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Record W4409112525 · doi:10.1016/j.jaccas.2025.103401

Preventing Distal Embolization of Coils After Therapeutic Graft Closure

2025· article· en· W4409112525 on OpenAlexaff
Gregor Leibundgut, Pierfrancesco Agostoni, Mohammad Iqbal

Bibliographic record

VenueJACC Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicCardiac and Coronary Surgery Techniques
Canadian institutionsRoyal Jubilee Hospital
Fundersnot available
KeywordsClosure (psychology)EmbolizationMedicineSurgery

Abstract

fetched live from OpenAlex

Patients with coronary artery bypass surgery will invariably experience graft failure. In this setting, treatment of the native vessel is recommended. After successful native vessel intervention, competitive flow from a patent graft may limit the durability of native vessel intervention, and thus therapeutic graft closure is usually recommended. Graft closure is frequently achieved with coils, but a recognized complication with coils is distal embolization during or after deployment. The presence of disease or tortuosity in grafts may allow stable deployment of coils and prevent this. However, with relatively patent grafts, it may be difficult to deploy coils without a risk of embolization. To overcome this problem, we propose a new technique where we strategically deploy and fashion a partially crushed stent in the body of the graft to serve as a plug to hold coils and prevent distal embolization, called the CRISP (CRushed In situ Stent Plug) technique.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.095
Threshold uncertainty score0.366

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.007
GPT teacher head0.280
Teacher spread0.273 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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