Evidence map›Paper›PMID 35710123›Full record

SynthesisAJNR. American journal of neuroradiology2022

The Safety and Efficacy of Flow Diversion versus Conventional Endovascular Treatment for Intracranial Aneurysms: A Meta-analysis of Real-world Cohort Studies from the Past 10 Years.

S Li, C Zeng, W Tao, Z Huang, L Yan, X Tian, F Chen

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis 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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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  13. In reply.European stroke journal · 2023
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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

7 authors at 1 institution in 1 country.

S LiFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-3323-3276
C ZengFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-4982-7514
W TaoFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-3786-6708
Z HuangFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-0648-3499
L YanFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0001-6442-2446
X TianFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-5469-1295
F ChenFrom the Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China xyswcfh@csu.edu.cn.ORCID 0000-0002-4462-0880
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the flow diverter has advantages in the treatment of intracranial aneurysms, pooled studies that directly compare it with conventional endovascular treatments are rare. PURPOSE: Our aim was to compare the safety and efficacy of flow-diverter and conventional endovascular treatments in intracranial aneurysms. DATA SOURCES: We performed a comprehensive search of the literature using PubMed, EMBASE, and the Cochrane Database. STUDY SELECTION: We included only studies that directly compared the angiographic and clinical outcomes of flow-diverter and conventional endovascular treatments. DATA ANALYSIS: Random effects or fixed effects meta-analysis was used to pool the cumulative rate of short- and long-term angiographic and clinical outcomes. DATA SYNTHESIS: Eighteen studies with 1001 patients with flow diverters and 1133 patients with conventional endovascular treatments were included; 1015 and 1201 aneurysm procedures were performed, respectively. The flow-diverter group had aneurysms of a larger size (standard mean difference, 0.22; 95% CI, 0.03-0.41; LIMITATIONS: Limitations include a retrospective, observational design in some studies, high heterogeneity, and selection bias.

conclusionsCompared with the conventional endovascular treatments, the placement of a flow diverter may lead to more procedure-related complications, but there is no difference in safety, and it is more effective in the long term.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmHumansRetrospective StudiesStentsTreatment Outcome

Identifiers

PMID35710123
PMCPMC9262058
OpenAlexW4282981063

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.