Evidence map›Paper›PMID 41583046›Full record

ArticleStroke (Hoboken, N.J.)2023

Flow Diversion for Intracranial Aneurysms in Large-Diameter Vessels: A Subanalysis From the SESSIA Study.

Juan Vivanco-Suarez, Aaron Rodriguez-Calienes, Mudassir Farooqui, Margarita Rabinovich, Mohamed Abouelleil, David J Altschul, Chaim Feigen, Johanna T Fifi, Stavros Matsoukas, Fawaz Al-Mufti and 5 more

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Vertebrobasilar dolichoectasia future aspects: A meta-analysis of clinical features and treatment strategies.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. Review
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

15 authors.

Juan Vivanco-SuarezDepartment of Neurology Neurosurgery and Radiology University of Iowa Hospitals and Clinics Iowa City IA.
Aaron Rodriguez-CalienesDepartment of Neurology Neurosurgery and Radiology University of Iowa Hospitals and Clinics Iowa City IA.
Mudassir FarooquiDepartment of Neurology Neurosurgery and Radiology University of Iowa Hospitals and Clinics Iowa City IA.
Margarita RabinovichDepartment of Interventional Neuroradiology Lahey Hospital and Medical Center Burlington MA.
Mohamed AbouelleilDepartment of Neurological Surgery Spectrum Health Medical Center Grand Rapids MI.
David J AltschulDepartment of Neurosurgery Montefiore Medical Center Bronx NY.
Chaim FeigenDepartment of Neurosurgery Montefiore Medical Center Bronx NY.
Johanna T FifiDepartment of Neurological Surgery Mount Sinai Health System New York NY.
Stavros MatsoukasDepartment of Neurological Surgery Mount Sinai Health System New York NY.
Fawaz Al-MuftiDepartment of Neurology Neurosurgery and Radiology, Westchester Medical Center and New York Medical College Valhalla NY.
Marco MalagaDepartment of Neurology Neurosurgery and Radiology University of Iowa Hospitals and Clinics Iowa City IA.
Milagros Galecio-CastilloDepartment of Neurology Neurosurgery and Radiology University of Iowa Hospitals and Clinics Iowa City IA.
Ajay K WakhlooDepartment of Interventional Neuroradiology Lahey Hospital and Medical Center Burlington MA.
Justin A SingerDepartment of Neurological Surgery Spectrum Health Medical Center Grand Rapids MI.
Santiago Ortega-GutierrezDepartment of Neurology Neurosurgery and Radiology University of Iowa Hospitals and Clinics Iowa City IA.ORCID https://orcid.org/0000-0002-3408-1297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Flow diverters are now considered first-line tools for treating intracranial aneurysms. However, few devices are available for patients with large-diameter vessels (LDVs). Hence, we evaluated the performance of the largest diameter Surpass Streamline for aneurysms in LDVs. Methods: We performed a subanalysis of the SESSIA (Safety and Efficacy of the Surpass Streamline for Intracranial Aneurysms) multicenter cohort study of patients treated with Surpass Streamline between 2018 and 2021. Patients in whom a 5-mm diameter Surpass Streamline was implanted were divided into 2 groups according to vessel diameter at the landing zones (LDV, ≥5.3 mm versus non-LDV [N-LDV], <5.3 mm). Efficacy was complete occlusion at final follow-up. Safety was ischemic/hemorrhagic events and mortality up to 30 days. Results: Thirty patients harboring 30 aneurysms were included. Fifteen cases were included per group (LDV versus N-LDV). Baseline demographics, clinical characteristics, median aneurysm size (LDV, 11 mm versus N-LDV, 10 mm), and location were similar. Vessel diameters at the proximal (LDV, 5.3 mm versus N-LDV, 4.2 mm; Conclusions: The use of large-diameter flow diverters for treating complex intracranial aneurysms arising in LDVs is technically feasible and safe. Comparative studies evaluating devices suitable for this patient population will provide valuable insights for the best device selection.

Indexed as

endovascularflow diversionintracranial aneurysmlarge‐diameter vesselssubarachnoid hemorrhage

Identifiers

PMID41583046
PMCPMC12778688

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.