Research summary, original research, 2014

Impact Of Endovascular Technique On Fluoroscopy Usage: Stent-Assisted Coiling Versus Flow Diversion For Paraclinoid Internal Carotid Artery Aneurysms

Miller TR, Jindal G, Krejza J, Gandhi D. The neuroradiology journal. 2014

Read the original paper

In plain language

In 40 patients treated for wide-neck paraclinoid carotid aneurysms, flow diversion needed less fluoroscopy time than stent-assisted coiling (52 vs 77 minutes). Patient dose-area product was lower but not significantly; staff dose was not measured.

At a glance

Type of study
Original research, Retrospective cohort study
Who was studied
Patients
Size
n = 40 patients
Summary based on
the abstract

What it found

  • Flow diversion was associated with significantly shorter fluoroscopy time than stent-assisted coiling.

    Key figures: 52.0 minutes versus 77.4 minutes

  • Total procedure time showed a strong trend toward being shorter with flow diversion.

    Key figures: 172 minutes versus 202 minutes

  • Patient dose-area product was lower with flow diversion, but the difference was not statistically significant.

    Key figures: 13225 mGy(x)cm(2) versus 15124 mGy(x)cm(2), not significant

  • Complete aneurysm occlusion was more frequent with flow diversion.

    Key figures: 80% versus 60%

  • Contrast usage did not differ significantly between techniques.

    Key figures: 152 ml and 159

Limits to keep in mind

Small single retrospective comparison of 20 patients per group, with no randomization; only patient dose metrics (fluoroscopy time, dose-area product (DAP)) were measured, with no staff dosimetry.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.