Evidence map›Paper›PMID 39212745›Full record

SynthesisNeurosurgical review2024

Flow diverting stent monotherapy as the best choice in the treatment of intracranial blood blister-like aneurysms: a systematic review.

Mohammad Ghorbani, Ehsan Keykhosravi, Mahsa Vatanparast, Danial Elyassirad, Farbod Tabasi Kakhki, Benyamin Gheiji, Navid Golchin, Zohreh Zamani, Ghazwan Lafta, Mohammad Hasanpour

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 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. Observational
  3. Comparison of antithrombogenic coated and uncoated flow diverters in ruptured and unruptured cerebral aneurysms.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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.

Mohammad GhorbaniDivision of Vascular and Endovascular Neurosurgery, Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Ehsan KeykhosraviDepartment of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mahsa VatanparastStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Danial ElyassiradStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Farbod Tabasi KakhkiStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Benyamin GheijiStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Navid GolchinDepartment of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Zohreh ZamaniDepartment of Neurology, Firoozabadi Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Ghazwan LaftaDepartment of Surgery, Faculty of Medicine, University of Al-Ameed, Karbala, Iraq.
Mohammad HasanpourDivision of Vascular and Endovascular Neurosurgery, Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Hpr.neurosurgery@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness and safety of flow-diverting stent (FDS) monotherapy in the treatment of intracranial blood blister-like aneurysms (BBAs) through a detailed systematic review.

methodsThis review adheres to the PRISMA guidelines, focusing on studies utilizing FDS monotherapy for BBAs, spanning from July 2010 to November 2023. A systematic search across databases including Embase, Medline/PubMed, Scopus, and Google Scholar was conducted. Studies in English that solely used FDS for BBA treatment and assessed perioperative complications were included. Data from 23 studies encompassing 181 cases were systematically analyzed for patient demographics, aneurysm characteristics, treatment specifics, and outcomes.

resultsThe collected data indicates a dominant occurrence of BBAs in the internal carotid artery (86.9%), with a mean patient age of 50.27 years and a higher prevalence in females (73.43%). Treatment timing varied, with 45.9% treated within the first three days, 35.7% were treated between 4 and 14 days, and 18.4% of patients were treated after 14 days. The study found a complete occlusion rate of 88.1% in follow-up imaging and a favorable clinical outcome in 82.2% of cases. Periprocedural complications were reported in 19.2% of patients, with a related mortality rate of 3.9%.

conclusionsThe systematic review demonstrates that FDS monotherapy is highly effective and safe in the treatment of intracranial BBAs. It offers a high rate of complete aneurysm occlusion, favorable clinical outcomes, and low complication rates. These results highlight FDS monotherapy as a prominent treatment method, ensuring robust aneurysmal protection while maintaining the patency of the parent artery.

Indexed as

Intracranial AneurysmStentsEndovascular ProceduresFemaleHumansMiddle AgedTreatment OutcomeBBAFDsFlow diverting stent monotherapyIntracranial blood blister-like aneurysms

Identifiers

PMID39212745

What OpenQuestion holds

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Registered trials

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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.