Evidence map›Paper›PMID 38858627›Full record

ArticleBMC neurology2024

Neuroform atlas stent treatment for 533 intracranial aneurysms in a large Chinese cohort: complication risk factor analysis.

Shibao Chen, Huibin Kang, Dili Wang, Yan Li, Jamali Aikebaier, Yabo Li, Xinshan Wu, Yuhua Guan, Yisen Zhang

Abstract read
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

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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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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

9 authors.

Shibao Chen *Department of Neurology, People's Hospital of Bayingoleng Mongolia Autonomous Prefecture, No. 41 Renmin East Road, Korla, 841000, Xinjiang, China.
Huibin Kang *Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Dili WangPeople's Hospital of Jiangxia District, Wuhan, China.
Yan LiThird People's Hospital of Jinan, Jinan, China.
Jamali AikebaierDepartment of Neurology, People's Hospital of Bayingoleng Mongolia Autonomous Prefecture, No. 41 Renmin East Road, Korla, 841000, Xinjiang, China.
Yabo LiDepartment of Neurology, People's Hospital of Bayingoleng Mongolia Autonomous Prefecture, No. 41 Renmin East Road, Korla, 841000, Xinjiang, China.
Xinshan WuDepartment of Neurology, People's Hospital of Bayingoleng Mongolia Autonomous Prefecture, No. 41 Renmin East Road, Korla, 841000, Xinjiang, China.
Yuhua GuanDepartment of Neurology, People's Hospital of Bayingoleng Mongolia Autonomous Prefecture, No. 41 Renmin East Road, Korla, 841000, Xinjiang, China. yh2022guan@163.com.
Yisen ZhangDepartment of Interventional Neuroradiology, Fengtai District, Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, No. 119 South Fourth Ring West Road, Beijing, 100050, China. zhang-yisen@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe newest generation of Neuroform Atlas stent™ (Stryker, Fremont, California) represents a recent advance of cerebral laser-cut microstents for the treatment of intracranial wide-necked aneurysms, and postoperative complications have been observed among Western patients. We assessed predictors of complications, morbidity, and unfavourable outcomes in a large cohort of patients with aneurysms that were treated with Neuroform Atlas stents in China.

methodsThis retrospective study included subjects who were treated with Atlas stents in China from November 2020 to January 2022.

resultsA total of 522 consecutive patients (mean age, 58.9 ± 9.9 years; female, 65.3% [341/522]) with 533 aneurysms were included in the study. In the early postoperative period, the neurological morbidity rate was 7.3% (38/522), the ischaemic stroke rate was 5.0% (26/522), the aneurysm rupture subarachnoid haemorrhage rate was 2.3% (12/522), and the mRS score deterioration rate was 5.4% (28/522). The mortality rate was 0.8% (4/522) in the postoperative period. The rate of neurological morbidity during the follow-up period was 1.2% (6/486). In the multifactor prediction analysis, cerebral infarction, Hunt-Hess grade (3-5), procedure duration, stent length and coil protrusion into the parent artery were found to be independent predictors of neurologic morbidity. The procedure duration, stent length and coil protrusion into the parent artery were found to be independent predictors of mRS score deterioration.

conclusionsThe incidence of SCA (stent-assisted coiling)-related complications with the Atlas stent in this study population was comparable to that in Western populations. We identified the procedure duration and stent length as novel independent predictors of SCA-related ischaemic stroke, neurological morbidity, and mRS score deterioration among the Chinese population.

Indexed as

Intracranial AneurysmPostoperative ComplicationsStentsAdultAgedChinaCohort StudiesEast Asian PeopleEndovascular ProceduresFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTreatment OutcomeComplicationIntracranial AneurysmsNeuroform Atlas StentRisk FactorTreatment

Identifiers

PMID38858627
PMCPMC11163780

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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.