Evidence map›Paper›PMID 35831177›Full record

ArticleJournal of neurointerventional surgery2023

A novel self-expanding shape memory polymer coil for intracranial aneurysm embolization: 1 year follow-up in Chile.

Daniel Echeverría, Rodrigo Rivera, Pablo Giacaman, Juan Gabriel Sordo, Martín Einersen, Lautaro Badilla

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurointerventional surgery, 2023. 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
0.7field-weighted citation impact, top 28% 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.

  1. Review
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  7. Active aortic aneurysm sac treatment with shape memory polymer during endovascular aneurysm repair.Journal of vascular surgery cases and innovative techniques · 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

6 authors at 3 institutions in 1 country.

Daniel EcheverríaNeuroradiology, Instituto de Neurocirugía Dr Alfonso Asenjo, Santiago, Chile dannyechev@gmail.com.ORCID http://orcid.org/0000-0001-6331-0485
Rodrigo RiveraNeuroradiology, Instituto de Neurocirugía Dr Alfonso Asenjo, Santiago, Chile.ORCID http://orcid.org/0000-0001-8991-0972
Pablo GiacamanNeurovascular Unit, Imaging Service, Hospital Clínico Regional Guillermo Grant Benavente, Concepción, Chile.
Juan Gabriel SordoNeuroradiology, Instituto de Neurocirugía Dr Alfonso Asenjo, Santiago, Chile.
Martín EinersenNeurovascular Unit, Imaging Service, Hospital Clínico Regional Guillermo Grant Benavente, Concepción, Chile.
Lautaro BadillaNeuroradiology, Instituto de Neurocirugía Dr Alfonso Asenjo, Santiago, Chile.
Instituto de Neurociencia Biomédica · CLHospital Regional de Concepción · CLUniversity of Concepción · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAneurysm recurrence remains a challenge when coiling cerebral aneurysms. Development of next generation coils has focused on accelerating thrombus maturation and increasing coil packing density. Ultra low density shape memory polymer is a novel embolic material designed for this purpose. The polymer is crimped over a platinum-tungsten coil for catheter delivery and self-expands to a predefined volume on contact with blood.

methodsThis prospective study in humans evaluated aneurysms 5-16 mm (inclusive) in diameter that were indicated for endovascular coil embolization. At least 70% coil volume was required to be shape memory polymer coils. Patients were followed-up according to standard of care for 12 months.

resultsNine patients (89% women, mean age 55.8±11.7 years) were treated with shape memory polymer coils and completed 12 months of follow-up. Aneurysms were all unruptured and were in the ophthalmic segment of the internal carotid artery (n=7), posterior communicating artery, and anterior cerebral artery A1-A2 segment. Aneurysms were a mean of 7.8±2.9 mm in diameter (range 5.2-14.9 mm). The mean packing density based on unexpanded polymer was 17±6%. Packing density based on expanded polymer was 43±13%. At 12 months, no recurrence had occurred, and a Raymond-Roy occlusion classification of 1 (n=5) or 2 (n=4) was observed. No serious adverse events related to the study device occurred over the 12 months after the procedure.

conclusionsShape memory polymer coils were safe and effective in treating intracranial aneurysms over 12 months in this first study in human subjects.

Indexed as

Embolization, TherapeuticIntracranial AneurysmAdultAgedChileFemaleFollow-Up StudiesHumansMaleMiddle AgedPolymersProspective StudiesRetrospective StudiesTreatment OutcomePolymersAneurysmArteryCoilDevice

Identifiers

PMID35831177
PMCPMC10359521
OpenAlexW4285087398

What OpenQuestion holds

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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.