Evidence map›Paper›PMID 35160333›Full record

ArticleJournal of clinical medicine2022

Results of the pToWin Study: Using the pCONUS Device for the Treatment of Wide-Neck Intracranial Aneurysms.

Marta Aguilar Pérez, Hans Henkes, Wiebke Kurre, Carlos Bleise, Pedro Nicolás Lylyk, Javier Lundquist, Francis Turjman, Hanan Alhazmi, Christian Loehr, Stephan Felber and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02554708 (pToWin pCONus Treatment of Wide Neck Intracranial Aneurysms), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02554708 completednot on this map

pToWin pCONus Treatment of Wide Neck Intracranial Aneurysms

TypeobservationalSponsorPhenox GmbHRan2015 to 2019Enrolled116ConditionsIntracranial AneurysmArmsimplantation of the pCONus Bifurcation Aneurysm Implant
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. pCONUS 2 and pCONUS 2-HPC in the treatment of wide-necked intracranial aneurysms: Multicentre UK experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  3. Review
  4. Article
  5. Review
  6. 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

16 authors.

Marta Aguilar PérezNeuroradiological Clinic, Katharinenhospital Stuttgart, 70174 Stuttgart, Germany.ORCID 0000-0002-3660-7467
Hans HenkesNeuroradiological Clinic, Katharinenhospital Stuttgart, 70174 Stuttgart, Germany.
Wiebke KurreDepartment of Radiology and Neuroradiology, Klinikum Passau, 94032 Passau, Germany.
Carlos BleiseDepartment of Interventional Neuroradiology, Clínica La Sagrada Familia, Buenos Aires C1426EOB, Argentina.ORCID 0000-0003-2292-3263
Pedro Nicolás LylykDepartment of Interventional Neuroradiology, Clínica La Sagrada Familia, Buenos Aires C1426EOB, Argentina.
Javier LundquistDepartment of Interventional Neuroradiology, Clínica La Sagrada Familia, Buenos Aires C1426EOB, Argentina.
Francis TurjmanDepartment of Interventional Neuroradiology, Hôpital Pierre Wertheimer, 69500 Lyon, France.
Hanan AlhazmiDepartment of Interventional Neuroradiology, Hôpital Pierre Wertheimer, 69500 Lyon, France.ORCID 0000-0002-0316-2908
Christian LoehrDepartment of Radiology and Neuroradiology, Klinikum Vest Knappschaftskrankenhaus Recklinghausen, 45657 Recklinghausen, Germany.
Stephan FelberDepartment of Diagnostic and Interventional Radiology and Neuroradiology, Gemeinschaftsklinikum Mittelrhein, 56068 Koblenz, Germany.
Hannes DeutschmannDepartment of Radiology, Clinical Division of Neuroradiology, Vascular and Interventional Radiology, Medical Universtity Graz, 8063 Graz, Austria.
Stephan LowensDepartment of Radiology, Klinikum Osnabrück, 49076 Osnabruck, Germany.
Luigi DelehayeUnit of Interventional Neuroradiology, Ospedale San Giovanni Bosco, 80144 Napoli, Italy.ORCID 0000-0002-0447-847X
Markus MöhlenbruchDepartment of Neuroradiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Jörg HattingenInstitute of Neuroradiology, KRH Klinikum Nordstadt, 30167 Hannover, Germany.
Pedro LylykDepartment of Interventional Neuroradiology, Clínica La Sagrada Familia, Buenos Aires C1426EOB, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coil embolization has become a well-established option for the treatment of intracranial aneurysms. Yet, wide-neck bifurcation aneurysms (WNBAs) remain a challenge. The pCONUS is the first generation of a stent-like implant for the bridging of WNBAs to enable coiling. The pToWin study was a prospective, single-arm, multicenter study conducted to analyze the safety and efficacy of the pCONUS in the treatment of WNBAs. The primary effectiveness endpoint was the rate of adequate occlusion of the aneurysm at 3-6 and 7-12 months. The primary safety endpoint was the occurrence of major ipsilateral stroke or neurological death during the follow-up. A total of 115 patients were included. Aneurysm locations were the middle cerebral artery in 52 (45.2%), the anterior communicating artery in 35 (30.4%), the basilar artery in 23 (20%), the internal carotid artery terminus in three (2.6%), and the pericallosal artery in two (1.7%) patients. Treatment was successfully performed in all but one patient. The morbi-mortality rate was 1.9% and 2.3% at 3-6 and 7-12 months, respectively. Of the aneurysms, 75.0% and 65.6% showed adequate occlusion at 3-6 and 7-12 months, respectively. pCONUS offers a safe and reasonably effective treatment of WNBAs, demonstrated by acceptable adequate aneurysm occlusion and low rates of adverse neurologic events.

Indexed as

coilingendovascular treatmentintracranial aneurysmspCONUSstent-assisted coilingwide-neck bifurcation aneurysms

Identifiers

PMID35160333
PMCPMC8836830

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Registered trials

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.