{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T07:02:00Z","timestamp":1779001320052,"version":"3.51.4"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T00:00:00Z","timestamp":1661472000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T00:00:00Z","timestamp":1661472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007210","name":"RWTH Aachen University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007210","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Neuroradiol"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>In intracranial wide-neck aneurysms, simple coil embolization is often not a\u00a0feasible treatment option. Balloon-assisted coiling comes with the drawback of blood flow impairment, whereas permanent stent placement requires long-term antiplatelet therapy. Temporary stent-assisted coiling (coiling assisted by temporary stenting, CATS) is an alternative that eliminates both disadvantages. Because prior studies included only small numbers of patients, it was our aim to analyze the safety and effectiveness of this technique in a\u00a0larger cohort of patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We retrospectively evaluated all endovascular aneurysm treatments at our institution from 2011 to 2020. Out of a\u00a0total of 688 aneurysm treatments, we intended to perform\u00a095 (14%) with temporary stent-assisted coiling and included them in our study.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Sixty-four (64)% of aneurysms were acutely ruptured, 3% were symptomatic but unruptured, and 33% were incidental. Successful stent recovery was possible in 93% of treatments. Initial complete and adequate occlusion rate were 53% and 82%, respectively. Long-term follow-up at 6\u00a0and 12\u00a0months was available for 71% and 44% of cases. Aneurysm recurrence was observed in 10% of cases after 6\u00a0months, and in 17% after 1\u00a0year or later. Periprocedural complications were noted in 12\u00a0cases (13%), of which only 1 complication was definitely associated with temporary stent-assisted coiling (1%). One of the periprocedural complications resulted in neurological damage, the other complications were asymptomatic.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Temporary stent-assisted coiling appears to be a\u00a0safe and effective treatment method in intracranial wide-neck aneurysms. Procedural safety appears to be comparable with balloon remodeling or permanent stent-assisted coiling, but it comes with the further benefit of diminished need for posttreatment antiplatelet therapy, which may improve the outcome of patients. However, to define the true value and potential benefit of this technique, further prospective studies are required.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00062-022-01206-6","type":"journal-article","created":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T20:02:25Z","timestamp":1661544145000},"page":"219-226","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Results of Temporary Stent-assisted Coil Embolization (CATS) for the Treatment of Wide-neck Aneurysms"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2769-049X","authenticated-orcid":false,"given":"F.","family":"Gottmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2055-4217","authenticated-orcid":false,"given":"O.","family":"Nikoubashman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6798-5703","authenticated-orcid":false,"given":"A.","family":"H\u00f6llig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9439-7963","authenticated-orcid":false,"given":"A.","family":"Reich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8261-5513","authenticated-orcid":false,"given":"M.","family":"Wiesmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,26]]},"reference":[{"key":"1206_CR1","doi-asserted-by":"publisher","first-page":"396","DOI":"10.3171\/jns.2006.105.3.396","volume":"105","author":"M Sluzewski","year":"2006","unstructured":"Sluzewski\u00a0M, Rooij\u00a0WJ van, Beute\u00a0GN, Nijssen\u00a0PC. Balloon-assisted coil embolization of intracranial aneurysms: incidence, complications, and angiography results. J Neurosurg. 