Evidence map›Paper›PMID 28484825›Full record

ArticleEuropean radiology2017

Comparison of polyvinyl alcohol copolymer with detachable balloons for the embolisation of direct carotid cavernous fistula: a single-centre experience.

Xuying He, Chuanzhi Duan, Lingfeng Lai, Xin Zhang, Zhenjun Li, Xifeng Li, Tielin Li

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Treatment of carotid cavernous sinus fistulas with flow diverters. A case report and systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Pooled it
  2. Article
  3. Article
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

7 authors at 1 institution in 1 country.

Xuying HeDepartment of Neurosurgery, Zhujiang Hospital of Southern Medical University, National clinical key subject, Guangdong Provincial Clinical Medical Centre Department of Neurosurgery, Guangzhou, 510282, China. 2517079319@qq.com.ORCID http://orcid.org/0000-0002-5600-134X
Chuanzhi DuanDepartment of Neurosurgery, Zhujiang Hospital of Southern Medical University, National clinical key subject, Guangdong Provincial Clinical Medical Centre Department of Neurosurgery, Guangzhou, 510282, China.
Lingfeng LaiDepartment of Neurosurgery, Zhujiang Hospital of Southern Medical University, National clinical key subject, Guangdong Provincial Clinical Medical Centre Department of Neurosurgery, Guangzhou, 510282, China.
Xin ZhangDepartment of Neurosurgery, Zhujiang Hospital of Southern Medical University, National clinical key subject, Guangdong Provincial Clinical Medical Centre Department of Neurosurgery, Guangzhou, 510282, China.
Zhenjun LiDepartment of Neurosurgery, Zhujiang Hospital of Southern Medical University, National clinical key subject, Guangdong Provincial Clinical Medical Centre Department of Neurosurgery, Guangzhou, 510282, China.
Xifeng LiDepartment of Neurosurgery, Zhujiang Hospital of Southern Medical University, National clinical key subject, Guangdong Provincial Clinical Medical Centre Department of Neurosurgery, Guangzhou, 510282, China.
Tielin LiDepartment of Neurosurgery, Zhujiang Hospital of Southern Medical University, National clinical key subject, Guangdong Provincial Clinical Medical Centre Department of Neurosurgery, Guangzhou, 510282, China.
Zhujiang Hospital · CN

Funding

Medical Scientific Research Foundation of Guangdong Province, China QD2013NO11National Natural Science Foundation of China 81400943
6 · The paper itself

Abstract

objectivesTo characterise the safety, efficacy and cost of direct carotid-cavernous fistula (CCF) treatment using polyvinyl alcohol copolymer or detachable balloons.

methodsWe reviewed retrospectively patients with direct CCFs treated with either a detachable balloon or polyvinyl alcohol copolymer at our hospital from 2005 to 2015 and identified 94 patients with 105 CCFs. All patients had follow-up angiograms. The CCF occlusion rate, procedure complication rate, treatment expense and operation time were recorded.

resultsWith a mean of 5.4 months of angiographic follow-up, the complete occlusion rate and recanalisation rate of the polyvinyl alcohol copolymer group was not significantly different from that of the detachable balloon group. The treatment expense was much higher and the operation time was much longer in the polyvinyl alcohol copolymer group than the detachable balloon group (P < 0.001).

conclusionsEmbolisation of CCF with polyvinyl alcohol copolymer is as safe and effective as detachable balloon but has a much higher cost and longer operation time. KEY POINTS: • Carotid-cavernous fistula results from a damaged carotid artery. • Detachable balloons have been used with success for many years. • Some reported excellent outcomes after embolisation with polyvinyl alcohol copolymer. • Treatment expense is much higher in the polyvinyl alcohol copolymer group.

Indexed as

AdolescentAdultAgedAngiographyCarotid Artery, CommonCarotid-Cavernous Sinus FistulaCosts and Cost AnalysisEmbolization, TherapeuticFemaleHumansMaleMiddle AgedOperative TimePolymersPolyvinyl AlcoholRetrospective StudiesPolymersPolyvinyl AlcoholCarotid-cavernous fistulasComplication rateDetachable balloonPolyvinyl alcohol copolymerTreatment expense

Identifiers

PMID28484825
OpenAlexW2611965291

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.