Evidence map›Paper›PMID 34101056›Full record

ArticleCVIR endovascular2021

Endovascular balloon-assisted liquid embolisation of soft tissue vascular malformations: technical feasibility and safety.

Anthony Lamanna, Julian Maingard, Grace Florescu, Hong Kuan Kok, Dinesh Ranatunga, Christen Barras, Michael J Lee, Duncan Mark Brooks, Ashu Jhamb, Ronil V Chandra and 1 more

Open access · goldAbstract read
In one paragraph

Article in CVIR endovascular, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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  4. Review
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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

11 authors at 5 institutions in 2 countries.

Anthony LamannaInterventional Radiology Service, Department of Radiology, Austin Hospital, Melbourne, Australia. anton.lamanna92@gmail.com.ORCID http://orcid.org/0000-0003-0705-2252
Julian MaingardInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, Australia.
Grace FlorescuInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, Australia.
Hong Kuan KokSchool of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Australia.
Dinesh RanatungaInterventional Radiology Service, Department of Radiology, Austin Hospital, Melbourne, Australia.
Christen BarrasSouth Australian Health and Medical Research Institute, Adelaide, Australia.
Michael J LeeDepartment of Radiology, Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin, Ireland.
Duncan Mark BrooksInterventional Radiology Service, Department of Radiology, Austin Hospital, Melbourne, Australia.
Ashu JhambInterventional Neuroradiology Service, Department of Radiology, Austin Hospital, Melbourne, Australia.
Ronil V ChandraInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, Australia.
Hamed AsadiInterventional Radiology Service, Department of Radiology, Austin Hospital, Melbourne, Australia.
Deakin University · AUAustin Hospital · AUMonash Health · AURoyal College of Surgeons in Ireland · IESouth Australian Health and Medical Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeArteriovenous malformations (AVMs) are abnormal communications between arteries and veins without an intervening capillary system. The best endovascular treatment option for these is unclear and may involve multiple staged procedures using a variety of embolic materials. We report our initial experience using a modified version of a previously published neurointerventional technique to treat soft tissue AVMs with single-stage curative intent. MATERIALS AND

methodsSoft tissue AVMs treated endovascularly using either sole arterial or combined arterial and venous balloon-assisted techniques with liquid embolic agents were retrospectively identified over a 3.5 year period (January 2017 to June 2020)) at two centres. Clinical, pre-operative radiological, procedural technical and post treatment details were recorded.

resultsSeven patients were treated for symptomatic soft tissue arteriovenous malformations. These AVMs were located in the peripheral limbs (five), tongue (one) and uterus (one). Curative treatment was achieved in 6/7 patients with one patient requiring a second treatment approximately 1 year later. A variety of liquid embolisation agents (LEAs) including sclerosants and polymers were used. Clinical success rate was 100% following treatment. One patient experienced expected temporary post-operative tongue swelling requiring tracheostomy occurred following embolisation of the lingual AVM. A minor complication in a second patient was due to an access site haematoma developed following treatment of the hand AVM requiring surgical intervention. No long-term sequelae or additional complications were observed.

conclusionEndovascular arterial and venous balloon assisted LEA embolization of soft tissue AVMs with curative intent is feasible. This technique may provide an alternative treatment option for achieving durable occlusion for complex soft tissue AVMs.

Indexed as

Arteriovenous malformationEmbolisationLiquid embolisationOnyxPHILSoft tissue

Identifiers

PMID34101056
PMCPMC8187498
OpenAlexW3169195493

What OpenQuestion holds

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LicenceCC BY
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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.