Evidence map›Paper›PMID 39672601›Full record

ArticleAJNR. American journal of neuroradiology2025

Low- and Intermediate-Grade Lateral Sinus Dural Arteriovenous Fistulas: Factors Affecting the Outcome of Endovascular Treatment over 18-Year Experience in a High-Volume Neurovascular Center.

Guoli Duan, Yuhang Zhang, Yang Wang, Zhe Li, Chenghao Shang, Rundong Chen, Rui Zhao, Pengfei Yang, Dongwei Dai, Yibin Fang and 5 more

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Article in AJNR. American journal of neuroradiology, 2025. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Guoli DuanFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0002-7842-4036
Yuhang ZhangFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.
Yang WangFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.
Zhe LiFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.
Chenghao ShangFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0003-3854-2238
Rundong ChenFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0001-8691-2083
Rui ZhaoFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0002-5971-1638
Pengfei YangFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0002-6154-3602
Dongwei DaiFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0002-6707-179X
Yibin FangFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0002-6773-4733
Qinghai HuangFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0002-5612-5190
Bo HongFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.
Yi XuFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China.ORCID 0000-0001-5398-5411
Qiang LiFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China lqeimm@126.com.
Jianmin LiuFrom the Department of Neurovascular Center (G.D., Y.Z., Y.W., Z.L., C.S., R.C., R.Z., P.Y., D.D., Y.F., Q.H., B.H., Y.X., Q.L, J.L.), Changhai Hospital Affiliated to the Naval Medical University, Shanghai, China lqeimm@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeLateral sinus dural arteriovenous fistulas (LS-DAVFs) carry a higher rate of recurrence after endovascular treatment (EVT). Our objective was to investigate the independent predictors of recurrence and unfavorable functional outcomes of low-and intermediate-grade LS-DAVFs after EVT. MATERIALS AND

methodsWe retrospectively reviewed our database of prospectively collected information for all patients with low- and intermediate-grade LS-DAVFs who underwent EVT from May 2004 to December 2021. Patient demographics, angiographics, treatment, and outcomes were analyzed to identify independent predictors of recurrence and unfavorable outcomes.

resultsOne hundred and seventeen patients with 117 low- and intermediate-grade LS-DAVFs who underwent EVT were included in this study. The mean age of the patients was 53.0 ± 17.5 years. Immediately complete obliteration was achieved in 103/117 (88%) patients after EVT. Clinical follow-up was available for all 117 patients, with an unfavorable outcome rate of 5.1%. Angiographic follow-up was available in 91 patients (78%). Recurrence occurred in 16 (18%) patients and 8 (6.8%) received retreatment. Contralateral sinus severe stenosis or occlusion was an independent high-risk factor for the unfavorable outcome (OR = 11.7; 95% CI: 1.9-70.9,

conclusionsContralateral sinus severe stenosis or occlusion represents a stronger independent risk factor associated with recurrence and unfavorable outcomes in patients with low- and intermediate-grade LS-DAVFs when the involved ipsilateral sinus was occluded after EVT. For patients with LS-DAVFs, the patency of the contralateral sinus should be considered when making therapeutic decisions.

Indexed as

Central Nervous System Vascular MalformationsEndovascular ProceduresTransverse SinusesAdultAgedCerebral AngiographyEmbolization, TherapeuticFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsTreatment Outcome

Identifiers

PMID39672601
PMCPMC12152797

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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.