Evidence map›Paper›PMID 40235121›Full record

ArticleJournal of cerebrovascular and endovascular neurosurgery2025

Noninferiority of coiling versus coiling with particles in middle meningeal artery embolization: A technical note and case series.

Ryan W Sindewald, Arvin R Wali, Nikhil K Murthy, Michael G Brandel, Jeffrey A Steinberg, Jeffrey S Pannell, Alexander A Khalessi, David R Santiago-Dieppa

Abstract readCase Reports
In one paragraph

Article in Journal of cerebrovascular and endovascular neurosurgery, 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. Predicting subdural hematoma outcomes as a function of PACE score.Journal of cerebrovascular and endovascular neurosurgery · 2026
    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

8 authors.

Ryan W SindewaldDepartment of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.
Arvin R WaliDepartment of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.
Nikhil K MurthyDepartment of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.
Michael G BrandelDepartment of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.
Jeffrey A SteinbergDepartment of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.
Jeffrey S PannellDepartment of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.
Alexander A KhalessiDepartment of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.
David R Santiago-DieppaDepartment of Neurosurgery, UC San Diego School of Medicine, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the possibility of using coils as a standalone treatment for middle meningeal artery embolization.

methodsFour patients (3 females, 1 male, median age 77.5) with bilateral subdural hematomas were treated with bilateral MMA embolization. One hematoma of each patient was treated with coils and PVA, and the other was treated exclusively with coils. New or resolved symptoms, radiographic imaging demonstrating hematoma change, and complications were recorded and compared between the two treatment modalities. Minimum follow-up time was three months.

resultsAll patients demonstrated symptomatic and radiographic improvement at three month follow-up. None of the patients in this cohort received surgical evacuation of the hematoma prior to or after embolization. One patient had previously been treated for hydrocephalus with a VP shunt. There were no postoperative complications. In the hematomas treated with a combination of coils and particles, three showed complete resolution with one showing interval improvement on imaging. All hematomas treated with coils alone demonstrated complete resolution after three months. Conclusions: Middle meningeal artery embolization with coils alone has demonstrated noninferior results to embolization with a combination of particle embolisate and coils in this small cohort.

Indexed as

AngiographyEndovascular techniqueFluoroscopyIntracranial hematomaSubdural hematomaTherapeutic embolization

Identifiers

PMID40235121
PMCPMC12488331

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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.