Evidence map›Paper›PMID 34425637›Full record

ArticleNeurointervention2021

REtrospective Multicenter INdian Study of Derivo Embolization Device (REMIND): Periprocedural Safety.

Niranjan Prakash Mahajan, Mudasir Mushtaq, Amit Bhatti, Sukalyan Purkayastha, Nitin Dange, Mathew Cherian, Vipul Gupta, Vikram Huded

Open access · diamondAbstract read
In one paragraph

Article in Neurointervention, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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

8 authors at 5 institutions in 1 country.

Niranjan Prakash MahajanDivision of Interventional Neurology, Department of Neurology, Mazumdar Shaw Medical Centre, Narayana Health City, Bangalore, India.
Mudasir MushtaqDivision of Interventional Neurology, Department of Neurology, Mazumdar Shaw Medical Centre, Narayana Health City, Bangalore, India.
Amit BhattiDivision of Interventional Neurology, Department of Neurology, Mazumdar Shaw Medical Centre, Narayana Health City, Bangalore, India.
Sukalyan PurkayasthaDepartment of Interventional Neuroradiology, Institute of Neurosciences, Kolkata, India.
Nitin DangeDepartment of Neurosurgery, King Edward Memorial Hospital and Seth G.S. Medical College, Mumbai, India.
Mathew CherianDepartment of Diagnostic and Interventional Radiology, Kovai Medical Centre and Hospital, Coimbatore, India.
Vipul GuptaDepartment of Neurointerventional Surgery, Artemis Hospital, Gurugram, India.
Vikram HudedDivision of Interventional Neurology, Department of Neurology, Mazumdar Shaw Medical Centre, Narayana Health City, Bangalore, India.
Narayana Health · INArtemis Hospitals · INInstitute of Neurosciences Kolkata · INKing Edward Memorial Hospital and Seth G.S. Medical College · INKovai Medical Center and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe treatment of aneurysms with characteristics such as complex morphology, fusiform, blister-like, wide neck, or large size has been revolutionized with the introduction of flow diverters. Though flow diverters have several advantages over coiling, they also have certain important disadvantages such as the lack of immediate protection against rupture, the risk of ischemic stroke, the need for antiplatelet therapy, and long latency for complete effect. The Derivo Embolization Device (DED) is a second-generation self-expanding device that is claimed to be less thrombogenic than conventional devices. We retrospectively evaluated the periprocedural safety and risks associated with the DED across 5 centers in India. MATERIALS AND

methodsThis is a multicentric, retrospective, observational study of DED, conducted at 5 high volume endovascular therapy centers in India from May 2018 to June 2020. Periprocedural demographic, clinical, and angiographic data were collected from a retrospective review of patient charts.

resultsA total of 96 patients, including 56 (58.3%) females, aged between 16-80 years (60±12.7 years) harboring 106 aneurysms were studied. Seven (7.3%) were noted to harbor multiple aneurysms: 6 had 3 aneurysms each, while 1 patient had 5 aneurysms. The following aneurysm characteristics were noted: average size, 9.8±8.2 mm; average neck size, 6.9±8.5 mm; wide-necked (>4 mm), 63 (59.4%); giant (>25 mm), 8 (7.5%); and anterior circulation location, 98 (92.5%). Eighteen (17%) of these were ruptured. Additional balloon angioplasty was performed in 5 (5.2%) patients. Intraprocedural problems were encountered in 3 (3.1%), of which only 1 had clinical implications, the device fish-mouthing with stent thrombosis resulting in a malignant middle cerebral artery territory infarction. The modified Rankin scale at 3 months was worse in 1 patient.

conclusionDED is a newer generation flow diverter stent with a low periprocedural complication rate.

Indexed as

AneurysmEmbolismHemorrhageStentsThrombosis

Identifiers

PMID34425637
PMCPMC8561030
OpenAlexW3195623605

What OpenQuestion holds

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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.