Evidence map›Paper›PMID 34233547›Full record

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

Early clinical experience with the p48MW HPC and p64MW HPC flow diverters in the anterior circulation aneurysm using single anti-platelet treatment.

Pervinder Bhogal, Andrey Petrov, Ganbaatar Rentsenkhu, Baatarjan Nota, Erdenebat Ganzorig, Boldbat Regzengombo, Sara Jagusch, Elina Henkes, Hans Henkes

Open access · greenAbstract read
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 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Single antiplatelet regimen in flow diverter treatment of cerebral aneurysms: The drug matters. A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. Treatment of ruptured intracranial aneurysms using the novel generation of flow-diverters with surface modification: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
  3. Article
  4. Multicenter study of the safety and effectiveness of intracranial aneurysm treatment with the p64MW-HPC flow modulation device.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  5. 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
  6. Flow diverter surface modifications for aneurysm treatment: A review of the mechanisms and data behind existing technologies.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
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  14. 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
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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

9 authors at 4 institutions in 3 countries.

Pervinder BhogalThe Royal London Hospital, Barts NHS Trust, London, UK.ORCID https://orcid.org/0000-0002-5514-5237
Andrey PetrovVascular Neurosurgery Department, Russian Polenov Neurosurgical Institute, Branch of National Medical Research Center "Almazov", St. Petersburg, Russia.ORCID https://orcid.org/0000-0002-3112-6584
Ganbaatar RentsenkhuDepartment of Angiography, Shastin Central Hospital, Ulaanbaatar, Mongolia.ORCID https://orcid.org/0000-0002-7096-8493
Baatarjan NotaDepartment of Angiography, Shastin Central Hospital, Ulaanbaatar, Mongolia.
Erdenebat GanzorigDepartment of Angiography, Shastin Central Hospital, Ulaanbaatar, Mongolia.
Boldbat RegzengomboDepartment of Angiography, Shastin Central Hospital, Ulaanbaatar, Mongolia.
Sara Jaguschphenox GmbH, Bochum, Germany.
Elina HenkesNeuroradiological Clinic, Klinikum Stuttgart, Stuttgart, Germany.
Hans HenkesNeuroradiological Clinic, Klinikum Stuttgart, Stuttgart, Germany.ORCID https://orcid.org/0000-0002-6534-036X
Klinikum Stuttgart · DEPhenox (Germany) · DERoyal London Hospital · GBRussian Scientific Research Neurosurgical Institute · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe p64MW HPC and p48MW HPC flow diverters have reduced thrombogenicity due to hydrophilic coating. The purpose of this study was to evaluate its safety and efficacy in Mongolian patients under single antiplatelet therapy (SAPT) with prasugrel. MATERIALS AND

methodsWe performed a retrospective review of patients enrolled into our prospectively maintained database to identify all patients treated with either the p48MW HPC or p64MW HPC under SAPT. We recorded baseline demographics, aneurysm size and location, procedural complications, angiographic and clinical results.

results24 patients, (female = 21, 87.5%), age 48.2 ± 11.6 years (range 25-63) underwent treatment of 30 aneurysms with either p64MW HPC or p48MW HPC. All aneurysms were saccular with dome width 8.2 ± 6.5 (range 1.6-26.0 mm) and dome height 7.6 ± 6.7 (range 1.6-30.0 mm). None of the aneurysms were previously treated. The average PRU was 54.6 ± 31.2 (range 1-127) on pre-operative VerifyNow testing. Angiographic follow-up was available for 13 patients (17 aneurysms), 183 ± 36 days post-procedure, at which point 64.7% of aneurysms (n = 11/17) were completely occluded and 11.8% (n = 2/17) had only neck remnants resulting in 76.5% of aneurysms being adequately occluded A single intra-operative complication (4.2%) occurred however all patients were mRS ≤1 at last follow-up. There were two post-operative complications neither of which resulted in permanent neurological morbidity. There were no instances of post-operative aneurysmal rupture or delayed parenchymal haemorrhage. The overall mortality was 0%.

conclusionThe efficacy and safety of p64MW HPC coated devices under SAPT is similar to uncoated flow diverters that require DAPT.

Indexed as

Aneurysm, RupturedEmbolization, TherapeuticEndovascular ProceduresIntracranial AneurysmAdultFemaleHumansHydrophobic and Hydrophilic InteractionsMiddle AgedRetrospective StudiesStentsTreatment Outcomeflow diverterhydrophilic polymer coatingp48 MW HPCp64 MW HPCsingle antiplatelet therapy

Identifiers

PMID34233547
PMCPMC9178779
OpenAlexW3179400947

What OpenQuestion holds

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LicenceCC BY-NC
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.