Evidence map›Paper›PMID 34628528›Full record

Observational studyNeuroradiology2022

A multicenter prospective registry of Borden type I dural arteriovenous fistula: results of a 3-year follow-up study.

Hidehisa Nishi, Hiroyuki Ikeda, Akira Ishii, Takayuki Kikuchi, Ichiro Nakahara, Tsuyoshi Ohta, Nobuyuki Sakai, Hirotoshi Imamura, Jun C Takahashi, Tetsu Satow and 2 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Observation versus intervention for Borden type I intracranial dural arteriovenous fistula: A pooled analysis of 469 patients.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
  2. Review
  3. 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

12 authors at 5 institutions in 1 country.

Hidehisa NishiDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Hiroyuki IkedaDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Akira IshiiDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan. ishii@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0003-4234-2749
Takayuki KikuchiDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Ichiro NakaharaDepartment of Neurosurgery, Kokura Memorial Hospital, Kitakyushu, Japan.
Tsuyoshi OhtaDepartment of Neurosurgery, Kokura Memorial Hospital, Kitakyushu, Japan.
Nobuyuki SakaiDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan.
Hirotoshi ImamuraDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan.
Jun C TakahashiDepartment of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Japan.
Tetsu SatowDepartment of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Japan.
Tomohisa OkadaDepartment of Radiology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Susumu MiyamotoDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Kyoto University · JPKobe City Medical Center General Hospital · JPNational Cerebral and Cardiovascular Center · JPFujita Health University · JPKindai University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough intracranial dural arteriovenous fistula (DAVF) without retrograde leptomeningeal venous drainage (Borden type I) is reported to have a benign nature, no study has prospectively determined its clinical course. Here, we report a 3-year prospective observational study of Borden type I DAVF.

methodsFrom April 2013 to March 2016, consecutive patients with DAVF were screened at 13 study institutions. We collected data on baseline characteristics, clinical symptoms, angiography, and neuroimaging. Patients with Borden type I DAVF received conservative care while palliative intervention was considered when the neurological symptoms were intolerable, and were followed at 6, 12, 24, and 36 months after inclusion.

resultsDuring the study period, 110 patients with intracranial DAVF were screened and 28 patients with Borden type I DAVF were prospectively followed. None of the patients had conversion to higher type of Borden classification or intracranial hemorrhage during follow-up. Five patients showed spontaneous improvement or disappearance of neurological symptoms (5/28, 17.9%), and 5 patients showed a spontaneous decrease or disappearance of shunt flow on imaging during follow-up (5/28, 17.9%). Stenosis or occlusion of the draining sinuses on initial angiography was significantly associated with shunt flow reduction during follow-up (80.0% vs 21.7%, p = 0.02).

conclusionIn this 3-year prospective study, patients with Borden type I DAVF showed benign clinical course; none of these patients experienced conversion to higher type of Borden classification or intracranial hemorrhage. The restrictive changes of the draining sinuses at initial diagnosis might be an imaging biomarker for future shunt flow reduction.

Indexed as

Central Nervous System Vascular MalformationsCerebral AngiographyFollow-Up StudiesHumansIntracranial HemorrhagesProspective StudiesRegistriesBorden type IDural arteriovenous fistulaNatural history

Identifiers

PMID34628528
PMCPMC8907088
OpenAlexW3207514903

What OpenQuestion holds

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LicenceCC BY
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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.