Evidence map›Paper›PMID 37068941›Full record

Trial reportJournal of neurointerventional surgery2024

Short- versus long-term Dual AntiPlatelet Therapy for Stent-Assisted treatment of CErebral aneurysm (DAPTS ACE): a multicenter, open-label, randomized clinical trial.

Tomohiko Ozaki, Hiroshi Yamagami, Masafumi Morimoto, Taketo Hatano, Hidenori Oishi, Koichi Haraguchi, Shinichi Yoshimura, Kenji Sugiu, Koji Iihara, Yuji Matsumaru and 9 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of neurointerventional surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Perioperative Antiplatelet Therapy in the New Flow Diversion Era.Journal of neuroendovascular therapy · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. 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

19 authors at 15 institutions in 1 country.

Tomohiko OzakiNeurosurgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.ORCID http://orcid.org/0000-0003-1558-4785
Hiroshi YamagamiStroke Neurology, National Hospital Organization Osaka National Hospital, Osaka, Japan yamagami.brain@outlook.com.
Masafumi MorimotoNeurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Kanagawa, Japan.
Taketo HatanoNeurosurgery, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan.
Hidenori OishiNeurosurgery, Juntendo University, Faculty of Medicine, Tokyo, Japan.
Koichi HaraguchiNeurosurgery, Hakodate Shintoshi Hospital, Hakodate, Japan.
Shinichi YoshimuraNeurosurgery, Hyogo Medical University, Nishinomiya, Hyogo, Japan.
Kenji SugiuNeurosurgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Okayama, Japan.
Koji IiharaNeurosurgery, National Cerebral and Cardiovascular Center Hospital, Suita, Osaka, Japan.
Yuji MatsumaruDivision of Stroke Prevention and Treatment, Department of Neurosurgery, University of Tsukuba Faculty of Medicine, Tsukuba, Ibaraki, Japan.
Yasushi MatsumotoDivision of Development and Discovery of Interventional Therapy, Tohoku University Hospital, Sendai, Miyagi, Japan.
Tetsu SatowNeurosurgery, Kindai University, Osaka-Sayama, Osaka, Japan.
Mikito HayakawaDivision of Stroke Prevention and Treatment, Department of Neurosurgery, University of Tsukuba Faculty of Medicine, Tsukuba, Ibaraki, Japan.
Chiaki SakaiNeurosurgery, Kobe City Medical Center General Hospital, Kobe-city, Japan.
Susumu MiyamotoNeurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kazuo KitagawaNeurology, Tokyo Women's Medical University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Takashi DaimonBiostatistics, Hyogo Medical University, Nishinomiya, Hyogo, Japan.
Tatsuo KagimuraFoundation for Biomedical Research and Innovation at Kobe, Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan.
Nobuyuki SakaiNeurosurgery, Kobe City Medical Center General Hospital, Kobe-city, Hyogo, Japan.
Hyogo University · JPKobe City Medical Center General Hospital · JPOsaka National Hospital · JPUniversity of Tsukuba · JPFoundation for Biomedical Research and Innovation · JPHakodate National Hospital · JPJuntendo University · JPKindai University · JPKokura Memorial Hospital · JPKyoto University · JPNational Cerebral and Cardiovascular Center · JPOhkawara Neurosurgical Hospital · JPOkayama University · JPTohoku University Hospital · JPTokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal duration of dual antiplatelet therapy (DAPT) after stent-assisted coil embolization (SACE) for cerebral aneurysm remains uncertain. This randomized trial of short- versus long-term Dual AntiPlatelet Therapy for Stent-Assisted treatment of CErebral aneurysm (DAPTS ACE) aimed to clarify whether long-term DAPT can reduce the occurrence of ischemic stroke in patients with cerebral aneurysms treated by SACE compared with short-term DAPT.

methodsPatients treated for cerebral aneurysm with SACE were enrolled from 17 hospitals in Japan. Patients were enrolled within 30 days after SACE and assigned in a 1:1 ratio to receive long-term (12 months) or short-term (3 months) DAPT with aspirin and clopidogrel. Randomization was performed centrally through a web-based system. The primary outcome was the time to ischemic stroke event during 3 to 12 months after SACE. This trial was registered with the Japan Registry of Clinical Trials (jRCTs051180141).

resultsA total of 142 patients were recruited from November 4, 2016 to January 7, 2019. Among them, 65 and 68 patients assigned to the long- and short-term DAPT groups, respectively, were included in the full analysis set. Ischemic stroke occurred in no patients in the long-term DAPT group and in one patient in the short-term DAPT group. The incidence rate did not differ between the groups (0.0 vs 2.1/100 person-years; log rank test, P=0.33).

conclusionsIn this multicenter randomized controlled trial, there was not a statistically significant difference in the rate of ischemic strokes between long- and short-term DAPT.

Indexed as

Intracranial AneurysmIschemic StrokePercutaneous Coronary InterventionAspirinDrug Therapy, CombinationHumansPlatelet Aggregation InhibitorsStentsTreatment OutcomeAspirinPlatelet Aggregation InhibitorsAneurysmDrugIntervention

Identifiers

PMID37068941
PMCPMC10850618
OpenAlexW4366149847

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.