2006;105:396\u20139.","journal-title":"J Neurosurg"},{"key":"1206_CR2","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1227\/NEU.0000000000000415","volume":"75","author":"B Gory","year":"2014","unstructured":"Gory\u00a0B, Klisch\u00a0J, Bonaf\u00e9\u00a0A, Mounayer\u00a0C, Beaujeux\u00a0R, Moret\u00a0J, Lubicz\u00a0B, Riva\u00a0R, Turjman\u00a0F. Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms: mid-term results from the SOLARE Study. Neurosurgery. 2014;75:215\u20139; discussion 219.","journal-title":"Neurosurgery"},{"key":"1206_CR3","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1186\/s12883-021-02270-0","volume":"21","author":"K Shoda","year":"2021","unstructured":"Shoda\u00a0K, Enomoto\u00a0Y, Egashira\u00a0Y, Kinoshita\u00a0T, Mizutani\u00a0D, Iwama\u00a0T. Long-term complications after stent assist coiling dependent on clopidogrel response. BMC Neurol. 2021;21:247.","journal-title":"BMC Neurol"},{"issue":"Suppl 3","key":"1206_CR4","doi-asserted-by":"publisher","first-page":"iii76","DOI":"10.1136\/neurintsurg-2013-010737","volume":"5","author":"MA Almekhlafi","year":"2013","unstructured":"Almekhlafi\u00a0MA, Hockley\u00a0A, Wong\u00a0JH, Goyal\u00a0M. Temporary Solitaire stent neck remodeling in the coiling of ruptured aneurysms. J Neurointerv Surg. 2013;5 Suppl 3:iii76\u20138.","journal-title":"J Neurointerv Surg"},{"key":"1206_CR5","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1136\/neurintsurg-2011-010055","volume":"4","author":"AM Spiotta","year":"2012","unstructured":"Spiotta\u00a0AM, Wheeler\u00a0AM, Smithason\u00a0S, Hui\u00a0F, Moskowitz\u00a0S. Comparison of techniques for stent assisted coil embolization of aneurysms. J Neurointerv Surg. 2012;4:339\u201344.","journal-title":"J Neurointerv Surg"},{"key":"1206_CR6","doi-asserted-by":"publisher","first-page":"1372","DOI":"10.3174\/ajnr.A5204","volume":"38","author":"M M\u00fcller","year":"2017","unstructured":"M\u00fcller\u00a0M, Brockmann\u00a0C, Afat\u00a0S, Nikoubashman\u00a0O, Schubert\u00a0GA, Reich\u00a0A, Othman\u00a0AE, Wiesmann\u00a0M. Temporary Stent-Assisted Coil Embolization as a Treatment Option for Wide-Neck Aneurysms. AJNR Am J Neuroradiol. 2017;38:1372\u20136.","journal-title":"AJNR Am J Neuroradiol"},{"key":"1206_CR7","doi-asserted-by":"publisher","first-page":"984","DOI":"10.3174\/ajnr.A3798","volume":"35","author":"F Signorelli","year":"2014","unstructured":"Signorelli\u00a0F, Gory\u00a0B, Turjman\u00a0F. Temporary solitaire stent-assisted coiling: a technique for the treatment of acutely ruptured wide-neck intracranial aneurysms. AJNR Am J Neuroradiol. 2014;35:984\u20138.","journal-title":"AJNR Am J Neuroradiol"},{"key":"1206_CR8","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1016\/j.jocn.2013.10.009","volume":"21","author":"DW Zumofen","year":"2014","unstructured":"Zumofen\u00a0DW, Sahasrabudhe\u00a0N, Riina\u00a0HA, Raz\u00a0E, Shapiro\u00a0M, Becske\u00a0T, Nelson\u00a0PK. Temporary stent scaffolding during aneurysm coiling. J Clin Neurosci. 