Evidence map›Paper›PMID 29243076›Full record

ArticleClinical neuroradiology2019

PTA Stent of Dural Sinuses in Brain DAVF : A Report of 4 Cases.

Leonardo Renieri, Caterina Michelozzi, Waleed Brinjikji, Jean Darcout, Adrien Guenego, Ivan Vukasinovic, Philippe Tall, Fabrice Bonneville, Anne-Christine Januel, Christophe Cognard

Abstract readCase Reports
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In one paragraph

Article in Clinical neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

10 authors at 3 institutions in 2 countries.

Leonardo RenieriDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France. leonardo.renieri@hotmail.it.ORCID http://orcid.org/0000-0001-8966-8266
Caterina MichelozziDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France.
Waleed BrinjikjiDepartment of Medical Imaging, Division of Neuroradiology, Toronto Western Hospital, University Health Network & University of Toronto, 399 Bathurst Street, McL Wing, 3rd Floor, Room 438, M5T2S8, Toronto, ON, Canada.
Jean DarcoutDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France.
Adrien GuenegoDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France.
Ivan VukasinovicDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France.
Philippe TallDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France.
Fabrice BonnevilleDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France.
Anne-Christine JanuelDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France.
Christophe CognardDepartment of Neuroradiology, Service de Neuroradiologie Diagnostique et Thérapeutique du CHU de Toulouse, University Hospital of Toulouse, Place du Dr Baylac, TSA 40031, 31059, Toulouse, France.
Centre Hospitalier Universitaire de Toulouse · FRUniversité Fédérale de Toulouse Midi-Pyrénées · FRUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeType I and IIa dural arteriovenous fistulas (DAVFs) have a low hemorrhagic risk, but are often the cause of debilitating tinnitus that requires treatment. While Onyx® and PHIL™ (Precipitating hydrophobic injectable liquid) transarterial embolization represent the first endovascular option, there are occasional cases where performing angioplasty and stenting of the affected sinus may lead to satisfactory results. MATERIAL AND

methodsWe retrospectively analyzed four consecutive cases of patients with DAVF-induced pulsatile tinnitus secondary to type I and II DAVFs who were treated with angioplasty and stenting of the sinus only. All the patients had clinical and radiological long-term follow-up.

resultsWe noticed a significant radiological and clinical improvement in all the cases. Of the patients two were completely cured at follow-up with eradication of the neurological symptoms as well as the fistula, one was retreated with Onyx® for a very small residual shunt despite having no more tinnitus, and one showed improvement in venous drainage (from type IIa+b to type I fistula) without resolution of the fistula.

conclusionIn cases of type I and II DAVFs associated with sinus stenosis, angioplasty and stenting alone seem to be safe and effective. This treatment probably compresses the venules within the sinus walls, promoting thrombosis of the shunts thus solving the underlying cause of the fistula.

Indexed as

StentsAgedAngiography, Digital SubtractionCentral Nervous System Vascular MalformationsComputed Tomography AngiographyEmbolization, TherapeuticFemaleHumansMagnetic Resonance AngiographyMaleMiddle AgedMultimodal ImagingTreatment OutcomePTA stentSinus stentingTreatment of DAVFType I fistula

Identifiers

PMID29243076
OpenAlexW2774787299

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.