Evidence map›Paper›PMID 33891216›Full record

ReviewNeurosurgical review2022

The evolution of intracranial aneurysm treatment techniques and future directions.

Keng Siang Lee, John J Y Zhang, Vincent Nguyen, Julian Han, Jeremiah N Johnson, Ramez Kirollos, Mario Teo

Open access · hybridAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Neurosurgical review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 6 pooled it
8.4field-weighted citation impact, top 2% of its field
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

62 citing papers in PubMed, 6 syntheses or guidelines pooled it, 131 citations in OpenAlex.

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  8. [Association between early stenosis and temporary clipping in treated cerebral aneurysms].Revista medica del Instituto Mexicano del Seguro Social · 2026
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2 more citing papers are in PubMed but not listed here.

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 at 6 institutions in 3 countries.

Keng Siang LeeBristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, UK. kl17746@bristol.ac.uk.ORCID http://orcid.org/0000-0003-2308-0579
John J Y ZhangYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-8567-3807
Vincent NguyenDepartment of Neurosurgery, Bristol Institute of Clinical Neuroscience, Southmead Hospital, Bristol, UK.
Julian HanDepartment of Neurosurgery, National Neuroscience Institute, Singapore, Singapore.
Jeremiah N JohnsonDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0003-4743-911X
Ramez KirollosDepartment of Neurosurgery, National Neuroscience Institute, Singapore, Singapore.
Mario TeoDepartment of Neurosurgery, Bristol Institute of Clinical Neuroscience, Southmead Hospital, Bristol, UK.ORCID http://orcid.org/0000-0002-0051-3303
Southmead Hospital · GBBaylor College of Medicine · USNational Neuroscience Institute · SGNational University of Singapore · SGUniversity of Cambridge · GBUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment techniques and management guidelines for intracranial aneurysms (IAs) have been continually developing and this rapid development has altered treatment decision-making for clinicians. IAs are treated in one of two ways: surgical treatments such as microsurgical clipping with or without bypass techniques, and endovascular methods such as coiling, balloon- or stent-assisted coiling, or intravascular flow diversion and intrasaccular flow disruption. In certain cases, a single approach may be inadequate in completely resolving the IA and successful treatment requires a combination of microsurgical and endovascular techniques, such as in complex aneurysms. The treatment option should be considered based on factors such as age; past medical history; comorbidities; patient preference; aneurysm characteristics such as location, morphology, and size; and finally the operator's experience. The purpose of this review is to provide practicing neurosurgeons with a summary of the techniques available, and to aid decision-making by highlighting ideal or less ideal cases for a given technique. Next, we illustrate the evolution of techniques to overcome the shortfalls of preceding techniques. At the outset, we emphasize that this decision-making process is dynamic and will be directed by current best scientific evidence, and future technological advances.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmHumansMicrosurgeryRetrospective StudiesStentsTreatment OutcomeAneurysmsClippingCoilingEndovascular embolizationFlow diversionStentsSubarachnoid hemorrhage

Identifiers

PMID33891216
PMCPMC8827391
OpenAlexW3155169248

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.