Evidence map›Paper›PMID 37402394›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2026

Comaneci stent-angioplasty for the optimization of inadequately deployed flow diverter stents.

Kristina Sirakova, Alexander Sirakov, Kristian Ninov, Krasimir Minkin, Stanimir Sirakov

Abstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

5 authors at 2 institutions in 1 country.

Kristina SirakovaRadiology Department, UH Alexandrovska, Sofia Bulgaria.
Alexander SirakovRadiology Department, UH St Ivan Rilski, Sofia, Bulgaria.ORCID 0000-0001-6219-5040
Kristian NinovNeurosurgery Department, UH St Ivan Rilski, Sofia, Bulgaria.
Krasimir MinkinNeurosurgery Department, UH St Ivan Rilski, Sofia, Bulgaria.
Stanimir SirakovRadiology Department, UH St Ivan Rilski, Sofia, Bulgaria.ORCID 0000-0001-6034-5340
University Hospital St. Ivan Rilski · BGAlexandrovska Hospital · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and PurposeIn endovascular procedures, inadequate deployment of a flow diverter stent is a highly concerning technical complication that can lead to acute parent vessel occlusion and ischaemic events. This study aimed to assess the off-label use of the Comaneci device in managing technical difficulties associated with flow diversion.Materials and MethodsWe conducted an analysis of all flow diverter procedures documented in our prospectively collected database. Our objective was to identify patients with inadequately deployed implants who underwent Comaneci stent-angioplasty. Both Comaneci 17 and Comaneci 21 devices were utilized to address and remediate technical complications related to stent deployment. We reviewed anatomical features, technical details, intraprocedural complications, as well as clinical and angiographic outcomes.ResultsThirty-one Comaneci devices were employed to remediate 31 inadequately deployed flow diverter stents. Successful resolution of technical complications associated with flow diverter placement was achieved in all attempted cases. No clinically significant complications were attributed to the technique, and no mortality was observed during the study.ConclusionTechnical issues arising from flow diverter stent deployment are formidable complications. Familiarity with appropriate corrective manoeuvres is essential to achieve successful outcomes. The Comaneci device can be safely and effectively incorporated into the range of techniques used to rectify inadequately deployed stents.

Indexed as

AngioplastyEndovascular ProceduresIntracranial AneurysmStentsAgedCerebral AngiographyFemaleHumansMaleMiddle AgedOff-Label UseTreatment OutcomeAneurysmangioplastyComaneciflow diverter

Identifiers

PMID37402394
PMCPMC13294575
OpenAlexW4383100602

What OpenQuestion holds

Textmetadata
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.