2014;21:852\u20134.","journal-title":"J Clin Neurosci"},{"key":"1206_CR9","doi-asserted-by":"publisher","first-page":"e766","DOI":"10.1016\/j.wneu.2018.12.029","volume":"123","author":"BM Corliss","year":"2019","unstructured":"Corliss\u00a0BM, Barkley\u00a0KF, Polifka\u00a0AJ, Hoh\u00a0BL, Fox\u00a0WC. Single-Center Case Series of Temporary Stent Assistance for Coiling of Acutely Ruptured Aneurysms. World Neurosurg. 2019;123:e766\u201372.","journal-title":"World Neurosurg"},{"key":"1206_CR10","doi-asserted-by":"publisher","first-page":"27","DOI":"10.3340\/jkns.2018.0064","volume":"62","author":"HY Heo","year":"2019","unstructured":"Heo\u00a0HY, Ahn\u00a0JG, Ji\u00a0C, Yoon\u00a0WK. Selective Temporary Stent-Assisted Coil Embolization for Intracranial Wide-Necked Small Aneurysms Using Solitaire AB Retrievable Stent. J Korean Neurosurg Soc. 2019;62:27\u201334.","journal-title":"J Korean Neurosurg Soc"},{"key":"1206_CR11","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1136\/neurintsurg-2015-012035","volume":"8","author":"CJ Stapleton","year":"2016","unstructured":"Stapleton\u00a0CJ, Torok\u00a0CM, Rabinov\u00a0JD, Walcott\u00a0BP, Mascitelli\u00a0JR, Leslie-Mazwi\u00a0TM, Hirsch\u00a0JA, Yoo\u00a0AJ, Ogilvy\u00a0CS, Patel\u00a0AB. Validation of the Modified Raymond-Roy classification for intracranial aneurysms treated with coil embolization. J Neurointerv Surg. 2016;8:927\u201333.","journal-title":"J Neurointerv Surg"},{"key":"1206_CR12","doi-asserted-by":"publisher","DOI":"10.1177\/15910199211026712","author":"Y Xie","year":"2021","unstructured":"Xie\u00a0Y, Tian\u00a0H, Xiang\u00a0B, Liu\u00a0J, Xiang\u00a0H. Woven EndoBridge device for the treatment of ruptured intracranial aneurysms: A systematic review of clinical and angiographic results. Interv Neuroradiol. 2022;28:240\u20139.","journal-title":"Interv Neuroradiol"},{"key":"1206_CR13","doi-asserted-by":"publisher","first-page":"1044","DOI":"10.1136\/jnnp.54.12.1044","volume":"54","author":"B Farrell","year":"1991","unstructured":"Farrell\u00a0B, Godwin\u00a0J, Richards\u00a0S, Warlow\u00a0C. The United Kingdom transient ischaemic attack (UK-TIA) aspirin trial: final results. J Neurol Neurosurg Psychiatry. 1991;54:1044\u201354.","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"1206_CR14","doi-asserted-by":"publisher","first-page":"e296","DOI":"10.1371\/journal.pmed.0040296","volume":"4","author":"E von Elm","year":"2007","unstructured":"Elm\u00a0E von, Altman\u00a0DG, Egger\u00a0M, Pocock\u00a0SJ, G\u00f8tzsche\u00a0PC, Vandenbroucke\u00a0JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med. 2007;4:e296.","journal-title":"PLoS Med"},{"key":"1206_CR15","doi-asserted-by":"publisher","first-page":"1162","DOI":"10.3174\/ajnr.A4240","volume":"36","author":"O Nikoubashman","year":"2015","unstructured":"Nikoubashman\u00a0O, Pjontek\u00a0R, Brockmann\u00a0MA, Tolba\u00a0R, Wiesmann\u00a0M. Retrieval of migrated coils with stent retrievers: an animal study. AJNR Am J Neuroradiol. 2015;36:1162\u20136.","journal-title":"AJNR Am J Neuroradiol"},{"key":"1206_CR16","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1136\/neurintsurg-2014-011466","volume":"8","author":"A Consoli","year":"2016","unstructured":"Consoli\u00a0A, Vignoli\u00a0C, Renieri\u00a0L, Rosi\u00a0A, Chiarotti\u00a0I, Nappini\u00a0S, Limbucci\u00a0N, Mangiafico\u00a0S. Assisted coiling of saccular wide-necked unruptured intracranial aneurysms: stent versus balloon. J Neurointerv Surg. 2016;8:52\u20137.","journal-title":"J Neurointerv Surg"},{"key":"1206_CR17","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1227\/NEU.0000000000000366","volume":"75","author":"E Peterson","year":"2014","unstructured":"Peterson\u00a0E, Hanak\u00a0B, Morton\u00a0R, Osbun\u00a0JW, Levitt\u00a0MR, Kim\u00a0LJ. Are aneurysms treated with balloon-assisted coiling and stent-assisted coiling different? Morphological analysis of 113 unruptured wide-necked aneurysms treated with adjunctive devices. Neurosurgery. 