Evidence map›Paper›PMID 42077734›Full record

ArticleCureus2026

Plug-and-Push Embolisation of a Tentorial Dural Arteriovenous Fistula Using Squid-18 and Squid-12.

Josiah Cho, Arvindh Sekaran, Nathan Chan

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

3 authors.

Josiah ChoMedicine, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.
Arvindh SekaranMedicine, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.
Nathan ChanInterventional Neuroradiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dural arteriovenous fistulas (DAVFs) are abnormal shunts between meningeal arteries and dural venous sinuses or cortical veins. Lesions with cortical venous reflux carry a substantial risk of haemorrhage or non-haemorrhagic neurological deficit and therefore require prompt treatment. Endovascular embolisation using ethylene-vinyl alcohol copolymer (EVOH)-based liquid embolic agents is widely employed. Squid, a newer agent available in different viscosities, includes Squid-18 and the lower-viscosity Squid-12, which may improve distal penetration during embolisation. However, reports describing staged viscosity-based embolisation using Squid with the plug-and-push technique remain limited. A male in his 70s presented with several months of progressive unsteadiness culminating in a fall. Computed tomography demonstrated cerebellar calcifications without acute intracranial pathology, while MRI showed dilated cerebellar and perimesencephalic veins. Digital subtraction angiography confirmed a Cognard grade IV tentorial DAVF near the superior vermis, supplied by branches of both external carotid arteries, the left internal carotid artery, and the right vertebral artery, with cortical venous drainage into ectatic cerebellar veins. Endovascular embolisation was performed via the distal temporal branch of the left middle meningeal artery using a Marathon microcatheter. A plug-and-push technique was employed, with formation of an anti-reflux plug using Squid-18, followed by injection of Squid-12 to facilitate deeper penetration of the fistulous network. Complete angiographic occlusion was achieved without complications after a 90-minute embolisation. The patient's mobility improved significantly, and eight-month follow-up angiography demonstrated durable resolution. This case highlights the feasibility of staged viscosity-based embolisation using Squid-18 and Squid-12 to achieve effective occlusion of a complex tentorial DAVF.

Indexed as

dural arteriovenous fistulaendovascular embolisationinterventional neuroradiologyliquid embolic agentssquid

Identifiers

PMID42077734
PMCPMC13132608

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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.