Evidence map›Paper›PMID 31537516›Full record

ArticleAJNR. American journal of neuroradiology2019

Safety and Efficacy of Transvenous Embolization of Ruptured Brain Arteriovenous Malformations as a Last Resort: A Prospective Single-Arm Study.

Y He, Y Ding, W Bai, T Li, F K Hui, W-J Jiang, J Xue

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Evaluating the safety and efficacy of transvenous embolization for brain arteriovenous malformation: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. Review
  3. Review
  4. Transvenous curative embolization of brain arteriovenous malformations using extra-low viscosityInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  5. FLAIR hyperintense vessels on MRI post brain arteriovenous malformation embolization: A novel finding associated with post-procedure intraparenchymal hemorrhage.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  6. Basic Knowledge and Overview of Brain AVMs.Journal of neuroendovascular therapy · 2025
    Review
  7. Transvenous Embolization for Brain Arteriovenous Malformations.Journal of neuroendovascular therapy · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. 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 4 institutions in 2 countries.

Y HeFrom the Department of Interventional Neuroradiology (Y.H., W.B., T.L., J.X.), Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, and Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.ORCID 0000-0003-4168-8158
Y DingDepartment of Radiology (Y.D.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-4329-3192
W BaiFrom the Department of Interventional Neuroradiology (Y.H., W.B., T.L., J.X.), Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, and Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.ORCID 0000-0001-9089-4092
T LiFrom the Department of Interventional Neuroradiology (Y.H., W.B., T.L., J.X.), Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, and Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China dr.litianxiao@henu.edu.cn.ORCID 0000-0003-3585-5001
F K HuiDepartment of Radiology (F.K.H.), Johns Hopkins Hospital, Baltimore, Maryland.ORCID 0000-0003-3759-7886
W-J JiangDepartment of Vascular Neurosurgery (W.-J.J.), the PLA Rocket Force General Hospital, Beijing, China.ORCID 0000-0002-4983-2823
J XueFrom the Department of Interventional Neuroradiology (Y.H., W.B., T.L., J.X.), Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, and Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.ORCID 0000-0001-7138-744X
Henan University · CNAir Force General Hospital PLA · CNJohns Hopkins Hospital · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe efficacy and safety of transvenous embolization for brain arteriovenous malformations remains unclear, given the very limited number of cases reported. This prospective study was performed to assess this technique in ruptured AVMs. MATERIALS AND

methodsTwenty-one consecutive patients with ruptured brain AVMs who underwent transvenous embolization were prospectively followed between November 2016 and November 2018. The Spetzler-Martin grade was I in 3 AVMs (14.3%), II in four (19.0%), III in eleven (52.4%), and IV in three (14.3%). The complete AVM occlusion rate was calculated from 6-month follow-up DSA images. Occurrence of hemorrhage and infarction after embolization was evaluated using CT and MR imaging within 1 month after the operation. The mRS was used to assess the functional outcomes.

resultsComplete AVM nidus obliteration was shown in 16 (84%) of 19 patients with technically feasible AVMs immediately after embolization. One (5%) patient with a small residual nidus after treatment showed complete obliteration at 13-month follow-up. There were 5 hemorrhages and 1 infarction; 4 patients' symptoms improved gradually. The percentage of cases with mRS ≤ 2 rose from 57.1% (12/21) before embolization to 66.7% (14/21) at 1-month follow-up. Both the morbidity and mortality rates were 4.8% (1/21).

conclusionsTransvenous embolization can be performed only in highly selected hemorrhagic brain AVMs with high complete obliteration rates, improved functional outcomes, and acceptable morbidity and mortality rates, but it should not be considered as a first-line treatment.

Indexed as

AdolescentAdultArteriovenous FistulaChildEmbolization, TherapeuticEndovascular ProceduresFemaleHumansIntracranial Arteriovenous MalformationsIntracranial HemorrhagesMaleMiddle AgedProspective StudiesTreatment OutcomeYoung Adult

Identifiers

PMID31537516
PMCPMC7028574
OpenAlexW2974771156

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.