Evidence map›Paper›PMID 39640301›Full record

ArticleSurgical neurology international2024

Effectiveness of super-selective digital subtraction angiography and 3D rotational digital subtraction venography for a developmental venous anomaly with an arteriovenous malformation: A case report and literature review.

Yuki Shiraishi, Hiroaki Neki, Gakuji Maruyama, Yuko Nonaka, Tsutomu Tokuyama, Hiroshi Tenjin, Osamu Saito, Kazuhiko Kurozumi

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yuki ShiraishiDepartment of Neurosurgery, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
Hiroaki NekiDepartment of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Gakuji MaruyamaDepartment of Neurosurgery, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
Yuko NonakaDepartment of Neurosurgery, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
Tsutomu TokuyamaDepartment of Neurosurgery, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
Hiroshi TenjinDepartment of Neurosurgery, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
Osamu SaitoDepartment of Neurosurgery, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
Kazuhiko KurozumiDepartment of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Arteriovenous malformation (AVM) and developmental venous anomaly (DVA) rarely coexist. Developing a surgical strategy to treat this co-occurrence is difficult due to the unclear pathogenesis. We report the use of super-selective digital subtraction angiography (DSA) and Three-dimensional (3D) rotational digital subtraction venography (DSV) to develop a surgical strategy for complex AVM draining into a DVA. Case Description: A 58-year-old woman presented with left hemiparesis and unconsciousness. Plain and contrast computed tomography showed a right frontal subcortical hematoma and a heterogeneous contrast lesion anterior to the hematoma, leading to a dilated vessel. The hematoma was removed due to worsening unconsciousness. DSA revealed a right frontal AVM of Spetzler-Martin grade 2 with superficial drainage into a DVA, and 3D-DSV revealed that the intermediate part of the DVA involved normal parenchyma. Interventional transarterial embolization and surgical nidus removal were planned. Preoperative super-selective DSA showed two medullary veins draining from the AVM into the DVA. Thus, we decided to separate the two medullary veins from the nidus. Postoperative angiography revealed complete removal of the AVM and preservation of the DVA. Conclusion: Treating a complex AVM draining into a DVA is challenging; surgeons have to remove only the AVM portion and preserve the DVA. Super-selective DSA and 3D rotational DSV were performed to develop the surgical strategy.

Indexed as

Arteriovenous malformationDevelopmental venous anomalyDigital subtraction angiographySuper-selective digital subtraction angiographyThree-dimensional-rotational digital subtraction venography

Identifiers

PMID39640301
PMCPMC11618645

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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.