Evidence map›Paper›PMID 26225301›Full record

ArticleJournal of neurological surgery. Part B, Skull base2015

Indicators of a Reduced Intercarotid Artery Distance in Patients Undergoing Endoscopic Transsphenoidal Surgery.

Marco A Mascarella, Reza Forghani, Salvatore Di Maio, Denis Sirhan, Anthony Zeitouni, Gerard Mohr, Marc A Tewfik

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neurological surgery. Part B, Skull base, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 31% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Carotid artery injury in endoscopic endonasal surgery: Risk factors, prevention, and management.World journal of otorhinolaryngology - head and neck surgery · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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

7 authors at 4 institutions in 1 country.

Marco A MascarellaDepartment of Otolaryngology - Head and Neck Surgery, McGill University, Royal Victoria Hospital, Montreal, Quebec, Canada.
Reza ForghaniDepartment of Diagnostic Radiology, McGill University, Jewish General Hospital, Montreal, Quebec, Canada.
Salvatore Di MaioDepartment of Neurosurgery, Jewish General Hospital, Montreal, Quebec, Canada.
Denis SirhanDepartment of Neurosurgery, Montreal Neurological Hospital, Montreal, Quebec, Canada.
Anthony ZeitouniDepartment of Otolaryngology - Head and Neck Surgery, McGill University, Royal Victoria Hospital, Montreal, Quebec, Canada.
Gerard MohrDepartment of Neurosurgery, Jewish General Hospital, Montreal, Quebec, Canada.
Marc A TewfikDepartment of Otolaryngology - Head and Neck Surgery, McGill University, Royal Victoria Hospital, Montreal, Quebec, Canada.
Jewish General Hospital · CAMcGill University · CAMontreal Neurological Institute and Hospital · CARoyal Victoria Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective To identify clinicopathologic factors associated with a reduced intercarotid distance (ICD) and subgroups at risk for internal carotid artery injury during transsphenoidal surgery. Design A retrospective case-control study. Setting This study was conducted at the McGill University Health Centre, a university-affiliated tertiary care center. Participants Patients with a sellar or parasellar tumor and nontumor controls were included in the study. Main Outcome Measures The smallest distance between the internal carotid arteries at the clival, cavernous, and paraclinoid segments on coronal magnetic resonance imaging was measured. Demographic profiles, cephalometric measurements, tumor dimensions, and sphenoid configuration were assessed as potential determinants of the ICD. Results A total of 212 cases and 34 controls were analyzed. Widening of the ICD at the three segments of the internal carotid arteries was found in patients with pituitary macroadenomas (p < 0.01). Patients with a growth hormone-secreting adenoma had a markedly reduced ICD at the clivus compared with controls (1.59 cm versus 1.77 cm; p = 0.02; 95% confidence interval [CI], 0.03-0.32). The paraclinoid ICD was reduced in patients with an anterior fossa meningioma (1.24 cm versus 1.33 cm; p = 0.04; 95% CI, 0.01-0.45). Conclusion Identifying clinicopathologic factors affecting the ICD can help surgeons recognize constraints to endoscopic access of the skull base and avoid inadvertent arterial injury.

Indexed as

intercarotid distancemeningiomapituitary adenomaskull base surgery

Identifiers

PMID26225301
PMCPMC4433390
OpenAlexW2083636237

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.