Evidence map›Paper›PMID 40671989›Full record

ArticleCureus2025

ZAP-X Stereotactic Radiosurgery for Arteriovenous Malformations: Initial Experience of Three Patients.

Patrick Pema, Triston Messer, Harshal Shah, Zakery Dabbagh, Michael Chaga, Wenzheng Feng, Tingyu Wang, Darra Conti, Jing Feng, Joseph Hanley and 3 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Patrick PemaNeurosurgery, Hackensack Meridian Health, Hackensack, USA.
Triston MesserNeurological Surgery, Hackensack University Medical Center, Nutley, USA.
Harshal ShahNeurosurgery, Jersey Shore University Medical Center, Neptune, USA.
Zakery DabbaghNeurosurgery, Hackensack University Medical Center, Hackensack, USA.
Michael ChagaRadiation Oncology, Jersey Shore University Medical Center, Neptune, USA.
Wenzheng FengRadiation Oncology, Jersey Shore University Medical Center, Neptune, USA.
Tingyu WangRadiation Oncology, Jersey Shore University Medical Center, Neptune, USA.
Darra ContiRadiation Oncology, Jersey Shore University Medical Center, Neptune, USA.
Jing FengRadiation Oncology, Jersey Shore University Medical Center, Neptune, USA.
Joseph HanleyRadiation Oncology, Jersey Shore University Medical Center, Neptune, USA.
Shabbar DanishNeurological Surgery, Jersey Shore University Medical Center, Neptune, USA.
Nitesh V PatelNeurosurgery, Jersey Shore University Medical Center, Neptune, USA.
Timothy ChenRadiation Oncology, Jersey Shore University Medical Center, Neptune, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Arteriovenous malformations (AVMs) are complex cerebrovascular anomalies that carry a significant risk of hemorrhage, particularly in younger patients. Stereotactic radiosurgery (SRS) is a non-invasive treatment option, often employed for AVMs that are deep-seated or surgically inaccessible. The ZAP-X system (ZAP Surgical Systems, Inc., San Carlos, CA), a novel gyroscopic, self-shielded SRS platform, offers advanced beam geometry and real-time imaging, potentially enhancing treatment accuracy while minimizing radiation exposure to surrounding tissues. This case series presents three patients with AVMs treated with ZAP-X SRS between March 2024 and September 2024 at a single institution. Target volume ranged from 4.84 to 11.56 cm

Indexed as

arteriovenous malformationavmsrsstereotactic radiosurgeryzap-x

Identifiers

PMID40671989
PMCPMC12263454

What OpenQuestion holds

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Registered trials

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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.