Evidence map›Paper›PMID 29054946›Full record

ArticleBMJ case reports2017

Management challenges of late presentation Dacron patch infection after carotid endarterectomy.

Jie Hua Xu, Nishath Altaf, Patrik Tosenovsky, Bibombe Patrice Mwipatayi

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

Article in BMJ case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Jie Hua XuDepartment of Urology, Royal Perth Hospital, Perth, Western Australia, Australia.
Nishath AltafDepartment of Vascular and Endovascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.
Patrik TosenovskyDepartment of Vascular and Endovascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.
Bibombe Patrice MwipatayiDepartment of Vascular and Endovascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 83-year-old man presented 4 years after right carotid endarterectomy (CEA) with an infection of his prosthetic Dacron patch. Initial scans (CT angiogram and whole body labelled white cell scan) were clear with no infection or collection noted. Systemically, the patient presented well with no recorded fevers. With an occluded left internal carotid artery and severely stenosed vertebral arteries, surgery presented a high risk of major stroke due to the lack collateral supply and this was discussed extensively. The patient subsequently declined surgical management, and he was monitored closely on an outpatient basis. He presented again a year later with ongoing haemoserous ooze from the CEA site. Subsequently a two-stage procedure was performed, where initially a stent was inserted, followed by patch excision and debridement. A muscle flap was then mobilised over the opening. This new approach to carotid patch infections should gain traction over time as a safer alternative for high-risk patients.

Indexed as

Foreign-Body ReactionPolyethylene TerephthalatesAged, 80 and overBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationCarotid StenosisEndarterectomy, CarotidHumansKlebsiella InfectionsKlebsiella pneumoniaeMaleSurgical Wound InfectionTomography, X-Ray ComputedPolyethylene Terephthalatesinterventional radiologyplastic and reconstructive surgeryvascular surgery

Identifiers

PMID29054946
PMCPMC5652578

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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.