Evidence map›Paper›PMID 41054602›Full record

ArticleJournal of neuroendovascular therapy2025

Two Cases of Flow Diverter Placement for Early Recurrence Following Stent-Assisted Coil Embolization for Ruptured Dissecting Cerebral Aneurysms.

Eriko Watanabe, Hironori Fukumoto, Kana Goto, Kazumasa Senju, Jota Tega, Shintaro Yoshinaga, Dai Kawano, Kei Yamashiro, Hiromasa Kobayashi, Koichiro Takemoto and 4 more

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PubMed Full text at PMC Publisher
In one paragraph

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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Eriko WatanabeDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Hironori FukumotoDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Kana GotoDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Kazumasa SenjuDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Jota TegaDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Shintaro YoshinagaDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Dai KawanoDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Kei YamashiroDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Hiromasa KobayashiDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Koichiro TakemotoDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Mitsutoshi IwaasaDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Takashi MorishitaDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.
Yoshihiko NakamuraEmergency and Critical Care Medicine Center, Fukuoka University Hospital, Fukuoka, Fukuoka, Japan.
Hiroshi AbeDepartment of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We report 2 cases of ruptured intracranial dissecting aneurysms that were successfully treated with a flow diverter (FD) stent in the subacute phase, following urgent stent-assisted coiling (SAC) embolization. Case Presentation: Case 1: A 48-year-old male presented with a sudden-onset headache and altered consciousness. CT showed a diffuse subarachnoid hemorrhage (SAH). DSA revealed a right vertebral artery dissecting fusiform aneurysm (VADA). Considering that the perforating and anterior spinal arteries arose from the VADA, SAC was performed to preserve the perforating branch. Follow-up angiography revealed regrowth of the aneurysm without hemorrhage. Case 2: A 37-year-old male was involved in a car accident, followed by a sudden loss of consciousness. CT showed diffuse SAH, and DSA revealed a right internal carotid artery (ICA) blood blister-like aneurysm (BBA) on the anterior wall of the C2 portion. We performed SAC because of the difficulty in urgent high-flow bypass and trapping due to brain swelling. Follow-up angiography revealed regrowth of the aneurysm without hemorrhage. Each treatment involved SAC using the low-profile visualized intraluminal support (LVIS) stent (Terumo, Tokyo, Japan) and FD using the pipeline embolic device. The procedures were performed without complications. Conclusion: To date, few studies on stepwise treatment with SAC and FD for refractory ruptured cerebral aneurysms, such as VADA and BBA of the ICA, have been reported. In addition to the cases reported, we also reviewed previous articles on treatment results, discussed antiplatelet therapy, and provided tips for the telescoping stent procedure.

Indexed as

dissecting aneurysmflow diverter stentsubarachnoid hemorrhageurgent stent-assisted coiling

Identifiers

PMID41054602
PMCPMC12497508

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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.