Evidence map›Paper›PMID 40632256›Full record

ArticleActa neurochirurgica. Supplement2025

Efficacy of High-Resolution Cone-Beam CT for the Endovascular Treatment of Dural Arteriovenous Fistulas.

Michihiro Tanaka, Keisuke Kadooka, Takafumi Mitsutake, Shimpei Tsuboki, Kotaro Ueda

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Article in Acta neurochirurgica. Supplement, 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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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

5 authors.

Michihiro TanakaDepartment of Neuroendovascular Surgery, Kameda Medical Center, Kamogawa City, Chiba Prefecture, Japan.ORCID https://orcid.org/0000-0002-4358-5868
Keisuke KadookaDepartment of Neuroendovascular Surgery, Kameda Medical Center, Kamogawa City, Chiba Prefecture, Japan.
Takafumi MitsutakeDepartment of Neuroendovascular Surgery, Kameda Medical Center, Kamogawa City, Chiba Prefecture, Japan.
Shimpei TsubokiDepartment of Neuroendovascular Surgery, Kameda Medical Center, Kamogawa City, Chiba Prefecture, Japan.
Kotaro UedaDepartment of Neuroendovascular Surgery, Kameda Medical Center, Kamogawa City, Chiba Prefecture, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe analysis of the microstructure of dural arteriovenous fistulas (DAVFs) plays a crucial role in achieving the successful embolization of DAVFs associated with complex microanatomy. Recent advancements in high-resolution cone-beam computed tomography (CBCT) enable detailed visualizations of the microstructure of the shunt point. In this study, we retrospectively evaluated the efficacy of this imaging modality in terms of the clinical and angiographic outcomes of the endovascular approach.

methodsWe retrospectively analyzed a total of 83 cases of dural arteriovenous fistulas (AVFs), including spinal lesions. High-resolution CBCT images with an 8-inch field of view and 1024 × 1024 pixel matrix detector at 80 kV were acquired. The anatomical variation and configuration of DAVFs were analyzed and compared with superselective angiography findings.

resultsThe sensitivity of the shunt location was over 96.3%, and the tip of the microcatheter in the affected sinus was well visualized during the procedure. In particular, this imaging modality was effective in identifying the exact shunt point in relation to the initial foot of the vein in cases of spinal and spinal epidural DAVFs. The quality of the images depended on the regional concentration of the contrast and the timing of acquisition. The arrival time of the contrast to the objects was an important factor in visualizing the microanatomical structure.

conclusionAppropriately adjusted CBCT acquisition parameters are sufficient to visualize the microanatomy of lesions and adjacent structures and sufficient to identify the shunt point, even in cases of complex DAVFs.

Indexed as

Central Nervous System Vascular MalformationsCone-Beam Computed TomographyEmbolization, TherapeuticEndovascular ProceduresAdultAgedCerebral AngiographyFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAngioarchitectureDural AVFEndovascular therapyHigh-resolution cone-beam CT

Identifiers

PMID40632256

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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.