Evidence map›Paper›PMID 29114089›Full record

ArticleStroke2017

Angiographic and Clinical Characteristics of Thoracolumbar Spinal Epidural and Dural Arteriovenous Fistulas.

Hiro Kiyosue, Yuji Matsumaru, Yasunari Niimi, Keisuke Takai, Tomoya Ishiguro, Masafumi Hiramatsu, Kotaro Tatebayashi, Toshinori Takagi, Shinichi Yoshimura, JSNET Spinal AV Shunts Study Group

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In one paragraph

Article in Stroke, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

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  17. Extravertebral low back pain: a scoping review.BMC musculoskeletal disorders · 2024
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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

10 authors at 5 institutions in 1 country.

Hiro KiyosueFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.). hkiyosue@oita-u.ac.jp.
Yuji MatsumaruFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.).
Yasunari NiimiFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.).
Keisuke TakaiFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.).
Tomoya IshiguroFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.).
Masafumi HiramatsuFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.).
Kotaro TatebayashiFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.).
Toshinori TakagiFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.).
Shinichi YoshimuraFrom the Department of Radiology, Oita University Hospital, Yufu, Japan (H.K.); Department of Neurosurgery, Tsukuba University, Japan (Y.M.); Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan (Y.N.); Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Japan (K.T.); Department of Neurosurgery, Osaka City General Hospital, Japan (T.I.); Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan (M.H.); and Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan (K.T., T.T., S.Y.).
JSNET Spinal AV Shunts Study Group
Tokyo Metropolitan Neurological Hospital · JPOita University Hospital · JPUniversity of Tsukuba · JPOsaka City General Hospital · JPSt. Luke's International Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe purpose of this study is to compare the angiographic and clinical characteristics of spinal epidural arteriovenous fistulas (SEAVFs) and spinal dural arteriovenous fistulas (SDAVFs) of the thoracolumbar spine.

methodsA total of 168 cases diagnosed as spinal dural or extradural arteriovenous fistulas of the thoracolumbar spine were collected from 31 centers. Angiography and clinical findings, including symptoms, sex, and history of spinal surgery/trauma, were retrospectively reviewed. Angiographic images were evaluated, with a special interest in spinal levels, feeders, shunt points, a shunted epidural pouch and its location, and drainage pattern, by 6 readers to reach a consensus.

resultsThe consensus diagnoses by the 6 readers were SDAVFs in 108 cases, SEAVFs in 59 cases, and paravertebral arteriovenous fistulas in 1 case. Twenty-nine of 59 cases (49%) of SEAVFs were incorrectly diagnosed as SDAVFs at the individual centers. The thoracic spine was involved in SDAVFs (87%) more often than SEAVFs (17%). Both types of arteriovenous fistulas were predominant in men (82% and 73%) and frequently showed progressive myelopathy (97% and 92%). A history of spinal injury/surgery was more frequently found in SEAVFs (36%) than in SDAVFs (12%;

conclusionsSDAVFs and SEAVFs showed similar symptoms and male predominance. SDAVFs frequently involve the thoracic spine and shunt into the bridging vein. SEAVFs frequently involve the lumbar spine and form a shunted pouch in the ventral epidural space draining into the perimedullary vein.

Indexed as

AgedArteriovenous FistulaCentral Nervous System Vascular MalformationsCohort StudiesDisease ProgressionDura MaterEpidural SpaceFemaleHumansLumbosacral RegionMagnetic Resonance AngiographyMaleMiddle AgedRetrospective StudiesSex FactorsSpinal Cord Diseasesangiographyarteriovenous malformationsdrainagemalespinal injuries

Identifiers

PMID29114089
PMCPMC5704665
OpenAlexW2767212085

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.