ArticleJournal of neuroendovascular therapy2025
Endovascular Treatment for Kissing and Mirror Image Aneurysms Arising from the Bilateral Distal Anterior Cerebral Arteries: A Technical Note.
Article in Journal of neuroendovascular therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Mirror image aneurysms located in the bilateral distal anterior cerebral arteries (ACAs) present significant technical challenges for both microsurgical and endovascular treatment due to their close proximity. To address these complexities, this technical note aims to describe a stepwise endovascular strategy for treating complex bilateral distal ACA kissing and mirror image aneurysms, highlighting key technical modifications such as preemptive bilateral stent deployment and selective microcatheter angiography. Case Presentation: A woman in her 60s presented with bilateral distal ACA mirror image aneurysms (right: 10 mm; left: 7 mm). Endovascular treatment was indicated due to their high-risk morphology and a family history of subarachnoid hemorrhage. To overcome anticipated challenges, a stepwise stent-assisted coil embolization strategy was employed. Key steps included preemptive bilateral Neuroform Atlas stent (Stryker, Kalamazoo, MI, USA) deployment validated by cone-beam CT before any coiling, and selective angiography via a microcatheter left in the proximal A2 segment to ensure clear visualization during coil embolization. The procedure was completed without complications, with no recurrence observed at 5-year follow-up. Conclusion: The stepwise endovascular strategy, which incorporated preemptive bilateral stent deployment prior to any coiling and utilized selective angiography via microcatheter, enabled the safe and effective endovascular treatment of these complex bilateral distal ACA mirror image aneurysms. This technical strategy offers a practical reference for the endovascular management of similarly complex and anatomically constrained aneurysms.
Indexed as
Identifiers
What OpenQuestion holds
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.