Evidence map›Paper›PMID 39569607›Full record

SynthesisInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2026

Safety and efficacy of newer liquid embolic agents Squid and PHIL in endovascular embolization of cerebral arteriovenous malformations and dural arteriovenous fistulas: A systematic review and meta-analysis.

Ahmet Günkan, Marcio Yuri Ferreira, Marina Vilardo, Luca Scarcia, Jhon E Bocanegra-Becerra, Andrea Alexandre, Christian Ferreira, Adam Dmytriw, Gabriele Ciccio, Frédéric Clarençon and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2026. 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.

  1. Review
  2. Review
  3. Transvenous curative embolization of brain arteriovenous malformations using extra-low viscosityInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  4. Review
  5. 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.

Ahmet GünkanDepartment of Radiology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0002-6236-5633
Marcio Yuri FerreiraFaculty of Medicine, Ninth July University-São Paulo, São Paulo, Brazil.
Marina VilardoFaculty of Medicine, Catholic University of Brasilia, Brasilia, Brazil.ORCID 0009-0001-9487-1119
Luca ScarciaDepartment of Neuroradiology, Henri Mondor Hospital, Créreil, France.ORCID 0000-0002-1316-0383
Jhon E Bocanegra-BecerraAcademic Department of Surgery, School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.
Andrea AlexandreFondazione Policlinico Universitario Agostino Gemelli IRCCS, UOSA Neuroradiologia Interventistica, Roma, Italy.
Christian FerreiraDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.ORCID 0009-0001-5325-1343
Adam DmytriwNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-0131-5699
Gabriele CiccioDepartment of Radiology, Clinical and Exercise Physiology, CHU Saint-Étienne, Saint-Etienne, France.
Frédéric ClarençonDepartment of Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Pascal JabbourDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
Yafell SerulleDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundA wide range of liquid embolic agents has been used in endovascular treatment (EVT) of dural arteriovenous fistulas (dAVFs) and cerebral arteriovenous malformations (cAVMs). Newer liquid embolics, Squid (Balt) and PHIL (MicroVention), aim to improve the safety and efficacy of EVT of dAVFs and cAVMs.ObjectiveTo assess the safety and efficacy of EVT of cAVMs and dAVFs using Squid or PHIL as an embolic agent.MethodsWe searched major databases following PRISMA guidelines and included studies with ≥ five patients reporting on EVT of dAVFs and/or cAVMs using Squid or PHIL as embolic agent. We analyzed efficacy outcomes including complete occlusion, incomplete occlusion, and recurrence at follow up, and safety outcomes including procedure-related complications, morbidity, and mortality with a random-effects meta-analysis. Separate analyses were performed for cAVMs and dAVFs. Subanalyses were conducted for studies exclusively utilizing PHIL and those exclusively utilizing Squid, for both cAVMs and dAVFs.ResultsTen studies, comprising 214 patients (53.7% male), were found. Of these, 113 patients had 113 dAVFs, while 101 patients had 101 cAVMs. Complete occlusion rates following embolization were 91% for dAVFs and 32% for cAVMs. A subanalysis of dAVFs embolized solely with Squid and PHIL identified 93% and 86% complete occlusion rates, respectively. The overall procedure-related permanent morbidity rate was 3% for dAVFs and 7% for cAVMs. There was only one procedure-related mortality, which developed in a cAVM case, across 214 cases.ConclusionSquid and PHIL are safe and effective embolic agents for treatment of dAVFs and cAVMs.

Indexed as

Central Nervous System Vascular MalformationsEmbolization, TherapeuticEndovascular ProceduresIntracranial Arteriovenous MalformationsPolyvinylsDimethyl SulfoxideHumansTreatment OutcomeDimethyl Sulfoxideethylene-vinyl alcohol copolymerPolyvinylsAVMembolic liquidEVOHFAVD

Identifiers

PMID39569607
PMCPMC11559774

What OpenQuestion holds

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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.