Evidence map›Paper›PMID 39880688›Full record

ArticleAJNR. American journal of neuroradiology2025

Endovascular Treatment for Tentorial Dural Arteriovenous Fistulas: A Retrospective Single-Center Study.

Guanghao Zhang, Miao Pang, Zhe Li, Chenghao Shang, Yuhang Zhang, Qi Zhang, Qinghai Huang, Yi Xu, Guoli Duan, Qiang Li and 1 more

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PubMed Full text at PMC Publisher
In one paragraph

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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Guanghao ZhangFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China.ORCID https://orcid.org/0000-0003-0929-8782
Miao PangFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China.
Zhe LiFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China.
Chenghao ShangDepartment of Neurology (C.S., Q.Z.), Shanghai 411 Hospital, Shanghai, China.ORCID https://orcid.org/0000-0003-3854-2238
Yuhang ZhangFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China.
Qi ZhangDepartment of Neurology (C.S., Q.Z.), Shanghai 411 Hospital, Shanghai, China.
Qinghai HuangFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China.ORCID https://orcid.org/0000-0002-5612-5190
Yi XuFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China.ORCID https://orcid.org/0000-0001-5398-5411
Guoli DuanFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China.
Qiang LiFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China lqeimm@126.com.
Jianmin LiuFrom the Neurovascular Center (G.Z., M.P., Z.L., Y.Z., Q.H., Y.X., G.D., Q.L., J.L.), Changhai Hospital, Naval Medical University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCurrent evidence suggests that tentorial dural arteriovenous fistulas with endovascular treatment offer a high rate of occlusion and reduced procedural risks. We report the clinical and angiographic outcomes in patients with tentorial dural arteriovenous fistulas who underwent endovascular treatment as first-line treatment. MATERIALS AND

methodsA retrospective analysis was conducted on 83 patients with tentorial dural arteriovenous fistulas treated at our center from April 2009 to November 2023 by using endovascular treatment. Patient demographics, clinical presentations, angiographics, treatment results, and follow-up outcomes were registered. Univariable and multivariable logistic regression were performed to identify the onset of intracranial hemorrhage predictors, procedure-related complications predictors, and predictors of poor functional outcome.

resultsEighty-three patients underwent endovascular treatment as first-line treatment. Most patients (80.7%) were symptomatic, and a total of 25 patients (30.1%) presented with intracranial hemorrhage. The presence of deep venous drainage and midline location were associated with a lower incidence of intracranial hemorrhage. Middle meningeal artery (57.8%, 48/83) and pial artery (15.7%, 13/83) were the most frequently used access routes for embolization. A total of 74 (89.1%) tentorial dural arteriovenous fistulas were completely occluded immediately after the last endovascular treatment session. Complications occurred in 11 patients (13.3%). Six-month angiographic follow-up was performed in 68 patients (81.8%), and 91.2% (62/68) of tentorial dural arteriovenous fistulas were occluded. At clinical follow-up (100%, 83/83), good functional outcome (mRS 0-2) was documented in 74 (89.1%) patients. Logistic regression analysis identified baseline mRS 3-5 as the most significant independent predictor of poor functional outcome. Subgroup analysis showed no statistically significant differences in baseline characteristics, angiography, and clinical results between patients treated with targeted pial artery embolization and nontargeted pial artery embolization.

conclusionsEndovascular treatment is a safe and effective primary technique for managing tentorial dural arteriovenous fistulas, achieving high rates of complete angiographic occlusion and favorable functional outcomes. Transarterial embolization, predominantly via the middle meningeal artery, was the mainstay of treatment. In patients with pial arterial feeders, omitting aggressive embolization did not compromise efficacy or increase complications.

Indexed as

Central Nervous System Vascular MalformationsEmbolization, TherapeuticEndovascular ProceduresAdultAgedCerebral AngiographyFemaleHumansIntracranial HemorrhagesMaleMiddle AgedRetrospective StudiesTreatment Outcome

Identifiers

PMID39880688
PMCPMC12453501

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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.