Evidence map›Paper›PMID 41582980›Full record

ArticleStroke (Hoboken, N.J.)2022

Contemporary Results of Bare Platinum Coil Embolization for Wide-Necked Ruptured Aneurysms: A Subset Analysis of the SMART Registry.

Mithun G Sattur, Britton Keith Woodward, Min S Park, Richard Bellon, Osama O Zaidat, Alejandro M Spiotta, SMART Registry Investigators

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2022. 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

7 authors.

Mithun G SatturDepartment of Neurosurgery Medical University of South Carolina Charleston SC USA.ORCID https://orcid.org/0000-0002-2404-3780
Britton Keith WoodwardDepartment of Radiology Fort Sanders Regional Medical Center Knoxville TN USA.
Min S ParkDepartment of Neurological Surgery University of Virginia Charlottesville VA USA.
Richard BellonDepartment of Neurointerventional Surgery Radiology Imaging Associates Neurovascular Clinic Englewood CO USA.
Osama O ZaidatDepartment of Neurology Mercy Health St. Vincent Medical Center Toledo OH USA.
Alejandro M SpiottaDepartment of Neurosurgery Medical University of South Carolina Charleston SC USA.
SMART Registry Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rupture status and presence of a wide neck are important factors that adversely impact angiographic occlusion after endovascular coiling. A potential strategy to improve occlusion rates in wide-necked, ruptured aneurysms (WNRA) is modification of coil technology. Methods: WNRA were chosen from the SMART registry that comprises 905 intracranial aneurysms treated with SMART bare platinum coils (Penumbra Inc., Alameda, USA) in the US and Canada. WNRA were defined as neck ≥4 mm, dome-to-neck ratio <2, or both. Clinical and angiographic data at presentation and follow-up were assessed. Outcomes included adequate occlusion rate (Raymond-Roy occlusion class I or II), occlusion at 1 year, and good functional outcome (modified Rankin score 0-2) at 1 year. Angiographic outcome was compared for neck Results: A total of 143 patients (mean age 59.3, 74.1% female) with 143 WNRA were included. Median aneurysm size was 5.8 mm. 46.2% had a neck Conclusion: These results suggest that successful embolization of WNRA with new generation SMART coils can be achieved safely. WNRA continue to require assistive techniques at presentation and also retreatment over time. In addition, neck width may have an adverse impact on angiographic outcome.

Indexed as

coil embolizationintracranial Aneurysmplatinum coilregistryretreatmentruptured aneurysmstent‐assisted coilingwide‐necked aneurysm

Identifiers

PMID41582980
PMCPMC12778849

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