Evidence map›Paper›PMID 39122468›Full record

Observational studyAJNR. American journal of neuroradiology2024

Multicenter Experience with the Pipeline Flex and Vantage with Shield Technology for Intracranial Aneurysm Treatment.

Lukas Goertz, Sophia Hohenstatt, Dominik F Vollherbst, Muriel Pflaeging, Christian Gronemann, Eberhard Siebert, David Zopfs, Lenhard Pennig, Jonathan Kottlors, Marc Schlamann and 5 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in AJNR. American journal of neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

15 authors.

Lukas GoertzFrom the Department of Radiology and Neuroradiology (L.G., D.Z., L.P., J.K., M.S., C.K.), University of Cologne, Faculty of Medicine and University Hospital, Cologne, Germany lukas.goertz@uk-koeln.de.ORCID 0000-0002-2620-7611
Sophia HohenstattDepartment of Neuroradiology (S.H., D.F.V., M.M.), University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-0951-3948
Dominik F VollherbstDepartment of Neuroradiology (S.H., D.F.V., M.M.), University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-8992-4757
Muriel PflaegingDepartment of Neuroradiology (M.P., T.L.), University Hospital Munich, Munich, Germany.ORCID 0000-0001-7337-1089
Christian GronemannDepartment of Neuroradiology (C.G., F.D.), University Hospital Bonn, Bonn, Germany.ORCID 0009-0007-5766-2493
Eberhard SiebertDepartment of Neuroradiology (E.S., G.B.), University Hospital Berlin (Charité), Berlin, Germany.ORCID 0000-0001-7395-6546
David ZopfsFrom the Department of Radiology and Neuroradiology (L.G., D.Z., L.P., J.K., M.S., C.K.), University of Cologne, Faculty of Medicine and University Hospital, Cologne, Germany.ORCID 0000-0001-9978-7453
Lenhard PennigFrom the Department of Radiology and Neuroradiology (L.G., D.Z., L.P., J.K., M.S., C.K.), University of Cologne, Faculty of Medicine and University Hospital, Cologne, Germany.ORCID 0000-0002-6606-9313
Jonathan KottlorsFrom the Department of Radiology and Neuroradiology (L.G., D.Z., L.P., J.K., M.S., C.K.), University of Cologne, Faculty of Medicine and University Hospital, Cologne, Germany.ORCID 0000-0002-0475-1472
Marc SchlamannFrom the Department of Radiology and Neuroradiology (L.G., D.Z., L.P., J.K., M.S., C.K.), University of Cologne, Faculty of Medicine and University Hospital, Cologne, Germany.ORCID 0000-0002-7734-611X
Georg BohnerDepartment of Neuroradiology (E.S., G.B.), University Hospital Berlin (Charité), Berlin, Germany.ORCID 0000-0002-1919-092X
Franziska DornDepartment of Neuroradiology (C.G., F.D.), University Hospital Bonn, Bonn, Germany.ORCID 0000-0001-9093-8307
Thomas LiebigDepartment of Neuroradiology (M.P., T.L.), University Hospital Munich, Munich, Germany.ORCID 0000-0001-5640-7780
Markus MöhlenbruchDepartment of Neuroradiology (S.H., D.F.V., M.M.), University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-5075-704X
Christoph KabbaschFrom the Department of Radiology and Neuroradiology (L.G., D.Z., L.P., J.K., M.S., C.K.), University of Cologne, Faculty of Medicine and University Hospital, Cologne, Germany.ORCID 0000-0003-3712-2258

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe Pipeline Embolization Device is a safe and effective treatment option for intracranial aneurysms. The newer Pipeline generations have received structural refinements and a surface modification to improve deliverability, procedural safety, and angiographic outcomes. This multicenter study evaluated the clinical safety and efficacy of the 2 surface-modified Pipeline iterations, Pipeline Vantage and Pipeline Flex with Shield Technology (PFS). MATERIALS AND

methodsConsecutive patients treated between 2017 and 2023 were retrospectively reviewed for aneurysm characteristics, procedural details, complications, and angiographic outcomes. The safety end point was the rate of procedural and postprocedural major neurologic events occurring during the hospital stay. The efficacy end point was the rate of complete occlusion at last follow-up.

resultsOne hundred forty-one patients underwent 112 Pipeline Vantage procedures and 32 PFS procedures for 147 aneurysms with a mean size of 8.0 (SD, 5.9) mm (11% ruptured, 16% posterior circulation, 18% nonsaccular morphology). All procedures were technically successful with a mean of 1.2 devices implanted. Balloon angioplasty was required in 20/144 (13.9%) procedures. Major neurologic adverse events occurred in 6/144 (4.2%) procedures (all ischemic stroke), resulting in death in 2 (1.4%) patients. There were no hemorrhagic complications. At a mean of 11 months, complete occlusion was achieved in 85/112 (75.9%) aneurysms, 15/112 (13.4%) had an entry remnant, and 12/112 (10.7%) had an aneurysm remnant.

conclusionsThe results demonstrate high feasibility, procedural safety, and efficacy of the surface-modified Pipeline flow diverters.

Indexed as

Embolization, TherapeuticIntracranial AneurysmAdultAgedCerebral AngiographyFemaleHumansMaleMiddle AgedRetrospective StudiesStentsTreatment Outcome

Identifiers

PMID39122468
PMCPMC11448987

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.