Evidence map›Paper›PMID 38690547›Full record

ArticleWorld journal of radiology2024

Pseudoaneurysm formation following transarterial embolization of traumatic carotid-cavernous fistula with detachable balloon: An institutional cohort long-term study.

Prasert Iampreechakul, Korrapakc Wangtanaphat, Songpol Chuntaroj, Yodkhwan Wattanasen, Sunisa Hangsapruek, Punjama Lertbutsayanukul, Pimchanok Puthkhao, Somkiet Siriwimonmas

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Article in World journal of radiology, 2024. 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 29% 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, 2 citations in OpenAlex.

  1. Article
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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

8 authors at 2 institutions in 1 country.

Prasert IampreechakulDepartment of Neurosurgery, Neurological Institute of Thailand, Bangkok 10400, Thailand. bangruad@hotmail.com.
Korrapakc WangtanaphatDepartment of Neurosurgery, Neurological Institute of Thailand, Bangkok 10400, Thailand.
Songpol ChuntarojDepartment of Neuroradiology, Neurological Institute of Thailand, Bangkok 10400, Thailand.
Yodkhwan WattanasenDepartment of Neuroradiology, Neurological Institute of Thailand, Bangkok 10400, Thailand.
Sunisa HangsapruekDepartment of Neuroradiology, Neurological Institute of Thailand, Bangkok 10400, Thailand.
Punjama LertbutsayanukulDepartment of Neuroradiology, Neurological Institute of Thailand, Bangkok 10400, Thailand.
Pimchanok PuthkhaoDepartment of Medical Services, Neurological Institute of Thailand, Bangkok 10400, Thailand.
Somkiet SiriwimonmasDepartment of Radiology, Bumrungrad International Hospital, Bangkok 10110, Thailand.
Bumrungrad International Hospital · THNeurological Institute of Thailand · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe goal of therapy for traumatic carotid-cavernous fistula (TCCF) is the elimination of fistula while maintaining patency of the parent artery. The treatment for TCCF has evolved from surgery to endovascular management using detachable balloons, coils, liquid embolic agents, covered stents, or flow-diverter stent through arterial or venous approaches. Despite the withdrawal of detachable balloons from the market in the United States since 2004, transarterial embolization with detachable balloons has currently remained the best initial treatment for TCCF in several countries. However, the pseudoaneurysm formation following transarterial detachable balloon embolization has rarely been observed in long-term follow-up.

aimTo determine the occurrence and long-term follow-up of pseudoaneurysm after transarterial detachable balloon for TCCF.

methodsBetween January 2009 and December 2019, 79 patients diagnosed with TCCF were treated using detachable latex balloons (GOLDBAL) of four sizes. Pseudoaneurysm sizes were stratified into five grades for analysis. Initial and follow-up assessments involved computed tomography angiography at 1 month, 6 month, 1 year, and longer intervals for significant cases. Clinical follow-ups occurred semi-annually for 2 years, then annually. Factors analyzed included sex, age, fistula size and location, and balloon size.

resultsIn our cohort of 79 patients treated for TCCF, pseudoaneurysms formed in 67.1%, with classifications ranging from grade 0 to grade 3; no grade 4 or giant pseudoaneurysms were observed. The majority of pseudoaneurysms did not progress in size, and some regressed spontaneously. Calcifications developed in most large pseudoaneurysms over 5-10 years. Parent artery occlusion occurred in 7.6% and recurrent fistulas in 16.5%. The primary risk factors for pseudoaneurysm formation were identified as the use of specific balloon sizes, with balloon SP and No. 6 significantly associated with its occurrence (

conclusionPseudoaneurysm formation following detachable balloon embolization for TCCF is common, primarily influenced by the size of the balloon used. Despite this, all patients with pseudoaneurysms remained asymptomatic during long-term follow-up.

Indexed as

Computed tomography angiographyDetachable balloonDirect carotid-cavernous fistulaEndovascular treatmentLong-term follow-upPseudoaneurysm formationTransarterial embolizationTraumatic carotid-cavernous fistula

Identifiers

PMID38690547
PMCPMC11056853
OpenAlexW4395116315

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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.