Evidence map›Paper›PMID 41998252›Full record

ArticleActa neurochirurgica2026

Hybrid treatment of adult pial arteriovenous fistula with multiple venous pouches and flow-related aneurysm: a case report.

Masaaki Korai, Takeshi Miyamoto, Izumi Yamaguchi, Tomohiro Matsuda, Yuki Yamamoto, Nobuaki Yamamoto, Yasuhisa Kanematsu, Kenji Shimada, Yasushi Takagi

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PubMed Full text at PMC Publisher
In one paragraph

Article in Acta neurochirurgica, 2026. 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

9 authors.

Masaaki KoraiDepartment of Neurosurgery, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan. komakun@gmail.com.ORCID 0000-0002-5326-3467
Takeshi MiyamotoDepartment of Neurosurgery, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Izumi YamaguchiDepartment of Neurosurgery, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Tomohiro MatsudaDepartment of Neurosurgery, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Yuki YamamotoDepartment of Clinical Neuroscience, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Nobuaki YamamotoDepartment of Clinical Neuroscience, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Yasuhisa KanematsuDepartment of Neurosurgery, Tokushima Prefectural Central Hospital, Tokushima, Japan.
Kenji ShimadaDepartment of Neurosurgery, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Yasushi TakagiDepartment of Neurosurgery, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of adult pial arteriovenous fistula (AVF) with unfavorable angioarchitecture treated by staged hybrid approach. A 62-year-old man had high-flow pial AVF supplied by the superior trunk of the left middle cerebral artery with multiple venous pouches and a flow-related aneurysm. Three-dimensional rotational angiography demonstrated an extremely short arterial segment between the fistulous point and an adjacent normal arterial branch, precluding safe selective occlusion. Coil embolization of the venous pouch reduced flow, enabling next-day microsurgical disconnection. The shunt was completely obliterated without ischemic complications, and follow-up imaging showed aneurysm regression.

Indexed as

Arteriovenous FistulaCerebral VeinsEmbolization, TherapeuticIntracranial AneurysmPia MaterCerebral AngiographyHumansMaleMiddle AgedTreatment OutcomeFlow-related aneurysmHybrid treatmentPial arteriovenous fistulaVenous pouch

Identifiers

PMID41998252
PMCPMC13149713

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.