Evidence map›Paper›PMID 24722303›Full record

ArticleAJNR. American journal of neuroradiology2014

Preoperative embolization of intracranial meningiomas: efficacy, technical considerations, and complications.

D M S Raper, R M Starke, F Henderson, D Ding, S Simon, A J Evans, J A Jane, K C Liu

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 6 pooled it
6.2field-weighted citation impact, top 3% of its field
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

53 citing papers in PubMed, 6 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Pooled it
  2. Successful pre-operative endovascular intraventricular meningioma embolization: a systematic review and pediatric case analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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  20. Evaluating the effectiveness of preoperative embolization for meningioma with pial feeders: Analysis of perfusion magnetic resonance imaging.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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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

8 authors at 1 institution in 1 country.

D M S RaperFrom the Department of Neurosurgery (D.M.S.R., R.M.S., D.D., J.A.J., K.C.L.) raper@virginia.edu.
R M StarkeFrom the Department of Neurosurgery (D.M.S.R., R.M.S., D.D., J.A.J., K.C.L.).
F HendersonSchool of Medicine (F.H.), University of Virginia Health System, Charlottesville, Virginia.
D DingFrom the Department of Neurosurgery (D.M.S.R., R.M.S., D.D., J.A.J., K.C.L.).
S SimonDepartment of Neurosurgery (S.S.), Penn State Hershey, Milton S. Hershey Medical Center, Hershey, Pennsylvania.
A J EvansRadiology (A.J.E.).
J A JaneFrom the Department of Neurosurgery (D.M.S.R., R.M.S., D.D., J.A.J., K.C.L.).
K C LiuFrom the Department of Neurosurgery (D.M.S.R., R.M.S., D.D., J.A.J., K.C.L.).
University of Virginia Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePreoperative embolization for intracranial meningiomas offers potential advantages for safer and more effective surgery. However, this treatment strategy has not been examined in a large comparative series. The purpose of this study was to review our experience using preoperative embolization to understand the efficacy, technical considerations and complications of this technique. MATERIALS AND

methodsWe performed a retrospective review of patients undergoing intracranial meningioma resection at our institution (March 2001 to December 2012). Comparisons were made between embolized and nonembolized patients, including patient and tumor characteristics, embolization method, operative blood loss, complications, and extent of resection. Logistic regression analyses were used to identify factors predictive of operative blood loss and extent of resection.

resultsPreoperatively, 224 patients were referred for embolization, of which 177 received embolization. No complications were seen in 97.1%. There were no significant differences in operative duration, extent of resection, or complications. Estimated blood loss was higher in the embolized group (410 versus 315 mL, P=.0074), but history of embolization was not a predictor of blood loss in multivariate analysis. Independent predictors of blood loss included decreasing degree of tumor embolization (P=.037), skull base location (P=.005), and male sex (P=.034). Embolization was not an independent predictor of gross total resection.

conclusionsPreoperative embolization is a safe option for selected meningiomas. In our series, embolization did not alter the operative duration, complications, or degree of resection, but the degree of embolization was an independent predictor of decreased operative blood loss.

Indexed as

AdultAged, 80 and overBlood Loss, SurgicalCombined Modality TherapyEmbolization, TherapeuticFemaleHumansMaleMeningeal NeoplasmsMeningiomaMiddle AgedPreoperative CareRetrospective Studies

Identifiers

PMID24722303
PMCPMC7966288
OpenAlexW2155897774

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.