Evidence map›Paper›PMID 38299017›Full record

ArticleFrontiers in neurology2024

Risk factors and management of intraprocedural rupture during coil embolization of unruptured intracranial aneurysms: role of balloon guiding catheter.

Ken Aoki, Yuichi Murayama, Yoshihiro Tanaka, Toshihiro Ishibashi, Koreaki Irie, Michiyasu Fuga, Naoki Kato, Issei Kan, Kengo Nishimura, Gota Nagayama

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Evaluation of bail-out techniques for managing cerebral vessel perforation: An experimental study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  6. A novel peel-away sheath technique for sheathless transradial use of 8 Fr balloon guide catheter.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  7. Article
  8. Article
  9. 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

10 authors at 2 institutions in 1 country.

Ken AokiDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Yuichi MurayamaDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Yoshihiro TanakaDivision of Epidemiology, Graduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Toshihiro IshibashiDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Koreaki IrieDepartment of Neurosurgery, The Jikei University Kashiwa Hospital, Chiba, Japan.
Michiyasu FugaDepartment of Neurosurgery, The Jikei University Kashiwa Hospital, Chiba, Japan.
Naoki KatoDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Issei KanDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Kengo NishimuraDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Gota NagayamaDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Jikei University School of Medicine · JPJikei University Kashiwa hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Intraprocedural rupture (IPR) is a serious complication of endovascular coil embolization of unruptured intracranial aneurysms (UIAs). Although outcomes after IPR are poor, methods to prevent subsequent neurological deterioration have not yet been investigated. We evaluated the risk factors and management strategies for IPR, particularly the role of balloon guiding catheters (BGCs) in rapid hemostasis. Methods: We retrospectively reviewed all UIA cases treated with coil embolization at three institutions between 2003 and 2021, focusing on preoperative radiological data, operative details, and outcomes. Results: In total, 2,172 aneurysms were treated in 2026 patients. Of these, 19 aneurysms in 19 patients (0.8%) ruptured during the procedure. Multivariate analysis revealed that aneurysms with a bleb (OR: 3.03, 95% CI: 1.21 to 7.57, Discussion: The incidence of IPR was relatively low. A bleb, small aneurysm neck, and location on PcomA and AcomA are independent risk factors for IPR. The use of BGC may prevent fatal clinical deterioration and achieve better clinical outcomes in patients with IPR.

Indexed as

balloon guiding catheterendovascular treatmentintraprocedural rupturerisk factorunruptured intracranial aneurysm

Identifiers

PMID38299017
PMCPMC10828020
OpenAlexW4390953131

What OpenQuestion holds

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LicenceCC BY
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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.