Evidence map›Paper›PMID 36609544›Full record

Observational studyJournal of neurointerventional surgery2023

LIQUID - Treatment of high-grade dural arteriovenous fistulas with Squid liquid embolic agent: a prospective, observational multicenter study.

Dominik F Vollherbst, Tobias Boppel, Marta Wallocha, Ansgar Berlis, Christoph J Maurer, Werner Weber, Sebastian Fischer, Alexander Bock, Stephan Meckel, Georg Bohner and 5 more

Open access · hybridAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of neurointerventional surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
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

15 authors at 9 institutions in 1 country.

Dominik F VollherbstDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-8992-4757
Tobias BoppelInstitute of Neuroradiology, University Hospitals Schleswig-Holstein, Campus Lübeck, Luebeck, Germany.
Marta WallochaNeuroradiology, Alfried Krupp Krankenhaus Ruttenscheid, Essen, Germany.
Ansgar BerlisDepartment of Diagnostic and Interventional Neuroradiology, Universitätsklinikum Augsburg, Augsburg, Germany.
Christoph J MaurerDepartment of Diagnostic and Interventional Neuroradiology, Universitätsklinikum Augsburg, Augsburg, Germany.ORCID http://orcid.org/0000-0002-0305-0797
Werner WeberDepartment of Neuroradiology, Universitätsklinikum Knappschaftskrankenhaus Bochum, Bochum, Germany.
Sebastian FischerDepartment of Neuroradiology, Universitätsklinikum Knappschaftskrankenhaus Bochum, Bochum, Germany.
Alexander BockDepartment of Neuroradiology, Vivantes Hospital, Berlin, Germany.
Stephan MeckelDepartment of Neuroradiology, University of Freiburg, Freiburg, Germany.
Georg BohnerDepartment of Neuroradiology, University Hospital of Berlin (Charité), Berlin, Germany.
Thomas LiebigInstitute of Diagnostic and Interventional Neuroradiology, University Hospital, LMU Munich, Munchen, Germany.
Christian HerwehDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
René ChapotNeuroradiology, Alfried Krupp Krankenhaus Ruttenscheid, Essen, Germany.ORCID http://orcid.org/0000-0002-2584-8361
Markus A MöhlenbruchDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany markus.moehlenbruch@med.uni-heidelberg.de.
Heidelberg University · DEAlfried Krupp Hospital · DEUniversitätsklinikum Knappschaftskrankenhaus Bochum · DEUniversity Hospital Augsburg · DECharité - Universitätsmedizin Berlin · DELMU Klinikum · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Freiburg · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndovascular embolization is a feasible treatment for cranial dural arteriovenous fistulas (DAVFs). New embolic agents aim to improve the success of DAVF embolization.

objectiveTo assess the safety, efficacy, and short-term outcome of the treatment of DAVFs using the new liquid embolic agent Squid.

methodsThe LIQUID study is a prospective, observational multicenter study on the treatment of high-grade (Cognard type ≥3) DAVFs with the embolic agent Squid. The primary outcome measures were safety (ie, morbidity and mortality), as well as the occlusion rate 90 to 180 days after treatment.

resultsIn eight centers, 53 patients (mean age 59.8 years, 22.6% female) were treated in 55 treatment sessions. Of the DAVFs, 56.6% were Cognard type III, 41.5% type IV, and 18.9% were ruptured. Squid 18 was used in 83.6% and Squid 12 in 32.7% of the treatments. The overall rate of intraprocedural or postprocedural adverse events (AEs) was 18.2%. Procedure-related AEs resulting in permanent morbidity were observed in 3.6%. One patient (1.8%) died unrelated to the procedure due to pulmonary embolism. The final complete occlusion rate at 90 to 180 days was 93.2%. After a mean follow-up of 5.5 months, the modified Rankin Scale (mRS) score was stable or improved in 93.0%. In one of the patients, worsening of the mRS score was related to the procedure (1.8%).

conclusionSquid is a safe and effective liquid embolic agent for the treatment of high-grade DAVFs.

Indexed as

Central Nervous System Vascular MalformationsEmbolization, TherapeuticFemaleHumansMaleMiddle AgedPolyvinylsProspective StudiesRetrospective StudiesTreatment Outcomeethylene-vinyl alcohol copolymerPolyvinylsArteriovenous MalformationDeviceFistulaLiquid Embolic MaterialVascular Malformation

Identifiers

PMID36609544
PMCPMC10579477
OpenAlexW4313639813

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.