Evidence map›Paper›PMID 34377286›Full record

ArticleAmerican journal of translational research2021

Microsurgical clipping vs. arterial embolization in the treatment of ruptured anterior circulation aneurysms.

Yongfeng Ba, Chaoyong Zhang, Jinbang Huang, Xiangting Hua, Tao Cui, Shiwei Zhao, Ge Gao

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

Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 2 institutions in 1 country.

Yongfeng BaDepartment of Neurosurgery, Taihe County People's Hospital Fuyang, Anhui Province, China.
Chaoyong ZhangDepartment of Neurosurgery, Taihe County People's Hospital Fuyang, Anhui Province, China.
Jinbang HuangDepartment of Neurosurgery, Taihe County People's Hospital Fuyang, Anhui Province, China.
Xiangting HuaDepartment of Neurosurgery, Taihe County People's Hospital Fuyang, Anhui Province, China.
Tao CuiDepartment of Neurosurgery, Taihe County People's Hospital Fuyang, Anhui Province, China.
Shiwei ZhaoDepartment of Neurosurgery, Taihe County People's Hospital Fuyang, Anhui Province, China.
Ge GaoDepartment of Neurosurgery, The First Affiliated Hospital of USTC, Anhui Provincial Hospital Hefei, Anhui Province, China.
Fuyang City People's Hospital · CNAnhui Provincial Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to compare the efficacy of microsurgical clipping of intracranial aneurysms with that of arterial embolization in the treatment of ruptured anterior circulation aneurysms.

methodsThe clinical data of 68 patients treated in our hospital for ruptured anterior circulation aneurysms between January 2017 and March 2020 were analyzed retrospectively. According to the surgical methods, the patients were divided into two groups: the microsurgical clipping group (30 cases) and the arterial embolization group (38 cases). The following markers were compared between the two groups: Hunt-Hess classification (HHC) grading, aneurysm occlusion rate, and incidence of postoperative complications, length of hospital stay, hospitalization cost, and the scores of the Glasgow Outcome Scale, Modified Rankin Scale, and Barthel Index during the 6-months follow-up after hospital discharge.

resultsThe cases of HHC grade I and II increased in both groups at hospital discharge (both P<0.05), and there was no intergroup difference in this marker (P>0.05). The complete occlusion rate in the microsurgical clipping group was higher than that in the arterial embolization group (P<0.05). Compared with the microsurgical clipping group, the arterial embolization group had shorter length of hospital stay and higher hospitalization cost (both P<0.05). There was no difference in the total incidence of postoperative complications between the two groups (P>0.05). However, the arterial embolization group had lower incidence of intracranial infection and higher incidence of vasospasm than the microsurgical clipping group (both P<0.05). During the follow-up, the arterial embolization group had better results in terms of the Modified Rankin Scale and Barthel Index results and had more patients with GOS score of 5 points than the microsurgical clipping group (all P<0.05).

conclusionBoth microsurgical clipping of intracranial aneurysms and arterial embolization can effectively treat ruptured anterior circulation aneurysms, and the short-term efficacy achieved by these two methods is similar. Compared with microsurgical clipping of intracranial aneurysms, arterial embolization can lead to shorter hospitalization, lower incidence of intracranial infection, and better patients' prognosis and quality of life after the operation. However, the microsurgical clipping of intracranial aneurysms can achieve higher complete occlusion rate, lower incidence of vasospasm, and lower hospitalization cost than arterial embolization.

Indexed as

arterial embolizationIntracranial aneurysmmicrosurgical clipping

Identifiers

PMID34377286
PMCPMC8340242
OpenAlexW3188191051

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.