Evidence map›Paper›PMID 34057563›Full record

ArticleClinical neuroradiology2022

Clinical outcomes of adjunct sinus stenting in dural arteriovenous fistulas : Role of flow restoration in steno-occlusion and cortical venous reflux.

Yen-Heng Lin, Chung-Wei Lee, Hon-Man Liu

Abstract read
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In one paragraph

Article in Clinical neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

3 authors at 3 institutions in 1 country.

Yen-Heng LinDepartment of Medical Imaging, National Taiwan University Hospital, No. 7, Chung-Shan South Rd, 100, Taipei, Taiwan, Republic of China.ORCID http://orcid.org/0000-0003-4327-7432
Chung-Wei LeeDepartment of Medical Imaging, National Taiwan University Hospital, No. 7, Chung-Shan South Rd, 100, Taipei, Taiwan, Republic of China. rad.chungweilee@gmail.com.ORCID http://orcid.org/0000-0002-3573-2506
Hon-Man LiuDepartment of Radiology, College of Medicine, National Taiwan University, Taipei, Taiwan, Republic of China.ORCID http://orcid.org/0000-0001-6715-6366
Chung Shan Medical University Hospital · TWFu Jen Catholic University · TWNational Taiwan University · TW

Funding

Ministry of Science and Technology, Taiwan MOST 109-2314-B-002 -097-
6 · The paper itself

Abstract

purposeThis study investigated the clinical outcomes and follow-up results of venous sinus stenting (VSS) for constrictive dural sinus restoration in patients with intracranial dural arteriovenous fistulas (DAVFs). We hypothesized that this treatment would have durable benefits in such patients.

methodsPatients who underwent VSS for DAVFs with cortical venous reflux between January 2008 and June 2020 were identified after a retrospective review (n =18). Clinical and endovascular treatment data and follow-up information were reviewed.

resultsThe mean age of the 18 patients was 59.9 years. Stents were implanted in 10 previously occluded sinuses and 9 stenotic sinuses in addition to endovascular embolization. One patient received bilateral VSS. Subdural hemorrhage occurred in one patient after recanalization for embolization, followed by uneventful stenting. In 17 patients with clinical follow-up, the median follow-up time was 59.5 months (interquartile range 18 to 84 months). Of these, sixteen patients had follow-up vascular imaging, revealing AVF obliteration in 6 patients (38%) and stent patency in 11 (69%). Retreatment was performed for 8 (50%) patients. The mean follow-up modified Rankin scale score was 1.28. All patients had longstanding symptomatic improvement.

conclusionRestoration of sinus flow in DAVFs with cortical venous reflux through VSS has an acceptable complication rate and long-term symptomatic control; however, retreatment is often required, and stent occlusion is not uncommon.

Indexed as

Central Nervous System Vascular MalformationsEmbolization, TherapeuticVascular DiseasesCranial SinusesHumansMiddle AgedRetrospective StudiesStentsTreatment OutcomeCerebral venous refluxDural arteriovenous fistulaEndovascularFollow-upVenous sinus stenting

Identifiers

PMID34057563
OpenAlexW3164342370

What OpenQuestion holds

Textmetadata
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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.