Evidence map›Paper›PMID 36809874›Full record

ArticleNeurointervention2023

Flow Diverter Treatment for Non-Ruptured Carotid Aneurysms: Efficacy and Safety.

Orlando López-Callejas, Andres F Ortiz-Giraldo, Daniela D Vera, Diego A Ramirez-Rojas, Ana B Villamizar-Barahona, Carlos A Ferreira-Prada, Melquizidel Galvis, Oliverio Vargas-Pérez, Sergio Serrano-Gómez, Adriana Reyes-Gonzalez and 1 more

Abstract read
In one paragraph

Article in Neurointervention, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

11 authors.

Orlando López-CallejasDepartment of Interventional Radiology, Fundación Oftalmológica de Santander-Clínica Ardila Lülle, Floridablanca, Colombia.
Andres F Ortiz-GiraldoDepartment of Interventional Radiology, Fundación Oftalmológica de Santander-Clínica Ardila Lülle, Floridablanca, Colombia.
Daniela D VeraDepartment of Radiology, Fundación Oftalmológica de Santander-Clínica Ardila Lülle, Floridablanca, Colombia.
Diego A Ramirez-RojasDepartment of Radiology, Universidad de Pamplona, Bucaramanga, Colombia.
Ana B Villamizar-BarahonaDepartment of Interventional Radiology, Fundación Oftalmológica de Santander-Clínica Ardila Lülle, Floridablanca, Colombia.
Carlos A Ferreira-PradaDepartment of Interventional Radiology, Fundación Oftalmológica de Santander-Clínica Ardila Lülle, Floridablanca, Colombia.
Melquizidel GalvisDepartment of Interventional Radiology, Fundación Oftalmológica de Santander-Clínica Ardila Lülle, Floridablanca, Colombia.
Oliverio Vargas-PérezDepartment of Interventional Radiology, Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia.
Sergio Serrano-GómezClinical Research Group-UNAB, Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia.
Adriana Reyes-GonzalezClinical Research Group-UNAB, Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia.
Daniel MantillaDepartment of Interventional Radiology, Fundación Oftalmológica de Santander-Clínica Ardila Lülle, Floridablanca, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInternal carotid artery (ICA) aneurysm treatment with a flow diverter (FD) has shown an adequate efficacy and safety profile, presenting high complete occlusion or near occlusion rates with low complications during follow-up. The purpose of this study was to evaluate the efficacy and safety of FD treatment in non-ruptured internal carotid aneurysms. MATERIALS AND

methodsThis is a retrospective, single-center, observational study evaluating patients diagnosed with unruptured ICA aneurysms treated with an FD between January 1, 2014, and January 1, 2020. We analyzed an anonymized database. The primary effectiveness endpoint was complete occlusion (O'Kelly-Marotta D, OKM-D) of the target aneurysm through 1-year follow-up. The safety endpoint was the evaluation of modified Rankin Scale (mRS) 90 days after treatment, considering a favorable outcome an mRS 0-2.

resultsA total of 106 patients were treated with an FD, 91.5% were women; the mean follow- up was 427.2±144.8 days. Technical success was achieved in 105 cases (99.1%). All patients included had 1-year follow-up digital subtraction angiography control; 78 patients (73.6%) completed the primary efficacy endpoint by achieving total occlusion (OKM-D). Giant aneurysms had a higher risk of not achieving complete occlusion (risk ratio, 3.07; 95% confidence interval, 1.70 - 5.54]). The safety endpoint of mRS 0-2 at 90 days was accomplished in 103 patients (97.2%).

conclusionTreatment of unruptured ICA aneurysms with an FD showed high 1-year total occlusion results, with very low morbidity and mortality complications.

Indexed as

AneurysmComplicationsEndovascular proceduresSafetyStentsTreatment outcome

Identifiers

PMID36809874
PMCPMC9986347

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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.