Evidence map›Paper›PMID 38990336›Full record

ArticleActa neurochirurgica2024

Complex intracranial aneurysms: a DELPHI study to define associated characteristics.

Francesco Diana, Michele Romoli, Eytan Raz, Ronit Agid, Felipe C Albuquerque, Adam S Arthur, Jürgen Beck, Jerome Berge, Hieronymus D Boogaarts, Jan-Karl Burkhardt and 35 more

Abstract read
PubMed Publisher
In one paragraph

Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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. Article
  2. 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

45 authors.

Francesco DianaInterventional Neuroradiology, University Hospital Vall d'Hebron, Barcelona, Spain.
Michele RomoliNeurology and Stroke Unit, Department of Neuroscience, Bufalini Hospital, Cesena, Italy.
Eytan RazDepartment of Radiology, New York University Langone Health, New York, NY, USA.
Ronit AgidDivision of Neuroradiology, JDMI, University Health Network, Toronto, Canada.
Felipe C AlbuquerqueDepartment of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Adam S ArthurUniversity of Tennessee, Semmes-Murphey Neurologic and Spine Clinic, Memphis, TN, USA.
Jürgen BeckDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.
Jerome BergeInterventional Neuroradiology Department, CHRU, Bordeaux, France.
Hieronymus D BoogaartsDepartment of Neurosurgery, Radboud University Medical Centre, Nijmegen, Netherlands.
Jan-Karl BurkhardtDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Penn Medicine, Philadelphia, USA.
Marco CenzatoDepartment of Neurosurgery, Grande Ospedale Metropolitano Niguarda, Milan, Italy.
René ChapotDepartment of Interventional Neuroradiology, Alfried Krupp Hospital Ruttenscheid, Essen, Germany.
Fady T CharbelDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Hubert DesalDepartment of Diagnostic and Therapeutic Neuroradiology, University Hospital of Nantes, Nantes, France.
Giuseppe EspositoDepartment of Neurosurgery, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Johanna T FifiDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Stefan FlorianDepartment of Neurosurgery, Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj County Clinical Emergency Hospital, Cluj-Napoca, Romania.
Andreas GruberDepartment of Neurosurgery, Johannes Kepler University, Neuromed Campus, Kepler Universitätsklinikum, Linz, Austria.
Ameer E HassanDepartment of Neurology, Valley Baptist - University of Texas Rio Grande Valley, Harlingen, TX, USA.
Pascal JabbourDepartment of Neurosurgery, Thomas Jefferson Hospital, Philadelphia, PA, USA.
Ashutosh P JadhavDepartment of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Miikka KorjaDepartment of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Timo KringsInterventional and Diagnostic Neuroradiology, University of Toronto & Toronto Western Hospital, Toronto, ON, Canada.
Giuseppe LanzinoDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Torstein R MelingDepartment of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.
Jaques MorcosVivian L. Smith Department of Neurosurgery, UTHealth Houston Neurosciences, Houston, TX, USA.
Pascal J MosimannInterventional and Diagnostic Neuroradiology, University of Toronto & Toronto Western Hospital, Toronto, ON, Canada.
Erez NossekDepartment of Neurosurgery, New York University School of Medicine, New York, NY, USA.
Vitor Mendes PereiraDivision of Neurosurgery, Departments of Surgery & Medical Imaging, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Andreas RaabeDepartment of Neurosurgery Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.
Luca RegliDepartment of Neurosurgery, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Veit RohdeDepartment of Neurosurgery, University Medical Center Göttingen, Georg-August-University, Göttingen, Germany.
Adnan H SiddiquiDepartment of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Rokuya TanikawaDepartment of Neurosurgery, Stroke Center, Sapporo Teishinkai Hospital, Sapporo, Hokkaido, Japan.
Stavropoula I TjoumakarisDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Alejandro TomaselloInterventional Neuroradiology, University Hospital Vall d'Hebron, Barcelona, Spain.
Peter VajkoczyDepartment of Neurosurgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Luca ValvassoriNeuroradiology Unit, Ospedale San Carlo, Milan, Italy.
Nikolay VelinovClinics of Neurosurgery, Vascular and Endovascular Neurosurgery, University Hospital Pirogov, Sofia, Bulgaria.
Daniel WalshKing's College Hospital NHS Foundation Trust, London, UK.
Henry WooDepartment of Neurosurgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Bin XuDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Shinichi YoshimuraDepartment of Neurosurgery, Hyogo Medical University, Nishinomiya, Japan.
Wim H van ZwamDepartment of Radiology and Nuclear Medicine, School for Cardiovascular Diseases (CARIM), Maastricht UMC+, Maastricht, The Netherlands.
Simone PeschilloEndovascular Neurosurgery, Guido Guglielmi Endowed Chair in Endovascular Neurosurgery, Unicamillus International University of Health Sciences, Rome, Italy. simone.peschillo@gmail.com.ORCID 0000-0002-3920-8517

Funding

High Speed Angiography at 1000 frames per secondR01EB030092 · NIBIB · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI RUDIN, STEPHEN · 2020 to 2023
$2.6M
NIBIB NIH HHS R01 EB030092
6 · The paper itself

Abstract

purposeIntracranial aneurysms present significant health risks, as their rupture leads to subarachnoid haemorrhage, which in turn has high morbidity and mortality rates. There are several elements affecting the complexity of an intracranial aneurysm. However, criteria for defining a complex intracranial aneurysm (CIA) in open surgery and endovascular treatment could differ, and actually there is no consensus on the definition of a "complex" aneurysm. This DELPHI study aims to assess consensus on variables defining a CIA.

methodsAn international panel of 50 members, representing various specialties, was recruited to define CIAs through a three-round Delphi process. The panelists participated in surveys with Likert scale responses and open-ended questions. Consensus criteria were established to determine CIA variables, and statistical analysis evaluated consensus and stability.

resultsIn open surgery, CIAs were defined by fusiform or blister-like shape, dissecting aetiology, giant size (≥ 25 mm), broad neck encasing parent arteries, extensive neck surface, wall calcification, intraluminal thrombus, collateral branch from the sac, location (AICA, SCA, basilar), vasospasm context, and planned bypass (EC-IC or IC-IC). For endovascular treatment, CIAs included giant size, very wide neck (dome/neck ratio ≤ 1:1), and collateral branch from the sac.

conclusionsThe definition of aneurysm complexity varies by treatment modality. Since elements related to complexity differ between open surgery and endovascular treatment, these consensus criteria of CIAs could even guide in selecting the best treatment approach.

Indexed as

Delphi TechniqueEndovascular ProceduresIntracranial AneurysmConsensusFemaleHumansNeurosurgical ProceduresBrain aneurysmClippingCoilingDELPHISAH

Identifiers

PMID38990336

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.