Evidence map›Paper›PMID 34476993›Full record

ReviewThe neuroradiology journal2022

Reconstructive endovascular treatment of basilar artery fenestration aneurysms: A multi-centre experience and literature review.

Hanna Styczen, Sebastian Fischer, Matthias Gawlitza, Lukas Meyer, Lukas Goertz, Christoph Maurer, Maria Alexandrou, Ali Khanafer, Donald Lobsien, Cornelius Deuschl and 7 more

Open access · greenAbstract readReview
In one paragraph

Review in The neuroradiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 30% 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, 8 citations in OpenAlex.

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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

17 authors at 10 institutions in 2 countries.

Hanna StyczenInstitute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany.ORCID https://orcid.org/0000-0002-9623-4156
Sebastian FischerDepartment of Radiology, Neuroradiology and Nuclear Medicine, Ruhr-University Bochum, Germany.
Matthias GawlitzaInstitute of Neuroradiology, University Hospital Carl Gustav Carus, Germany.
Lukas MeyerDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Hamburg-Eppendorf, Germany.
Lukas GoertzDepartment of Diagnostic and Interventional Radiology, University Hospital Cologne, Germany.
Christoph MaurerDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Augsburg, Germany.ORCID https://orcid.org/0000-0002-0305-0797
Maria AlexandrouDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Bremen-Mitte, Germany.
Ali KhanaferNeuroradiological Clinic, Klinikum Stuttgart, Germany.
Donald LobsienDepartment of Diagnostic and Interventional Radiology and Neuroradiology, Helios General Hospital Erfurt, Germany.
Cornelius DeuschlInstitute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany.
Joachim KlischDepartment of Diagnostic and Interventional Radiology and Neuroradiology, Helios General Hospital Erfurt, Germany.
Christoph KabbaschDepartment of Diagnostic and Interventional Radiology, University Hospital Cologne, Germany.
Jens FiehlerDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Hamburg-Eppendorf, Germany.
Ansgar BerlisDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Augsburg, Germany.
Panagiotis PapanagiotouDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Bremen-Mitte, Germany.
Hans HenkesNeuroradiological Clinic, Klinikum Stuttgart, Germany.
Volker MausDepartment of Radiology, Neuroradiology and Nuclear Medicine, Ruhr-University Bochum, Germany.ORCID https://orcid.org/0000-0001-5097-2631
Essen University Hospital · DEHelios Klinikum Erfurt · DEKlinikum Stuttgart · DERuhr University Bochum · DEUniversität Hamburg · DEUniversity Hospital Augsburg · DEUniversity Hospital Cologne · DEAretaeio Hospital · GRKlinikum Bremen-Mitte · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on outcome after endovascular treatment of basilar artery fenestration aneurysms (BAFAs) is limited. This study presents our multi-centre experience of BAFAs treated by different reconstructive techniques including coils, stent-assisted coiling (SAC), flow diversion and intra-saccular flow disruption with the Woven Endobridge (WEB).

methodsRetrospective analysis of 38 BAFAs treated endovascularly between 2003 and 2020. The primary endpoint was complete aneurysm obliteration defined as Raymond-Roy occlusion classification (RROC) I on immediate and follow-up (FU) angiography. The secondary endpoints were procedure-related complications, rate of re-treatment, and clinical outcome.

resultsEndovascular treatment was feasible in 36/38 aneurysms (95%). The most frequent strategy was coiling (21/36, 58%), followed by SAC (7/36, 19%), WEB embolization (6/36, 17%) and flow diversion (2/36, 6%). A successful aneurysm occlusion (defined as RROC 1 and 2) on the final angiogram was achieved in 30/36 (83%) aneurysms including all patients presenting with baseline subarachnoid haemorrhage and 25/36 (69%) were occluded completely. Complete occlusion (RROC 1) was more frequently achieved in ruptured BAFAs (15/25, 60% v. 2/11, 18%;

conclusionReconstructive endovascular treatment of BAFAs is technically feasible with a good safety profile. Although in some cases re-treatment was necessary, a high rate of final aneurysm occlusion was achieved.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmBasilar ArteryCerebral AngiographyFollow-Up StudiesHumansMulticenter Studies as TopicRetrospective StudiesStentsTreatment Outcomebasilar arteryendovascular treatmentfenestrationIntracranial aneurysm

Identifiers

PMID34476993
PMCPMC9244737
OpenAlexW3196496730

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.