Evidence map›Paper›PMID 34794946›Full record

ArticleAJNR. American journal of neuroradiology2022

Parent Artery Straightening after Flow-Diverter Stenting Improves the Odds of Aneurysm Occlusion.

K Janot, R Fahed, A Rouchaud, K Zuber, G Boulouis, G Forestier, C Mounayer, M Piotin

Open access · bronzeAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Patient outcomes after treatment of brain aneurysm in small diameter vessels with the silk vista baby flow diverter: A systematic review.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

8 authors at 4 institutions in 2 countries.

K JanotFrom the Department of Interventional Neuroradiology (K.J., G.B.), University Hospital of Tours, Tours, France kevin.janot@hotmail.com.ORCID 0000-0002-7305-3125
R FahedDepartment of Interventional Neuroradiology (R.F., M.P.).ORCID 0000-0002-1887-5097
A RouchaudDepartment of Interventional Neuroradiology (A.R., G.F., C.M.), Dupuytren University Hospital, Limoges, Franc.ORCID 0000-0003-0902-3375
K ZuberResearch and Biostatistics Unit (K.Z.), Rothschild Foundation Hospital, Paris, France.ORCID 0000-0002-1601-5093
G BoulouisFrom the Department of Interventional Neuroradiology (K.J., G.B.), University Hospital of Tours, Tours, France.ORCID 0000-0001-8422-9205
G ForestierDepartment of Interventional Neuroradiology (A.R., G.F., C.M.), Dupuytren University Hospital, Limoges, Franc.ORCID 0000-0003-4797-9693
C MounayerDepartment of Interventional Neuroradiology (A.R., G.F., C.M.), Dupuytren University Hospital, Limoges, Franc.ORCID 0000-0002-5894-9599
M PiotinDepartment of Interventional Neuroradiology (R.F., M.P.).ORCID 0000-0002-1354-4328
Hôpital Dupuytren · FRSociety of Interventional Radiology · USUniversité de Tours · FRFondation de Rothschild · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIntracranial stents for the treatment of aneurysms can be responsible for parent artery straightening, a phenomenon with potential consequences for aneurysmal occlusion. We aimed to evaluate parent artery straightening following flow-diverter stent placement in patients with intracranial aneurysms and explored the association between parent artery straightening and subsequent aneurysm occlusion. MATERIALS AND

methodsAll patients treated with flow-diverter stents for anterior circulation aneurysms located downstream from the carotid siphon between January 2009 and January 2018 were screened for inclusion. Parent artery straightening was defined as the difference (α-β) in the parent artery angle at the neck level before (α angle) and after flow-diverter stent deployment (β angle). We analyzed the procedural and imaging factors associated with parent artery straightening and the associations between parent artery straightening and aneurysmal occlusion.

resultsNinety-five patients met the inclusion criteria (

conclusionsThe use of flow-diverter stents for distal aneurysms induces a measurable parent artery straightening, which is associated with higher occlusion rates. Parent artery straightening, in our sample, appeared to be more prominent with cobalt chromium stents than with nitinol stents. This work highlights the necessary trade-off between navigability and parent artery straightening and may help tailor the selection of flow-diverter stents to aneurysms and parent artery characteristics.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmCarotid Artery, InternalFemaleHumansMiddle AgedStentsTreatment Outcome

Identifiers

PMID34794946
PMCPMC8757548
OpenAlexW3214278330

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.