Evidence map›Paper›PMID 38146676›Full record

ArticleThe neuroradiology journal2024

Safety and efficacy of Surpass Evolve Flow diverter for intracranial aneurysms: A study of 116 patients.

Richard Bibi, Nourou Dine Adeniran Bankole, Baptiste Donnard, Francesca Giubbolini, Julien Boucherit, Valère Barrot, Denis Herbreteau, Héloïse Ifergan, Kevin Janot, Grégoire Boulouis and 1 more

Abstract read
In one paragraph

Article in The neuroradiology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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.

Richard BibiDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Nourou Dine Adeniran BankoleDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.ORCID 0000-0002-4277-9767
Baptiste DonnardDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Francesca GiubboliniDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Julien BoucheritDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Valère BarrotDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Denis HerbreteauDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Héloïse IferganDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Kevin JanotDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Grégoire BoulouisDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.
Fouzi BalaDiagnostic and Interventional Neuroradiology Department, University Hospital of Tours, Tours, France.ORCID 0000-0001-6748-2081

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeFlow diverter embolization is a recognized method for treating intracranial aneurysms. This study evaluates the safety and efficacy of the Surpass Evolve flow diverter in treating intracranial aneurysm. MATERIAL AND

methodsFrom May 2019 to June 2022, our center prospectively enrolled patients presenting with both ruptured and unruptured intracranial aneurysms. We assessed aneurysm occlusion, along with the occurrence of ischemic and hemorrhagic complications, and mortality at 6-months. The 3-month occlusion rate was determined using MR angiography, while the 6-month occlusion rate employed the O'Kelly-Marotta (OKM) grading scale on DSA.

resultsA total of 116 patients with 120 aneurysms received treatment with the Surpass Evolve device. The average aneurysm size was 6.6 mm (range: 2-30 mm). All patients were administered two loading doses of ticagrelor (180 mg) one day before the procedure and 2 h pre-embolization. A procedural complication occurred in one case, involving wire-related perforation of an M3 branch distant from the giant aneurysm; however, this evolved favorably. There were no reported deaths linked to the treatment. Permanent neurological deficits were observed in 3 (2.5%) patients, primarily due to early in-stent thrombosis. MR angiography results at 3 months indicated complete occlusion for 87 out of 115 (75.6%) monitored aneurysms. The 6-month DSA showed neck remnant or complete occlusion (OKM grade C or D) in 86 out of the 107 (80.4%) patients who underwent follow-up.

conclusionThe Surpass Evolve stands out as a reliable and effective flow diverter for the management of intracranial aneurysms.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmCerebral AngiographyHumansRetrospective StudiesStentsTreatment OutcomeaneurysmEmbolizationflow diversionocclusion

Identifiers

PMID38146676
PMCPMC10973831

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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.