Evidence map›Paper›PMID 42376250›Full record

ArticleJournal of neuroendovascular therapy2026

Delayed Intracerebral Hemorrhage Following Transarterial Embolization for a Tentorial Dural Arteriovenous Fistula: Postoperative Venous Outflow Impairment Detected by Susceptibility-Weighted Imaging.

Yuma Miki, Tomoya Matsumoto, Sadayoshi Nakayama, Akira Wada, Yoshikazu Matsuda, Hisato Ikeda, Tomoyuki Tsumoto

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In one paragraph

Article in Journal of neuroendovascular therapy, 2026. 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yuma MikiDepartment of Neurosurgery, Showa University, Tokyo, Japan.
Tomoya MatsumotoDepartment of Neurosurgery, Showa University, Tokyo, Japan.
Sadayoshi NakayamaDepartment of Neurosurgery, Showa University, Tokyo, Japan.
Akira WadaDepartment of Neurosurgery, Showa University, Tokyo, Japan.
Yoshikazu MatsudaDepartment of Neurosurgery, Showa University, Tokyo, Japan.
Hisato IkedaDepartment of Neurosurgery, Showa University, Tokyo, Japan.
Tomoyuki TsumotoDepartment of Neurosurgery, Showa University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We report a rare case of delayed intracerebral hemorrhage that was possibly related to venous outflow impairment after transarterial embolization (TAE) with Onyx (Medtronic, Dublin, Ireland) for a tentorial dural arteriovenous fistula (DAVF). We also discuss the potential role of susceptibility-weighted imaging (SWI) in the early detection of postoperative venous circulatory disturbance. Case Presentation: A 65-year-old man with a history of atherosclerotic stroke was diagnosed with a left tentorial DAVF (Borden type III, Cognard type IV). TAE with Onyx was performed, and complete obliteration of the shunt was achieved. MRI obtained 1 day after embolization revealed FLAIR hyperintensity near the shunt point and hypointense signals on SWI, suggesting venous outflow impairment. On postoperative day 6, the patient developed a large subcortical hemorrhage that required emergency decompressive craniotomy. Follow-up angiography confirmed persistent shunt occlusion. The patient was subsequently transferred to a rehabilitation facility with a modified Rankin Scale score of 4. Conclusion: This case illustrates a rare instance of delayed hemorrhage after Onyx TAE for a tentorial DAVF, possibly related to venous outflow impairment after embolization. SWI may be a useful adjunctive imaging modality for the early detection of postoperative venous circulatory disturbance.

Indexed as

susceptibility-weighted imagingtentorial dural arteriovenous fistulatransarterial embolizationvenous thrombosis

Identifiers

PMID42376250
PMCPMC13311322

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