Evaluation of DeGIR registry data on endovascular treatment of cerebral vasospasm in Germany 2018–2021: an overview of the current care situation Article Swipe
Alexander Neumann
,
Werner Weber
,
Jan Küchler
,
Hannes Schacht
,
Ulf Jensen‐Kondering
,
Ansgar Berlis
,
Peter Schramm
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1055/a-2102-0129
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1055/a-2102-0129
Background Evaluation of endovascular therapies for cerebral vasospasm (CVS) documented in the DeGIR registry from 2018–2021 to analyse the current clinical care situation in Germany. Methods Retrospective analysis of the clinical and procedural data on endovascular spasm therapies (EST) documented anonymously in the DeGIR registry. We analysed: pre-interventional findings of CTP and consciousness; radiation dose applied, interventional-technical parameters (local medication, devices, angiographic result), post-interventional symptoms, complications and mortality. Results 3584 patients received a total of 7628 EST (median age/patient: 53 [range: 13–100, IQR: 44–60], 68.2 % women) in 91 (2018), 92 (2019), 100 (2020) and 98 (2021) centres; 5388 (70.6 %) anterior circulation and 378 (5 %) posterior circulation (both involved in 1862 cases [24.4 %]). EST was performed once in 2125 cases (27.9 %), with a mean of 2.1 EST/patient. In 7476 times, purely medicated EST were carried out (nimodipine: 6835, papaverine: 401, nitroglycerin: 62, other drug not specified: 239; combinations: 90). Microcatheter infusions were documented in 1132 times (14.8 %). Balloon angioplasty (BA) (additional) was performed in 756 EST (9.9 %), other mechanical recanalisations in 154 cases (2 %) and stenting in 176 of the EST (2.3 %). The median dose area product during ET was 4069 cGycm² (drug: 4002/[+]BA: 8003 [p < 0.001]). At least 1 complication occurred in 95 of all procedures (1.2 %) (drug: 1.1 %/[+]BA: 4.2 % [p < 0.001]). Mortality associated with EST was 0.2 % (n = 18). After EST, overall improvement or elimination of CVS was found in 94.2 % of cases (drug: 93.8 %/[+]BA: 98.1 % [p < 0.001]). In a comparison of the locally applied drugs, papaverine eliminated CVS more frequently than nimodipine (p = 0.001). Conclusion EST have a moderate radiation exposure and can be performed with few complications. Purely medicated EST are predominantly performed, especially with nimodipine. With (additional) BA, radiation exposure, complication rates and angiographic results are higher or better. When considering drug EST alone, there is evidence for an advantage of papaverine over nimodipine, but a different group size has to be taken into account. In the analysis of EST, the DeGIR registry data are suitable for answering more specific questions, especially due to the large number of cases; for this purpose, further subgroupings should be sought in the data documentation. Key points: Citation Format
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1055/a-2102-0129
- http://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2102-0129.pdf
- OA Status
- bronze
- Cited By
- 2
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4384818802
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4384818802Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1055/a-2102-0129Digital Object Identifier
- Title
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Evaluation of DeGIR registry data on endovascular treatment of cerebral vasospasm in Germany 2018–2021: an overview of the current care situationWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-07-19Full publication date if available
- Authors
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Alexander Neumann, Werner Weber, Jan Küchler, Hannes Schacht, Ulf Jensen‐Kondering, Ansgar Berlis, Peter SchrammList of authors in order
- Landing page
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https://doi.org/10.1055/a-2102-0129Publisher landing page
- PDF URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2102-0129.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2102-0129.pdfDirect OA link when available
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Medicine, Vasospasm, Nimodipine, Cerebral vasospasm, Papaverine, Complication, Angioplasty, Balloon, Surgery, Subarachnoid hemorrhage, Internal medicine, CalciumTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
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2025: 1, 2024: 1Per-year citation counts (last 5 years)
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27Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.therapies | 4, 37 |
| abstract_inverted_index.vasospasm | 7 |
| abstract_inverted_index.Background | 0 |
| abstract_inverted_index.Conclusion | 277 |
| abstract_inverted_index.Evaluation | 1 |
| abstract_inverted_index.associated | 227 |
| abstract_inverted_index.comparison | 261 |
| abstract_inverted_index.documented | 9, 39, 156 |
| abstract_inverted_index.eliminated | 268 |
| abstract_inverted_index.especially | 297, 356 |
| abstract_inverted_index.frequently | 271 |
| abstract_inverted_index.mechanical | 174 |
| abstract_inverted_index.mortality. | 67 |
| abstract_inverted_index.nimodipine | 273 |
| abstract_inverted_index.papaverine | 267, 326 |
| abstract_inverted_index.parameters | 57 |
| abstract_inverted_index.performed, | 296 |
| abstract_inverted_index.procedural | 32 |
| abstract_inverted_index.procedures | 215 |
| abstract_inverted_index.questions, | 355 |
| abstract_inverted_index.specified: | 149 |
| abstract_inverted_index.2018–2021 | 15 |
| abstract_inverted_index.4002/[+]BA: | 201 |
| abstract_inverted_index.angioplasty | 163 |
| abstract_inverted_index.anonymously | 40 |
| abstract_inverted_index.circulation | 102, 108 |
| abstract_inverted_index.considering | 315 |
| abstract_inverted_index.elimination | 241 |
| abstract_inverted_index.improvement | 239 |
| abstract_inverted_index.medication, | 59 |
| abstract_inverted_index.nimodipine, | 328 |
| abstract_inverted_index.nimodipine. | 299 |
| abstract_inverted_index.papaverine: | 142 |
| abstract_inverted_index.(additional) | 165, 301 |
| abstract_inverted_index.(nimodipine: | 140 |
| abstract_inverted_index.EST/patient. | 130 |
| abstract_inverted_index.age/patient: | 78 |
| abstract_inverted_index.angiographic | 61, 308 |
| abstract_inverted_index.complication | 209, 305 |
| abstract_inverted_index.endovascular | 3, 35 |
| abstract_inverted_index.subgroupings | 368 |
| abstract_inverted_index.Microcatheter | 153 |
| abstract_inverted_index.Retrospective | 26 |
| abstract_inverted_index.combinations: | 151 |
| abstract_inverted_index.complications | 65 |
| abstract_inverted_index.predominantly | 295 |
| abstract_inverted_index.complications. | 290 |
| abstract_inverted_index.consciousness; | 52 |
| abstract_inverted_index.documentation. | 375 |
| abstract_inverted_index.nitroglycerin: | 144 |
| abstract_inverted_index.recanalisations | 175 |
| abstract_inverted_index.pre-interventional | 47 |
| abstract_inverted_index.post-interventional | 63 |
| abstract_inverted_index.interventional-technical | 56 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 90 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8899999856948853 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.66776911 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |