Evidence map›Paper›PMID 40990642›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025

Literature review and DELPHI consensus on follow-up and retreatment of intracranial aneurysms with intrasaccular devices.

Alexander Stebner, Petra Cimflova, Salome L Bosshart, Marie-Sophie Schüngel, Satoru Fujiwara, Genevieve Milot, David Volders, Kazutaka Uchida, Christine Hawkes, Manuel Moreu and 20 more

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In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

30 authors.

Alexander StebnerDepartment of Clinical Neurosciences, Foothills Medical Center, University of Calgary, AB, Calgary, Canada.
Petra CimflovaDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Bern, Switzerland.ORCID 0000-0001-8058-383X
Salome L BosshartDepartment of Clinical Neurosciences, Foothills Medical Center, University of Calgary, AB, Calgary, Canada.ORCID 0009-0007-7570-8723
Marie-Sophie SchüngelPoliclinic of Radiology and Interventional Radiology, Department of Neuroradiology, University Hospital Halle, Halle (Saale), Germany.
Satoru FujiwaraDepartment of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan.
Genevieve MilotDepartment of Surgery, Laval University, Quebec, Quebec City, Canada.
David VoldersDepartment of Radiology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID 0000-0003-4074-8702
Kazutaka UchidaDepartment of Neurosurgery, Hyogo Medical University, Nishinomiya, Hyogo, Japan.
Christine HawkesDivision of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Manuel MoreuRadiology Department, Hospital Clinico San Carlos, Madrid, Spain.
Isabel FragataDepartment of Neuroradiology, ULS São José, Lisbon, Portugal.ORCID 0000-0002-7037-7458
Alexandra PaulDepartment of Neurosurgery, Albany Medical Center, Albany, New York, USA.ORCID 0000-0002-8315-5870
Umberto PensatoDepartment of Neurology, IRCCS Humanitas Research Hospital, Milano, Italy.
Christian UlfertNeuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.
Donald FreiDepartment of Neuroradiology, Colorado Neurological Institute, Denver, Colorado, USA.
Pervinder BhogalDepartment of Neuroradiology, The Royal London Hospital, Barts NHS Trust, London, UK.
Joanna SchaafsmaDivision of Neurology, Department of Medicine (JDS) and Division of Neuroradiology, Department of Medical Imaging, University Health Network, Toronto, Canada.
Sandor NardaiDepartment of Neurointervention, Semmelweis University Center of Neurosurgery and Neurointervention, Budapest, Hungary.
Syed ZaidiDepartment of Neurology, University of Toledo, Toledo, Ohio, USA.
Mohammed AlmekhlafiDepartment of Clinical Neurosciences, Foothills Medical Center, University of Calgary, AB, Calgary, Canada.
Shahid NimjeeDepartment of Neurosurgery, Ohio State University Wexner Medical Center, Columbus, USA.
Pascal MosimannDivision of Interventional and Diagnostic Neuroradiology, Department of Radiology, University of Toronto & Toronto Western Hospital, Ontario, Canada.
James KennedyRadcliffe Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-9083-672X
Jeremy RempelDepartment of Radiology, University of Alberta Hospital, University of Alberta, Edmonton, Canada.
Violiza InoaDepartment of Neurology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.ORCID 0000-0003-0399-3346
Shinichi YoshimuraDepartment of Neurosurgery, Hyogo Medical University, Nishinomiya, Hyogo, Japan.
Marc RiboDepartment of Neurology, Hospital Vall d'Hebron, Barcelona, Spain.
Demetrius LopesDepartment of Neurosurgery, Cerebrovascular and Comprehensive Stroke Center, Advocate Illinois Masonic Medical Center, Chicago, IL, USA.
John WongDepartment of Clinical Neurosciences, Foothills Medical Center, University of Calgary, AB, Calgary, Canada.
Johanna OspelDepartment of Clinical Neurosciences, Foothills Medical Center, University of Calgary, AB, Calgary, Canada.ORCID 0000-0003-0029-6764

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundIntracranial aneurysms are increasingly detected incidentally due to broader use of neuroimaging. Intrasaccular devices are frequently used to prevent rupture, yet standardized follow-up and retreatment strategies remain undefined. We performed a scoping literature review and DELPHI consensus to gauge current practice patterns and expert opinions on managing intracranial aneurysms that were previously treated with intrasaccular devices.MethodsA DELPHI consensus was conducted during an invite-only meeting of international neurointerventional experts. The process was informed by a scoping literature review and included three iterative rounds of structured questionnaires to establish consensus on follow-up imaging timing, modality, and retreatment decision-making.ResultsTwenty-four experts participated. The literature review identified 16 key studies, which were presented to the panel. For completely occluded aneurysms, MRA at 6 months was preferred by 58% of participants, with annual imaging favored thereafter. For incompletely occluded aneurysms, 6-month DSA followed by annual imaging was recommended. No consensus was reached on the imaging modality for annual follow-up. Retreatment decisions were primarily driven by aneurysm growth (>2 mm). Endovascular retreatment was preferred over open surgery, with risks such as ischemia and rupture identified as key concerns.ConclusionThis DELPHI consensus highlights current practice trends and open questions in the follow-up and retreatment of aneurysms treated with intrasaccular devices.

Indexed as

Aneurysmcoilingendovascularintrasaccularwoven endobridge

Identifiers

PMID40990642
PMCPMC12460278

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.