Evidence map›Paper›PMID 36248172›Full record

ArticleBrain & spine2022

Endovascular assisted vertebrobasilar junction aneurysm clipping in a hybrid operation room. Case report.

Àlex De Vilalta, Pablo López, Jose L Sanmillán, M Àngels De Miquel, Roger Barranco, Andreu Gabarrós

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Brain & spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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 1 institution in 1 country.

Àlex De VilaltaDepartment of Neurosurgery, Hospital Universitari de Bellvitge, Carrer Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
Pablo LópezDepartment of Neurosurgery, Hospital Universitari de Bellvitge, Carrer Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
Jose L SanmillánDepartment of Neurosurgery, Hospital Universitari de Bellvitge, Carrer Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
M Àngels De MiquelDepartment of Neuroradiology, Hospital Universitari de Bellvitge, Carrer Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
Roger BarrancoDepartment of Neuroradiology, Hospital Universitari de Bellvitge, Carrer Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
Andreu GabarrósDepartment of Neurosurgery, Hospital Universitari de Bellvitge, Carrer Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
Bellvitge University Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We present a case of a 60-year-old female that underwent surgery for clipping a right vertebrobasilar junction aneurysm (VBJA) in a hybrid operation room. Research question: Does the retrograde suction technique with a proximal balloon is safe and effective as an adjuvant technique in surgery of VBJA? Material and methods: After an extended retrosigmoid approach was performed, a 6F Neuron catheter with an intermediate multipurpose catheter were navigated to the right vertebral artery (VA) through a 6-French sheath, which caused a severe catheter-induced vasospasm in the right VA. The aneurysm was then deflated and clipped. After the withdrawal of the catheter the vasospasm was resolved. Results: The patient had a good recovery, with VI cranial nerve palsy and mild dysphagia due to mild right vocal cord palsy, both improving at 1-month follow-up and fully recovered at 6-month follow-up. Discussion and conclusion: The combination of endovascular procedures and microsurgery at the same hybrid operation room in that case resulted in a safe and effective technique. It is an interesting tool that could help neurosurgeons deal with certain selected cases of VBJA. Intraoperative angiography offers the possibility to reposition a misplaced clip in the same surgery. Good collaboration between interventional neuroradiologists and vascular neurosurgeons helps in achieving good results in such difficult cases.

Indexed as

AICA, Anterior Inferior Cerebellar ArteryAneurysm clippingCN, Cranial NervesDSA, Digital Subtraction AngiographyEndovascular assistedHybrid operation roomICG, Indocianine Green FluorescenceIONM, Intraoperative Neurophysiologic MonitoringPICA, Posterior Inferior Cerebellar ArteryVA, Vertebral ArteryVBJA, Vertebrobasilar Junction AneurysmVertebrobasilar junction aneurysm

Identifiers

PMID36248172
PMCPMC9560476
OpenAlexW4220761319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.