2014;75:145\u201351; quiz 151.","journal-title":"Neurosurgery"},{"key":"1206_CR18","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.jns.2016.03.041","volume":"364","author":"F Wang","year":"2016","unstructured":"Wang\u00a0F, Chen\u00a0X, Wang\u00a0Y, Bai\u00a0P, Wang\u00a0HZ, Sun\u00a0T, Yu\u00a0HL. Stent-assisted coiling and balloon-assisted coiling in the management of intracranial aneurysms: A systematic review & meta-analysis. J Neurol Sci. 2016;364:160\u20136.","journal-title":"J Neurol Sci"},{"key":"1206_CR19","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1007\/s00062-020-00926-x","volume":"31","author":"T Greve","year":"2021","unstructured":"Greve\u00a0T, Sukopp\u00a0M, Wostrack\u00a0M, Burian\u00a0E, Zimmer\u00a0C, Friedrich\u00a0B. Initial Raymond-Roy Occlusion Classification but not Packing Density Defines Risk for Recurrence after Aneurysm Coiling. Clin Neuroradiol. 2021;31:391\u20139.","journal-title":"Clin Neuroradiol"},{"key":"1206_CR20","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1227\/NEU.0b013e31828ecf69","volume":"72","author":"R Chitale","year":"2013","unstructured":"Chitale\u00a0R, Chalouhi\u00a0N, Theofanis\u00a0T, Starke\u00a0RM, Amenta\u00a0P, Jabbour\u00a0P, Tjoumakaris\u00a0S, Dumont\u00a0AS, Rosenwasser\u00a0RH, Gonzalez\u00a0LF. Treatment of ruptured intracranial aneurysms: comparison of stenting and balloon remodeling. Neurosurgery. 2013;72:953\u20139.","journal-title":"Neurosurgery"},{"key":"1206_CR21","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1007\/s00062-019-00874-1","volume":"31","author":"L Goertz","year":"2021","unstructured":"Goertz\u00a0L, Smyk\u00a0MA, Siebert\u00a0E, Turowski\u00a0B, Borggrefe\u00a0J, Mpotsaris\u00a0A, Bohner\u00a0G, Schlamann\u00a0M, Dorn\u00a0F, Liebig\u00a0T, Kabbasch\u00a0C. Low-Profile Laser-Cut Stents for Endovascular Treatment of Intracranial Aneurysms : Incidence, Clinical Presentation and Risk Factors of Thromboembolic Events. Clin Neuroradiol. 2021;31:107\u201315.","journal-title":"Clin Neuroradiol"},{"key":"1206_CR22","doi-asserted-by":"publisher","first-page":"20210538","DOI":"10.1259\/bjr.20210538","volume":"95","author":"K Fatania","year":"2021","unstructured":"Fatania\u00a0K, Patankar\u00a0DT. Comprehensive review of the recent advances in devices for endovascular treatment of complex brain aneurysms. Br J Radiol. 2022;95:20210538.","journal-title":"Br J Radiol"},{"key":"1206_CR23","doi-asserted-by":"publisher","first-page":"E6","DOI":"10.3174\/ajnr.A4090","volume":"35","author":"MA Almekhlafi","year":"2014","unstructured":"Almekhlafi\u00a0MA, Goyal\u00a0M. Antiplatelet therapy prior to temporary stent-assisted coiling. AJNR Am J Neuroradiol. 2014;35:E6.","journal-title":"AJNR Am J Neuroradiol"},{"key":"1206_CR24","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1080\/02688697.2020.1787338","volume":"35","author":"G Qin","year":"2021","unstructured":"Qin\u00a0G, Pang\u00a0G, Zhong\u00a0S, Chen\u00a0H, Tang\u00a0X, Lan\u00a0S. Increased risk of Ventriculostomy-Associated hemorrhage in patients treated with antiplatelet agents for stent-assisted coiling of ruptured intracranial aneurysms. Br J Neurosurg. 