Evidence map›Paper›PMID 34245147›Full record

ArticleNeurosurgery2021

Aneurysm Wall Enhancement Is Associated With Decreased Intrasaccular IL-10 and Morphological Features of Instability.

Vanessa M Swiatek, Belal Neyazi, Jorge A Roa, Mario Zanaty, Edgar A Samaniego, Daizo Ishii, Yongjun Lu, I Erol Sandalcioglu, Sylvia Saalfeld, Philipp Berg and 1 more

Abstract read
In one paragraph

Article in Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Mendelian randomization studies on cardiometabolic factors and intracranial aneurysms: A systematic literature analysis.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Vanessa M SwiatekDeparment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Belal NeyaziDeparment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Jorge A RoaDeparment of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Mario ZanatyDeparment of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Edgar A SamaniegoDeparment of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Daizo IshiiDeparment of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Yongjun LuDeparment of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
I Erol SandalciogluDeparment of Neurosurgery, Otto-von-Guericke University, Magdeburg, Saxony Anhalt, Germany.
Sylvia SaalfeldDeparment of Simulation and Graphics, University of Magdeburg, Magdeburg, Saxony Anhalt, Germany.
Philipp BergResearch Campus STIMULATE, Magdeburg, Saxony Anhalt, Germany.
David M HasanDeparment of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Funding

PROGRAM IN HEMOSTASIS AND THROMBOSIS FOR ACADEMICT32HL007344 · NHLBI · UNIVERSITY OF IOWA · PI Anil Kumar Chauhan, Steven R Lentz · 1985 to 2026
$6.5M
15-PGDH as a better therapeutic target than aspirin in decreasing risk of intracranial aneurysm rupture in men and women equallyR01NS107293 · NINDS · UNIVERSITY OF IOWA · PI HASAN, DAVID M. · 2019 to 2023
$1.7M
NHLBI NIH HHS T32 HL007344NINDS NIH HHS R01 NS107293
6 · The paper itself

Abstract

backgroundHigh-resolution vessel wall imaging plays an increasingly important role in assessing the risk of aneurysm rupture.

objectiveTo introduce an approach toward the validation of the wall enhancement as a direct surrogate parameter for aneurysm stability.

methodsA total of 19 patients harboring 22 incidental intracranial aneurysms were enrolled in this study. The aneurysms were dichotomized according to their aneurysm-to-pituitary stalk contrast ratio using a cutoff value of 0.5 (nonenhancing < 0.5; enhancing ≥ 0.5). We evaluated the association of aneurysm wall enhancement with morphological characteristics, hemodynamic features, and inflammatory chemokines directly measured inside the aneurysm.

resultsDifferences in plasma concentration of chemokines and inflammatory molecules, morphological, and hemodynamic parameters were analyzed using the Welch test or Mann-Whitney U test. The concentration ΔIL-10 in the lumen of intracranial aneurysms with low wall enhancement was significantly increased compared to aneurysms with strong aneurysm wall enhancement (P = .014). The analysis of morphological and hemodynamic parameters showed significantly increased values for aneurysm volume (P = .03), aneurysm area (P = .044), maximal diameter (P = .049), and nonsphericity index (P = .021) for intracranial aneurysms with strong aneurysm wall enhancement. None of the hemodynamic parameters reached statistical significance; however, the total viscous shear force computed over the region of low wall shear stress showed a strong tendency toward significance (P = .053).

conclusionAneurysmal wall enhancement shows strong associations with decreased intrasaccular IL-10 and established morphological indicators of aneurysm instability.

Indexed as

Aneurysm, RupturedIntracranial AneurysmHemodynamicsHumansInterleukin-10Stress, MechanicalIL10 protein, humanInterleukin-10HemodynamicsInflammationIntracranial aneurysmMagnetic resonance imagingMorphologyWall enhancement

Identifiers

PMID34245147
PMCPMC8578742

What OpenQuestion holds

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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.