Evidence map›Paper›PMID 36756245›Full record

ArticleFrontiers in neurology2023

Comparison of staged-stent and stent-assisted coiling technique for ruptured saccular wide-necked intracranial aneurysms: Safety and efficacy based on a propensity score-matched cohort study.

Guanghao Zhang, Renkun Zhang, Yanpeng Wei, Rundong Chen, Xiaoxi Zhang, Gaici Xue, Nan Lv, Guoli Duan, Chuanchuan Wang, Ying Yu and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

18 authors.

Guanghao ZhangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Renkun ZhangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Yanpeng WeiNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Rundong ChenNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Xiaoxi ZhangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Gaici XueNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Nan LvNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Guoli DuanNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Chuanchuan WangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Ying YuNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Dongwei DaiNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Rui ZhaoNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Qiang LiNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Yi XuNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Qinghai HuangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Pengfei YangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Qiao ZuoNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Jianmin LiuNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Application of stent-assisted coiling and FD in acute phase of ruptured wide-necked aneurysms is relatively contraindicated due to the potential risk of ischemic and hemorrhagic complications. Scheduled stenting after initial coiling has emerged as an alternative paradigm for ruptured wide-necked aneurysms. The objective of this study is to evaluate the safety and efficacy of a strategy of staged stent-assisted coiling in acutely ruptured saccular wide-necked intracranial aneurysms compared with conventional early stent-assisted coiling strategy Methods: A retrospective review of patients with acutely ruptured saccular wide-necked intracranial aneurysms who underwent staged stent-assisted coiling or conventional stent-assisted coiling from November 2014 to November 2019 was performed. Perioperative procedure-related complications and clinical and angiographic follow-up outcomes were compared. Results: A total of 69 patients with staged stent-assisted coiling and 138 patients with conventional stent-assisted coiling were enrolled after 1:2 propensity score matching. The median interval time between previous coiling and later stenting was 4.0 weeks (range 3.5-7.5 weeks). No rebleeding occurred during the intervals. The rate of immediate complete occlusion was lower with initial coiling before scheduled stenting than with conventional stent-assisted coiling (21.7 vs. 60.9%), whereas comparable results were observed at follow-up (82.5 vs. 72.9%; Conclusions: Staged stent-assisted coiling is a safe and effective treatment strategy for acutely ruptured saccular wide-necked intracranial aneurysms, with comparable complete occlusion rates, recurrence rates at follow-up and overall procedure-related complication rates compared with conventional stent-assisted coiling strategy. Staged stent-assisted coiling could be an alternative treatment option for selected ruptured intracranial aneurysms in the future.

Indexed as

acute subarachnoid hemorrhage (SAH)endovascular treatmentintracranial aneurysmprocedure-related complicationsruptured wide-necked aneurysmstaged stent-assisted coiling

Identifiers

PMID36756245
PMCPMC9899883

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.