Evidence map›Paper›PMID 41585925›Full record

ArticleStroke (Hoboken, N.J.)2023

Flow Diverter Performance for the Treatment of Intracranial Aneurysms: An International Multicenter Comparative Study.

Juan Vivanco-Suarez, Juan E Basilio Flores, Aaron Rodriguez-Calienes, Juan Carlos Miranda, Gustavo Foa, David Altschul, Joel A Aguilar-Melgar, Andres Dajles, Milagros Galecio-Castillo, Cynthia B Zevallos and 4 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. 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.

Juan Vivanco-SuarezDepartment of Neurology Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City Iowa.
Juan E Basilio FloresDepartment of Neurosurgery Hospital Nacional Daniel Alcides Carrion Callao Peru.
Aaron Rodriguez-CalienesDepartment of Neurology Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City Iowa.
Juan Carlos MirandaDepartment of Neuroradiology Sanatorio Sagrado Corazon Buenos Aires Argentina.
Gustavo FoaDepartment of Neuroradiology Instituto Oulton Cordoba Argentina.
David AltschulDepartment of Neurosurgery Montefiore Medical Center Bronx NY.
Joel A Aguilar-MelgarDepartment of Neurosurgery Hospital Nacional Daniel Alcides Carrion Callao Peru.
Andres DajlesDepartment of Neurology Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City Iowa.
Milagros Galecio-CastilloDepartment of Neurology Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City Iowa.
Cynthia B ZevallosDepartment of Neurology Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City Iowa.
Mudassir FarooquiDepartment of Neurology Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City Iowa.
Ajit S PuriDepartment of Radiology University of Massachusetts Medical School Worcester MA.
Henry Pacheco-Fernandez BacaDepartment of Neurosurgery Hospital Nacional Daniel Alcides Carrion Callao Peru.
Santiago Ortega-GutierrezDepartment of Neurology Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City Iowa.ORCID https://orcid.org/0000-0002-3408-1297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Current evidence comparing flow diverters (FDs) for the treatment of intracranial aneurysms is limited to single-arm head-to-head retrospective and prospective studies. Herein, we aimed to compare the efficacy and safety of four FDs for the treatment of intracranial aneurysms. Methods: We performed a retrospective, multicenter international cohort study of adult patients treated with FDs (Pipeline embolization device, Surpass Streamline, Flow Redirection Endoluminal Device, and Silk) for intracranial aneurysms between 2015 and 2021. Efficacy was determined by aneurysm occlusion at final follow-up. Safety was determined by ischemic/hemorrhagic events and mortality. Secondary safety was assessed by technical complications. A mixed-effect multivariable ordinal and logistic regression were performed to evaluate variables that predicted the outcomes of interest. Results: We included 235 patients with 274 aneurysms. Treatment was performed with either the Pipeline embolization device (92), Surpass Streamline (56), Flow Redirection Endoluminal Device (47), and Silk (40). Median age was 57 (47-65) years. Most patients were asymptomatic (76%), and 8% had previous rupture. Most aneurysms were saccular (85%) and anterior (94%). The Pipeline embolization device subgroup had the largest aneurysms (6 mm, Conclusions: Our findings comparing 4commonly used FDs in a heterogeneous population with mainly small-sized aneurysms confirmed a similar safety and efficacy profile between devices.

Indexed as

embolizationflow diversionintracranial aneurysmssubarachnoid hemorrhage

Identifiers

PMID41585925
PMCPMC12778624

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.