Evidence map›Paper›PMID 41313592›Full record

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

Outcomes after flow diversion for ruptured blood blister-like and dissecting aneurysms: A single-center series.

William W Wroe, Hussein A Zeineddine, Si Y Yu, Bridger H Freeman, Richard S Cook, Charles M Christensen, Peng Roc Chen, Sunil A Sheth, Spiros L Blackburn

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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. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

William W WroeVivian L. Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.ORCID 0000-0002-1202-7249
Hussein A ZeineddineVivian L. Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.
Si Y YuVivian L. Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.
Bridger H FreemanVivian L. Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.
Richard S CookVivian L. Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.
Charles M ChristensenVivian L. Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.
Peng Roc ChenVivian L. Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.
Sunil A ShethDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.
Spiros L BlackburnVivian L. Smith Department of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundFlow diverter (FD) use has become a popular method for treating intracranial aneurysms, but evidence in acutely ruptured blood blister-like and dissecting morphologies is limited. Furthermore, there is little evidence regarding the role of short-term follow-up imaging to assess aneurysm stability. This study is a single-center retrospective review of dissecting aneurysms treated by FD, with an analysis of short-term follow-up angiograms to guide post-treatment management.MethodsOur single-center retrospective review included all patients from 2016 to 2024 with spontaneous subarachnoid hemorrhage from blood blister-like and dissecting aneurysms who underwent treatment with an FD. Outcomes included re-rupture, treatment failure, re-treatment, aneurysm morphological changes, and ischemic/hemorrhagic events. Short-term, inpatient angiograms were used to assess early response to treatment, and long-term follow-up angiogram, >4 months, was used to assess long-term aneurysm obliteration.ResultsTwenty-eight patients underwent FD for treatment of their ruptured dissecting aneurysm. Twelve patients (43%) were treated with coiling plus FD. Treatment failure occurred in four patients (14%). Placement of additional FDs in a second procedure occurred in three patients (11%). Thromboembolic events occurred in five patients (18%). Hemorrhagic complications, not including aneurysm re-rupture, occurred in six patients (21%). Short-term aneurysm improvement occurred in 17 patients (63%). Thirteen patients had long-term follow-up, with 11 (85%) demonstrating complete occlusion.ConclusionsFlow diversion is a reasonable technique for treating ruptured dissecting aneurysms. Risks are moderate and include short-term aneurysm growth and re-rupture. Early post-treatment angiography is suggested to help identify aneurysm growth and the need for re-treatment.

Indexed as

aneurysmdigital subtraction angiographyFlow diversionpipelineshort-term outcomes

Identifiers

PMID41313592
PMCPMC12662770

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.