Evidence map›Paper›PMID 41586287›Full record

ArticleStroke (Hoboken, N.J.)2024

Flow Diversion for Small Branches and Distal Aneurysms of the Posterior Circulation: A Subanalysis of the Post-FD Registry.

Mahmoud Dibas, Juan Vivanco-Suarez, Aaron Rodriguez-Calienes, Gustavo M Cortez, Vitor Mendes Pereira, Hidehisa Nishi, Gabor Toth, Thomas Patterson, David Altschul, Chaim Feigen and 18 more

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  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

28 authors.

Mahmoud DibasDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IA.
Juan Vivanco-SuarezDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IA.
Aaron Rodriguez-CalienesDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IA.
Gustavo M CortezLyerly Neurosurgery Baptist Neurological Institute Jacksonville FL.
Vitor Mendes PereiraDepartment of Neurosurgery St Michael's Hospital Toronto Ontario Canada.
Hidehisa NishiDepartment of Neurosurgery St Michael's Hospital Toronto Ontario Canada.
Gabor TothCerebrovascular Center Neurological Institute Cleveland Clinic Cleveland OH.
Thomas PattersonCerebrovascular Center Neurological Institute Cleveland Clinic Cleveland OH.
David AltschulDepartment of Neurological Surgery Montefiore Medical Center Albert Einstein College of Medicine Bronx NY.
Chaim FeigenDepartment of Neurological Surgery Montefiore Medical Center Albert Einstein College of Medicine Bronx NY.
Muhammed Amir EssibayiDepartment of Neurological Surgery Montefiore Medical Center Albert Einstein College of Medicine Bronx NY.
Milagros Galecio-CastilloDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IA.
Johanna FifiDepartment of Neurological Surgery Mount Sinai Health System New York NY.
Stavros MatsoukasDepartment of Neurological Surgery Mount Sinai Health System New York NY.
Peter T KanDepartment of Neurosurgery The University of Texas Medical Branch Galveston TX.
Muhammad Ubaid HafeezDepartment of Neurosurgery The University of Texas Medical Branch Galveston TX.
Ajit S PuriDepartment of Radiology Division of Neurointerventional Radiology University of Massachusetts Chan Medical School Worcester MA.
Anna Luisa KuhnDepartment of Radiology Division of Neurointerventional Radiology University of Massachusetts Chan Medical School Worcester MA.
Ajay K WakhlooNeurointerventional Radiology and Radiology Lahey Hospital and Medical Center Burlington MA.
Margarita RabinovichNeurointerventional Radiology and Radiology Lahey Hospital and Medical Center Burlington MA.
Priyank KhandelwalDepartment of Neurological Surgery New Jersey Medical School RUTGERS Newark NJ.
Eric SauvageauLyerly Neurosurgery Baptist Neurological Institute Jacksonville FL.
Amin AghaebrahimLyerly Neurosurgery Baptist Neurological Institute Jacksonville FL.
Matias CostaCerebrovascular Neurosurgery Swedish Neuroscience Institute Swedish Medical Center Seattle WA.
Stephen MonteithCerebrovascular Neurosurgery Swedish Neuroscience Institute Swedish Medical Center Seattle WA.
Mudassir FarooquiDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IA.
Ricardo HanelLyerly Neurosurgery Baptist Neurological Institute Jacksonville FL.
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 diversion (FD) has emerged as an effective treatment option for intracranial aneurysms. However, there is limited evidence regarding its safety and efficacy specifically for distal and small-artery aneurysms of the posterior circulation. This study aimed to investigate the outcomes of FD for aneurysms arising from the posterior inferior cerebellar artery, anterior inferior cerebellar artery, superior cerebellar artery, and the P2 and P3 segments of the posterior cerebral artery. Methods: This is a subanalysis of the Post-FD (Posterior Circulation Aneurysms Treated With Flow Diversion) registry, highlighting distal aneurysms in the posterior inferior cerebellar artery, anterior inferior cerebellar artery, superior cerebellar artery, and the P2 and P3 segments of the posterior cerebral artery treated with FD. Aneurysm characteristics and patient outcomes were described for the total series, and a more focused analysis comparing fusiform/dissecting versus saccular aneurysms was performed. The primary treatment outcome was complete aneurysm occlusion (Raymond-Roy class 1). Primary safety outcome was major ischemic/hemorrhagic stroke following FD. Secondary outcomes included functional outcome, aneurysm retreatment, and in-stent stenosis. Results: Overall, 36 patients with 36 aneurysms were treated with FD, with a median age of 60.0 years (interquartile range [IQR], 52.8-65.3 years). Of those, 13 were fusiform/dissecting, while 23 were saccular aneurysms. Complete occlusion was achieved in 78.1% for all aneurysms at a median follow-up of 14.0 months (IQR, 9.3-48.6 months). There was a nonsignificant trend in rates of complete occlusion between fusiform/dissecting (91.7%) and saccular aneurysms (70%; Conclusion: This study suggests the safety and feasibility of FD for distal aneurysms of the posterior circulation, particularly fusiform/dissecting aneurysms. Further larger-scale studies are warranted to confirm these findings.

Indexed as

aneurysmsdistal branchesflow diversionposterior circulation

Identifiers

PMID41586287
PMCPMC12778549

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.