Evidence map›Paper›PMID 40788393›Full record

ReviewNeuroradiology2025

Efficacy and safety of p48 flow diverters in the treatment of intracranial aneurysms: A systematic review and Meta-Analysis.

Bardia Hajikarimloo, Ibrahim Mohammadzadeh, Salem M Tos, Mohammad Amin Habibi, Rana Hashemi, Arman Hasanzade, Azin Ebrahimi, Kimia Didehvar, Mahdi Hooshmand, Sara Bana

Abstract readReview
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In one paragraph

Review in Neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Bardia HajikarimlooUniversity of Virginia, Charlottesville, United States. bardii47@yahoo.com.
Ibrahim MohammadzadehShahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Salem M TosUniversity of Virginia, Charlottesville, United States.
Mohammad Amin HabibiTehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Rana HashemiShahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Arman HasanzadeShahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Azin EbrahimiShahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Kimia DidehvarIran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Mahdi HooshmandShahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Sara BanaShahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe p48 movable wire (MW) flow modulation devices are a group of novel low-profile flow diverters (FDs) that have recently been introduced for the management of small intracranial aneurysms (IAs). This study evaluates the current literature regarding the efficacy and safety of p48 in treating IAs.

methodsA literature search was conducted using the PubMed, Embase, Scopus, and Web of Science databases. Studies evaluating the role of p48 FDs in IAs were included.

resultsTwelve studies encompassing 312 individuals with 330 IAs were included. The meta-analysis revealed a pooled complete occlusion rate of 58% (95% CI: 40%-75%), a favorable outcome rate of 96% (95% CI: 86%-100%), and a morbidity rate of 1% (95% CI: 0%-3%). Regarding the complications, our findings showed a pooled intraprocedural rate of 7% (95% CI: 1%-16%), a postprocedural rate of 9% (95% CI: 6%-13%), an ischemic complication rate of 8% (95% CI: 5%-12%), a hemorrhagic complication rate of 3% (95% CI: 1%-5%), and an in-stent stenosis rate of 1% (95% CI: 0%-3%). The subgroup analysis comparing p48 MW and p48 MW with a hydrophilic coating (HPC) did not demonstrate significant differences between groups in outcomes and complications, except for hemorrhagic complications, which were higher in p48 MW than in p48 MW HPC devices (p48: 3% vs. p48 HPC: 0%, P = 0.04).

conclusionThe p48 FDs represent novel therapeutic options in the management of IAs, associated with promising outcomes and low complication rates.

Indexed as

Hydrophilic coatingIntracranial aneurysmP48 flow diverter

Identifiers

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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 Socratic graph.