Evidence map›Paper›PMID 38386051›Full record

Observational studyClinical neuroradiology2024

Treatment of Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage using the Neurospeed Semi-compliant Balloon.

Adrien Guenego, Jeremy J Heit, Thomas Bonnet, Stéphanie Elens, Niloufar Sadeghi, Noémie Ligot, Benjamin Mine, Valentina Lolli, Fadi Tannouri, Fabio Silvio Taccone and 2 more

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05276934 (Prospective Assessment of Brain Imaging After Aneurysmal of AVM-related Intracranial Hemorrhage), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 31% 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.

NCT05276934 unknown statusnot on this map

Prospective Assessment of Brain Imaging After Aneurysmal of AVM-related Intracranial Hemorrhage

TypeobservationalSponsorErasme University HospitalRan2022 to 2025Enrolled100ConditionsAneurysm, Ruptured, Aneurysmal Subarachnoid Hemorrhage, Arteriovenous Malformations, Intracranial AneurysmArmsBrain computed tomography
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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

12 authors at 2 institutions in 2 countries.

Adrien GuenegoInterventional Neuroradiology Department Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium. adrienguenego@gmail.com.ORCID http://orcid.org/0000-0001-7281-1652
Jeremy J HeitDepartments of Radiology and Neurosurgery, Stanford Medical Center, Palo Alto, California, USA.
Thomas BonnetInterventional Neuroradiology Department Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Stéphanie ElensInterventional Neuroradiology Department Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Niloufar SadeghiDepartment of Radiology and Neuroradiology, Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Noémie LigotDepartment of Neurology, Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Benjamin MineInterventional Neuroradiology Department Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Valentina LolliDepartment of Radiology and Neuroradiology, Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Fadi TannouriDepartment of Interventional Radiology, Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Fabio Silvio TacconeDepartment of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Route de Lennik, 808, 1070, Brussels, Belgium.
Boris LubiczInterventional Neuroradiology Department Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
SAVEBRAIN Consortium
Erasmus Hospital · BEStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCerebral vasospasm (CV) following aneurysmal subarachnoid hemorrhage (aSAH) may lead to morbidity and mortality. Endovascular mechanical angioplasty may be performed if symptomatic CV is refractory to noninvasive medical management. Off-label compliant remodelling balloons tend to conform to the course of the vessel, contrary to noncompliant or semi-compliant balloons. Our objective is to describe our initial experience with the semi-compliant Neurospeed balloon (approved for intracranial stenosis) in cerebral vasospasm treatment following aSAH.

methodsAll patients included in the prospective observational SAVEBRAIN PWI (NCT05276934 on clinicaltrial.gov) study who underwent cerebral angioplasty using the Neurospeed balloon for the treatment of medically refractory and symptomatic CV after aSAH were identified. Patient demographic information, procedural details and outcomes were obtained from electronic medical records.

resultsBetween February 2022 and June 2023, 8 consecutive patients underwent CV treatment with the Neurospeed balloon. Angioplasty of 48 arterial segments (supraclinoid internal carotid artery, A1 and A2 segments of the anterior cerebral artery, M1 and M2 segments of the middle cerebral artery) was attempted and 44/48 (92%) were performed. The vessel diameter significantly improved following angioplasty (+81%), while brain hypoperfusion decreased (-81% of the mean TMax). There was no long-term clinical complication, 4% periprocedural complications occurred.

conclusionThe semi-compliant Neurospeed balloon is effective in the treatment of cerebral vasospasm following aSAH, bringing a new device into the armamentarium of the neurointerventionalist to perform intracranial angioplasty.

Indexed as

Angioplasty, BalloonSubarachnoid HemorrhageVasospasm, IntracranialAdultAgedCerebral AngiographyFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAneurysmAngioplastyDelayed cerebral ischemiaMedical deviceStroke

Identifiers

PMID38386051
OpenAlexW4392049339

What OpenQuestion holds

Textmetadata
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.