Evidence map›Paper›PMID 40534231›Full record

ArticleJournal of cerebrovascular and endovascular neurosurgery2025

Preoperative embolization of brain, head, and neck tumors: Single center experience and literature review.

Jimmy Achi-Arteaga, José Guillermo Flores-Vazquez, Irving Fuentes-Calvo, Jimena Gonzalez-Salido, Xavier Wong-Achi

Abstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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

5 authors.

Jimmy Achi-ArteagaDepartment of Neurosurgery, Hospital Clínica Kennedy, Guayaquil, Ecuador.
José Guillermo Flores-VazquezDepartment of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico.
Irving Fuentes-CalvoDepartment of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico.
Jimena Gonzalez-SalidoDepartment of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico.
Xavier Wong-AchiDepartment of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe management of highly vascularized tumors in the brain, head, and neck regions poses significant challenges. This review aims to provide practical insights into using preoperative embolization to improve surgical outcomes and guide healthcare centers with limited expertise in this technique.

methodsA literature review was conducted using PubMed, Scopus, and Web of Science databases with keywords related to preoperative embolization and highly vascularized tumors, detailing its definition, indications, diagnostic considerations, procedural aspects, clinical and surgical implications, and associated complications. The findings are supported by data from 309 patients with brain, head, and neck tumors treated with preoperative embolization at Hospital Clínica Kennedy in Guayaquil, Ecuador, from 2015 to 2023. Cases without embolization or those below the clavicular border were excluded. Illustrations and photographs, based on the authors' surgical experience, are included with informed consent.

resultsPreoperative embolization has proven effective in reducing morbidity, enhancing surgical outcomes, and palliating symptoms in inoperable cases by decreasing tumor size. While complications are rare, they can be minimized with careful planning. Despite its efficacy, the lack of randomized controlled trials due to the rarity of hypervascular tumors limits the ability to establish standardized practices. Conclusions: Preoperative embolization is a valuable tool in managing highly vascularized tumors. However, further research and uniform reporting are essential to optimize outcomes and develop clear guidelines for this critical procedure.

Indexed as

Brain neoplasmsHead and neck neoplasmsPreoperative embolizationSurgeryTherapeutic embolization

Identifiers

PMID40534231
PMCPMC12488335

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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.