Evidence map›Paper›PMID 36816566›Full record

SynthesisFrontiers in neurology2023

Staged stenting strategy of acutely wide-neck ruptured intracranial aneurysms: A meta-analysis and systematic review.

Yanpeng Wei, Xiaoxi Zhang, Renkun Zhang, Guanghao Zhang, Chenghao Shang, Rundong Chen, Dan Li, Meihua Huyan, Congyan Wu, Kang Zong and 9 more

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis 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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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

19 authors at 2 institutions in 1 country.

Yanpeng WeiNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Xiaoxi ZhangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Renkun ZhangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Guanghao ZhangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Chenghao ShangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Rundong ChenNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Dan LiNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Meihua HuyanNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Congyan WuNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Kang ZongNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Zhengzhe FengNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Dongwei DaiNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Qiang LiNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Qinghai HuangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Yi XuNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Pengfei YangNeurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China.
Rui ZhaoNeurovascular 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.
Changhai Hospital · CNSecond Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In the study, we explored the safety and effectiveness of staged stenting strategy for acutely wide-neck ruptured intracranial aneurysms. Methods: Online databases, including PubMed, EMBASE, the Cochrane database, and Web of Science, were retrospectively and systematically searched. The main observation indicators were the procedure-related complication rate, complete occlusion rate, and favorable clinical outcome. Meta-analysis was performed using a random or fixed effect model based on heterogeneity. Results: A total of 5 studies with 143 patients were included. The hemorrhagic complication rate of the initial coiling and staged stenting was 2.8% (4 of 143) and 0, respectively. The ischemic complication rate of the coiling and supplemental stenting was 3.5% (5 of 143) and 2.9% (4 of 139), respectively. There were no deaths due to procedure-related complications in two stages. The aneurysm complete occlusion rate was 25% (95% CI, 0.13-0.03; I Conclusion: Staged stenting treatment of wide-neck RIA with coiling in the acute phase followed by delayed regular stent or flow-diverter stent had high aneurysm occlusion rate, favorable clinical outcome rate and low procedure-related complication rate. A more dedicated and well-designed controlled study is warranted for further evaluation of staged stenting treatment compared to SCA in wide-neck RIA.

Indexed as

complicationsinitial coilingruptured intracranial aneurysms (RIA)staged stentingwide-neck

Identifiers

PMID36816566
PMCPMC9936144
OpenAlexW4319160709

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.