Evidence map›Paper›PMID 34911735›Full record

ArticleJournal of neurointerventional surgery2022

Robotic-assisted intracranial aneurysm treatment: 1 year follow-up imaging and clinical outcomes.

Nicole Mariantonia Cancelliere, Jeremy Lynch, Patrick Nicholson, Tomas Dobrocky, Saravana Kumar Swaminathan, Eef Jacobus Hendriks, Timo Krings, Ivan Radovanovic, Kaitlyn E Drake, Raymond Turner and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurointerventional surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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  11. Modeling optimal patient transport in a stroke network capable of remote telerobotic endovascular therapy.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

12 authors at 3 institutions in 3 countries.

Nicole Mariantonia CancelliereDivision of Neurosurgery, Department of Surgery, RADIS Lab, Li Ka-shing Knowledge Institute, St. Michael's hospital, Toronto, Ontario, Canada nicole.cancelliere@unityhealth.to.ORCID http://orcid.org/0000-0002-8703-4304
Jeremy LynchDivision of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada.
Patrick NicholsonDivision of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada.
Tomas DobrockyDivision of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada.
Saravana Kumar SwaminathanDivision of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada.
Eef Jacobus HendriksDivision of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada.
Timo KringsDivision of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada.
Ivan RadovanovicDivision of Neurosurgery, Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada.
Kaitlyn E DrakeDepartment of Research and Development, Corindus Vascular Robotics, Waltham, Massachusetts, USA.
Raymond TurnerDepartment of Research and Development, Corindus Vascular Robotics, Waltham, Massachusetts, USA.
John-Michael SungurDepartment of Research and Development, Corindus Vascular Robotics, Waltham, Massachusetts, USA.
Vitor M PereiraDivision of Neurosurgery, Departments of Surgery & Medical Imaging, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Toronto Western Hospital · CASt. Michael's Hospital · CAPrisma Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of robotics in medicine may enable increased technical accuracy, reduced procedural time and radiation exposure, and remote completion of procedures. We have previously described the first-in-human, robotic-assisted cerebral aneurysm treatment using the CorPath GRX Robotic System. In this report we discuss our early experiences and outcomes using this robotic device for endovascular treatment of intracranial aneurysms using stent-assisted coil embolization and flow diversion.

methodsThe patient and disease characteristics, procedural details, and follow-up imaging and clinical outcomes of consecutive patients undergoing robotically-assisted intracranial aneurysm embolization between November 2019 and February 2020 are presented.

resultsSix patients underwent robotically-assisted embolization of intracranial aneurysms. Four of the patients were treated with a neck-bridging stent (with or without coiling) and two patients were treated with a flow-diverting stent. Two patients were treated in the subacute period of subarachnoid hemorrhage and four patients were treated electively. All of the procedures could be completed robotically and there was no need for unplanned manual intervention. The technical success rate of the procedures was 100%. There was no morbidity or mortality associated with the procedures. One year follow-up imaging showed that four aneurysms were completely obliterated (Raymond-Roy Occlusion Classification (RROC) class I) and the remaining two were occluded with a residual neck (RROC class II).

conclusionsThe Corpath GRX Robotic System demonstrated a precise control over the microcatheter, wire and stent during aneurysm treatment. Robotic neuro-procedures seem to be safe and effective and demonstrate stable occlusion results in the midterm follow-up.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmCerebral AngiographyFollow-Up StudiesHumansRetrospective StudiesStentsTreatment Outcomeaneurysmbraincoilstenttechnology

Identifiers

PMID34911735
PMCPMC9685724
OpenAlexW4200131757

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.