyDepartment of Interventional Neuroradiology, The Royal Victoria Hospital, Belfast, UK.
I RennieDepartment of Interventional Neuroradiology, The Royal Victoria Hospital, Belfast, UK.
Western General Hospital · GBRoyal London Hospital · GBJohn Radcliffe Hospital · GBUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Silk Vista Baby (SVB) flow diverter (FDS) is the only FDS deliverable via a 0.017 inch microcatheter and is specifically designed for the distal vasculature. We sought to evaluate the safety and efficacy of the SVB. MATERIALS AND

methodsWe performed a retrospective review to identify SVB cases at 4 tertiary neurosurgical centres within the U.K. Clinical, procedural, angiographic and follow-up data were collected.

resultsWe identified 60 patients (35 female, 58%) of average age 54 ± 10.5 (range 30-72) with 61 aneurysms, 50 (81.9%) located in the anterior circulation. The majority of the aneurysms treated were unruptured (46, 75.4%) and saccular (46, 75.4%). Dome size was 6.2 ± 6.2 mm (range 1-36mm) and parent vessel diameter was 2.3 ± 0.4 mm (range 1.2-3.3 mm).An average number of 1.07 devices were implanted. Coils or other devices were implanted in 14 aneurysms (23.3%). At last angiographic follow-up (n = 55), 7.5 ± 4.2 months post-procedure, 32 aneurysms (57.1%) were graded as RRC I, 7 (12.5%) RRC II, and 17 RRC III (30.4%).Clinical complications, excluding death, were seen in 4 patients (6.8%) including 1 delayed aneurysm rupture and 3 symptomatic ischaemic events. Only one patient had permanent morbidity (mRS 1). 3 patients died during follow-up (5.1%); 2 deaths were related to the aneurysms (3.4%) - one ruptured dissecting MCA aneurysm, and one giant partially thrombosed posterior circulation aneurysm. 93% of patients were mRS ≤ 2 at last follow-up.

conclusionThe SVB has high rates of technical success and an acceptable safety profile. Distal aneurysms may occlude slower due to relative oversizing of the devices.

Indexed as

Endovascular ProceduresIntracranial AneurysmAdultFemaleHumansMaleMiddle AgedRetrospective StudiesSilkStentsTreatment OutcomeUnited KingdomSilkaneurysmflow diversionSVB

Identifiers

PMID34078155
PMCPMC9131493
OpenAlexW3165537600

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.