2021;35:270\u20134.","journal-title":"Br J Neurosurg"},{"key":"1206_CR25","doi-asserted-by":"publisher","first-page":"1148","DOI":"10.1093\/neuros\/nyaa200","volume":"87","author":"A Sirakov","year":"2020","unstructured":"Sirakov\u00a0A, Minkin\u00a0K, Penkov\u00a0M, Ninov\u00a0K, Karakostov\u00a0V, Sirakov\u00a0S. Comaneci-Assisted Coiling as a Treatment Option for Acutely Ruptured Wide Neck Cerebral Aneurysm: Case Series of 118 Patients. Neurosurgery. 2020;87:1148\u201356.","journal-title":"Neurosurgery"},{"key":"1206_CR26","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2021-017416","author":"L Spelle","year":"2021","unstructured":"Spelle\u00a0L, Herbreteau\u00a0D, Caroff\u00a0J, Barreau\u00a0X, Ferr\u00e9\u00a0JC, Fiehler\u00a0J, Januel\u00a0AC, Costalat\u00a0V, Liebig\u00a0T, Bourcier\u00a0R, M\u00f6hlenbruch\u00a0M, Berkefeld\u00a0J, Weber\u00a0W, Mihalea\u00a0C, Ikka\u00a0L, Ozanne\u00a0A, Cognard\u00a0C, Narata\u00a0AP, Bibi\u00a0RE, Gauvrit\u00a0JY, Raoult\u00a0H, Velasco\u00a0S, Buhk\u00a0JH, Chalumeau\u00a0V, Bester\u00a0M, Desal\u00a0H, Mesnil de Rochemont\u00a0R\u00a0du, Bohner\u00a0G, Fischer\u00a0S, Biondi\u00a0A, Grimaldi\u00a0L, Moret\u00a0J, Byrne\u00a0J, Pierot\u00a0L. CLinical Assessment of WEB device in Ruptured aneurYSms (CLARYS): results of 1-month and 1-year assessment of rebleeding protection and clinical safety in a multicenter study. J Neurointerv Surg. 2022;14:807\u201314.","journal-title":"J Neurointerv Surg"},{"key":"1206_CR27","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1136\/neurintsurg-2020-016405","volume":"13","author":"PP Youssef","year":"2021","unstructured":"Youssef\u00a0PP, Dornbos Iii\u00a0D, Peterson\u00a0J, Sweid\u00a0A, Zakeri\u00a0A, Nimjee\u00a0SM, Jabbour\u00a0P, Arthur\u00a0AS. Woven EndoBridge (WEB) device in the treatment of ruptured aneurysms. J Neurointerv Surg. 2021;13:443\u20136.","journal-title":"J Neurointerv Surg"}],"container-title":["Clinical Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00062-022-01206-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00062-022-01206-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00062-022-01206-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T23:11:57Z","timestamp":1679872317000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00062-022-01206-6"}},"subtitle":["A 10-year Single Center Experience"],"short-title":[],"issued":{"date-parts":[[2022,8,26]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["1206"],"URL":"https:\/\/doi.org\/10.1007\/s00062-022-01206-6","relation":{},"ISSN":["1869-1439","1869-1447"],"issn-type":[{"value":"1869-1439","type":"print"},{"value":"1869-1447","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,26]]},"assertion":[{"value":"30 January 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"O.\u00a0Nikoubashman has received reimbursement for lectures or travel support from Stryker Neurovascular and Phenox, has received grants for research projects from Stryker Neurovascular, is member of the Steering Committee of the German Stroke Registry. A.\u00a0H\u00f6llig has received reimbursement for travel support from Nevro and Abbott, has received grants for research projects from Air liquide, Hannelore-Kohl-Stiftung, and B.\u00a0Braun Stiftung. M.\u00a0Wiesmann has been working as a\u00a0consultant for Stryker Neurovascular, has received reimbursement for lectures or travel support from Bracco Imaging, Siemens Healthcare, and Stryker Neurovascular, has received grants for research projects or educational exhibits from ab medica, Acandis, Bracco Imaging, Cerenovus, Kaneka Pharmaceuticals, Medtronic, Mentice AB, Microvention, Phenox, Siemens Healthcare, and Stryker Neurovascular. A.\u00a0Reich and F.\u00a0Gottmann have no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}