Evidence map›Paper›PMID 36681964›Full record

ArticleJournal of neurosurgery2023

Benchtop proof of concept and comparison of iron- and magnesium-based bioresorbable flow diverters.

Alexander A Oliver, Cem Bilgin, Andrew J Vercnocke, Kent D Carlson, Ramanathan Kadirvel, Roger J Guillory, Adam J Griebel, Jeremy E Schaffer, Dan Dragomir-Daescu, David F Kallmes

Open access · greenAbstract read
In one paragraph

Article in Journal of neurosurgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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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

10 authors at 4 institutions in 1 country.

Alexander A Oliver1Department of Biomedical Engineering and Physiology, Mayo Clinic Graduate School of Biomedical Sciences, Rochester.
Cem BilginDepartments of2Radiology.
Andrew J VercnockeDepartments of2Radiology.
Kent D Carlson3Physiology and Biomedical Engineering, and.
Ramanathan KadirvelDepartments of2Radiology.
Roger J Guillory5Department of Biomedical Engineering, Michigan Technological University, Houghton, Michigan; and.
Adam J Griebel6Fort Wayne Metals, Fort Wayne, Indiana.
Jeremy E Schaffer6Fort Wayne Metals, Fort Wayne, Indiana.
Dan Dragomir-Daescu1Department of Biomedical Engineering and Physiology, Mayo Clinic Graduate School of Biomedical Sciences, Rochester.
David F Kallmes1Department of Biomedical Engineering and Physiology, Mayo Clinic Graduate School of Biomedical Sciences, Rochester.
Mayo Clinic in Florida · USFort Wayne Metals (United States)Mayo Clinic · USMichigan Technological University · US

Funding

Computational and Biological Approach to Flow DiversionR01NS076491 · NINDS · MAYO CLINIC ROCHESTER · PI Juan R Cebral, DAVID F KALLMES · 2011 to 2026
$7.4M
Drug Eluting Embolization Coils for Improved Treatment of Intracranial AneurysmsR44NS107111 · NINDS · ANCURE, LLC · PI BETTINGER, CHRISTOPHER JOHN, KADIRVEL, RAMANATHAN · 2018 to 2020
$1.2M
Enhanced endothelialization of nanomatrix coated flow diverter for intracranial aneurysmsR43NS110114 · NINDS · ENDOMIMETICS, LLC · PI HWANG, PATRICK, KADIRVEL, RAMANATHAN · 2019 to 2019
$563k
Rapidly healing flow diverters using magnetic cell targeting for intracranial aneurysm treatmentR21NS128199 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI KADIRVEL, RAMANATHAN, TEFFT, BRANDON J · 2022 to 2023
$447k
NINDS NIH HHS R01 NS076491NINDS NIH HHS R21 NS128199NINDS NIH HHS R43 NS110114NINDS NIH HHS R44 NS107111
6 · The paper itself

Abstract

objectiveBioresorbable flow diverters (BRFDs) could significantly improve the performance of next-generation flow diverter technology. In the current work, magnesium and iron alloy BRFDs were prototyped and compared in terms of porosity/pore density, radial strength, flow diversion functionality, and resorption kinetics to offer insights into selecting the best available bioresorbable metal candidate for the BRFD application.

methodsBRFDs were constructed with braided wires made from alloys of magnesium (MgBRFD) or iron (FeBRFD). Pore density and crush resistance force were measured using established methods. BRFDs were deployed in silicone aneurysm models attached to flow loops to investigate flow diversion functionality and resorption kinetics in a simulated physiological environment.

resultsThe FeBRFD exhibited higher pore density (9.9 vs 4.3 pores/mm2) and crush resistance force (0.69 ± 0.05 vs 0.53 ± 0.05 N/cm, p = 0.0765, n = 3 per group) than the MgBRFD, although both crush resistances were within the range previously reported for FDA-approved flow diverters. The FeBRFD demonstrated greater flow diversion functionality than the MgBRFD, with significantly higher values of established flow diversion metrics (mean transit time 159.6 ± 11.9 vs 110.9 ± 1.6, p = 0.015; inverse washout slope 192.5 ± 9.0 vs 116.5 ± 1.5, p = 0.001; n = 3 per group; both metrics expressed as a percentage of the control condition). Last, the FeBRFD was able to maintain its braided structure for > 12 weeks, whereas the MgBRFD was almost completely resorbed after 5 weeks.

conclusionsThe results of this study demonstrated the ability to manufacture BRFDs with magnesium and iron alloys. The data suggest that the iron alloy is the superior material candidate for the BRFD application due to its higher mechanical strength and lower resorption rate relative to the magnesium alloy.

Indexed as

Intracranial AneurysmAbsorbable ImplantsAlloysHumansIronMagnesiumAlloysIronMagnesiumabsorbablebioabsorbablebiodegradablebioresorbableendovascular neurosurgeryflow diverterstent

Identifiers

PMID36681964
PMCPMC10824252
OpenAlexW4313409753

What OpenQuestion holds

Textmetadata
LicenceTDM
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.