Evidence map›Paper›PMID 39395048›Full record

ArticleNeuroradiology2025

Classification, angioarchitecture and treatment outcomes of medullary bridging vein-draining dural arteriovenous fistulas in the foramen magnum region: a multicenter study.

Tomohiko Ozaki, Masafumi Hiramatsu, Hajime Nakamura, Yasunari Niimi, Shuichi Tanoue, Katsuhiro Mizutani, Ichiro Nakahara, Yuji Matsumaru, Yasushi Matsumoto, Timo Krings and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Neuroradiology, 2025. 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
–field-weighted citation impact
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.

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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.

Tomohiko OzakiDepartment of Neurosurgery, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka, 540-0006, Japan. tomohikoozaki@gmail.com.ORCID http://orcid.org/0000-0003-1558-4785
Masafumi HiramatsuDepartment of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Hajime NakamuraDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Suita, Japan.
Yasunari NiimiDepartment of Neuroendovascular Therapy, St. Luke's International Hospital, Chuo-ku, Tokyo, Japan.
Shuichi TanoueDepartment of Radiology, Kurume University School of Medicine, Kurume, Japan.
Katsuhiro MizutaniDepartment of Neurosurgery, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Ichiro NakaharaDepartment of Comprehensive Strokology, Fujita Health University School of Medicine, Toyoake, Japan.
Yuji MatsumaruDivision of Stroke Prevention and Treatment, Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Yasushi MatsumotoDivision of Development and Discovery of Interventional Therapy, Tohoku University, Sendai, Japan.
Timo KringsDivision of Neuroradiology, Joint Department of Medical Imaging, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.
Toshiyuki FujinakaDepartment of Neurosurgery, National Hospital Organization, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka, 540-0006, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to classify medullary bridging vein-draining dural arteriovenous fistulas (MBV-DAVFs) located around the foramen magnum (FM) according to their location and characterize their angioarchitecture and treatment outcomes.

methodsPatients with MBV-DAVFs diagnosed between January 2013 and October 2022 were included. MBV-DAVFs were classified into four groups. Jugular vein-bridging vein (JV-BV) DAVF: located in proximity to jugular fossa, Anterior condylar vein (ACV)-BV DAVF: proximity to anterior condylar canal, Marginal sinus (MS)-BV DAVF: lateral surface of FM and Suboccipital cavernous sinus (SCS)-BV DAVF: proximity to dural penetration of vertebral artery.

resultsTwenty patients were included, three JV-BV, four ACV-BV, three MS-BV and ten SCS-BV DAVFs, respectively. All groups showed male predominance. There were significant differences in main feeders between JV (jugular branch of ascending pharyngeal artery) and SCS group (C1 dural branch). Pial feeders from anterior spinal artery (ASA) or lateral spinal artery (LSA) were visualized in four SCS and one MS group. Drainage pattern did not differ between groups. Transarterial embolization (TAE) was performed in three, two, one and two cases and complete obliteration was obtained in 100%, 50%, 100% and 0% in JV, ACS, MS and SCS group, respectively. Successful interventions without major complications were finally obtained in 100%, 75%, 100%, and 40% in JV, ACS, MS and SCS group, respectively.

conclusionJV-BV DAVFs were successfully treated using TAE alone. SCS-BV DAVFs were mainly fed by small C1 dural branches of vertebral artery often with pial feeders from ASA or LSA, and difficultly treated by TAE alone.

Indexed as

Central Nervous System Vascular MalformationsCerebral AngiographyForamen MagnumAdultAgedEmbolization, TherapeuticFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeBridging veinDural arteriovenous fistulaForamen MagnumSurgical obliterationTransarterial embolization

Identifiers

PMID39395048
PMCPMC11802681

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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.