Evidence map›Paper›PMID 37940387›Full record

Trial reportJournal of neurointerventional surgery2024

Anterior circulation location-specific results for stent-assisted coiling - carotid versus distal aneurysms: 1-year outcomes from the Neuroform Atlas Stent Pivotal Trial.

Ricardo A Hanel, Gustavo M Cortez, Brian T Jankowitz, Eric Sauvageau, Amin Aghaebrahim, Eugene Lin, Ashutosh P Jadhav, Bradley Gross, Ahmad Khaldi, Rishi Gupta and 6 more

Registry-linked trialAbstract readMulticenter StudyClinical TrialComparative Study
In one paragraph

Trial report in Journal of neurointerventional surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02340585 (Safety and Effectiveness of the Treatment of Wide Neck, Intracranial, Saccular Aneurysms With the Next Generation Neuroform Stent System), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT02340585 nacompletednot on this map

Safety and Effectiveness of the Treatment of Wide Neck, Intracranial, Saccular Aneurysms With the Next Generation Neuroform Stent System

TypeinterventionalSponsorStryker NeurovascularRan2015 to 2022Enrolled298ConditionsIntracranial AneurysmArmsNext Generation Neuroform Stent System
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

16 authors.

Ricardo A HanelLyerly Neurosurgery, Baptist Medical Center Jacksonville, Jacksonville, Florida, USA rhanel@lyerlyneuro.com.ORCID http://orcid.org/0000-0001-7195-5806
Gustavo M CortezLyerly Neurosurgery, Baptist Medical Center Jacksonville, Jacksonville, Florida, USA.ORCID http://orcid.org/0000-0003-4227-0378
Brian T JankowitzNeurosurgery, Cooper Hospital University Medical Center, Camden, New Jersey, USA.
Eric SauvageauLyerly Neurosurgery, Baptist Medical Center Jacksonville, Jacksonville, Florida, USA.
Amin AghaebrahimLyerly Neurosurgery, Baptist Medical Center Jacksonville, Jacksonville, Florida, USA.ORCID http://orcid.org/0000-0002-9126-2932
Eugene LinNeuroscience, Mercy Health Saint Vincent Medical Center, Toledo, Ohio, USA.
Ashutosh P JadhavNeurology, University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania, USA.
Bradley GrossNeurosurgery, University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania, USA.
Ahmad KhaldiNeurosurgery, WellStar Health System, Marietta, Georgia, USA.ORCID http://orcid.org/0000-0002-1943-0292
Rishi GuptaNeurosurgery, WellStar Health System, Marietta, Georgia, USA.
Donald FreiRadiology Imaging Associates, Swedish Medical Center, Englewood, Colorado, USA.ORCID http://orcid.org/0000-0002-7811-5030
David LoyRadiology Imaging Associates, Swedish Medical Center, Englewood, Colorado, USA.
Lori Lyn PriceStryker Neurovascular, Fremont, California, USA.
Steven W HettsRadiology, University of California San Francisco, San Francisco, California, USA.ORCID http://orcid.org/0000-0001-5885-7259
Osama O ZaidatNeuroscience, Mercy Health Saint Vincent Medical Center, Toledo, Ohio, USA.ORCID http://orcid.org/0000-0003-4881-4698
ATLAS Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Neuroform Atlas Stent System is an established treatment modality for unruptured anterior and posterior circulation intracranial aneurysms. Location-specific results are needed to guide treatment decision-making. However, it is unclear whether there are differences in safety and efficacy outcomes between carotid and more distal anterior circulation aneurysms.

methodsThe ATLAS IDE trial was a prospective, multicenter, single-arm, open-label interventional study that evaluated the safety and efficacy of the Neuroform Atlas Stent System. We compared differences in efficacy and safety outcomes of proximal internal carotid artery (ICA) versus distal and bifurcation anterior circulation aneurysms.

resultsOf 182 cases, there were 70 aneurysms in the ICA and 112 in the distal anterior circulation (including ICA terminus/bifurcation). There were no significant differences in the primary efficacy endpoint (85.5% vs 83.9%, p=0.78) and complete aneurysm occlusion rates (88.7% vs 87.9%, p=0.78) between proximal ICA aneurysms and distal aneurysms, respectively. Complications were more often encountered in distal and bifurcation aneurysms, but the overall rate of major safety events was low and comparable between the two groups (1.4% vs 6.3%, p=0.14). Recanalization and retreatment rates were also similar between the groups.

conclusionThe results of this study suggest that the Neuroform Atlas Stent System is a safe and efficacious treatment modality for unruptured anterior circulation intracranial aneurysms, regardless of aneurysm location. TRIAL REGISTRATION NUMBER: NCT02340585.

Indexed as

Intracranial AneurysmStentsAdultAgedCarotid Artery, InternalEmbolization, TherapeuticEndovascular ProceduresFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAneurysmCoilDeviceInterventionStent

Identifiers

PMID37940387
PMCPMC11503183

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.