Evidence map›Paper›PMID 32801277›Full record

ReviewNeurologia medico-chirurgica2020

Surgical Technique for Carotid Endarterectomy: Current Methods and Problems.

Masaaki Uno, Hiroki Takai, Kenji Yagi, Shunji Matsubara

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Neurologia medico-chirurgica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06207643 (Conventional Vs. Eversion Carotid Endarterectomy Immediate and Short-Term Outcomes), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.8field-weighted citation impact, top 7% 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.

NCT06207643 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Conventional Vs. Eversion Carotid Endarterectomy Immediate and Short-Term Outcomes

TypeinterventionalSponsorSohag UniversityRan2024 to 2025Enrolled40ConditionsCarotid Stenosis, Carotid Atherosclerosis, Carotid Artery PlaqueArmscarotid endarterectomy
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 52 citations in OpenAlex.

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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 at 1 institution in 1 country.

Masaaki UnoDepartment of Neurosurgery, Kawasaki Medical School.
Hiroki TakaiDepartment of Neurosurgery, Kawasaki Medical School.
Kenji YagiDepartment of Neurosurgery, Kawasaki Medical School.
Shunji MatsubaraDepartment of Neurosurgery, Kawasaki Medical School.
Kawasaki Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the last 60 years, many reports have investigated carotid endarterectomy (CEA) and techniques have thus changed and improved. In this paper, we review the recent literature regarding operational maneuvers for CEA and discuss future problems for CEA. Longitudinal skin incision is common, but the transverse incision has been reported to offer minimal invasiveness and better cosmetic effects for CEA. Most surgeons currently use microscopy for dissection of the artery and plaque. Although no monitoring technique during CEA has been proven superior, multiple monitors offer better sensitivity for predicting postoperative neurological deficit. To date, data are lacking regarding whether routine shunt or selective shunt is better. Individual surgeons thus need to select the method with which they are more comfortable. Many surgical techniques have been reported to obtain distal control of the internal carotid artery in patients with high cervical carotid bifurcation or high plaque, and minimally invasive techniques should be considered. Multiple studies have shown that patch angioplasty reduces the risks of stroke and restenosis compared with primary closure, but few surgeons in Japan have been performing patch angioplasty. Most surgeons thus experience only a small volume of CEAs in Japan, so training programs and development of in vivo training models are important.

Indexed as

Carotid StenosisEndarterectomy, CarotidHumansMonitoring, IntraoperativePatient Positioningcarotid endarterectomy surgical techniquehigh plaquemonitoringshunt

Identifiers

PMID32801277
PMCPMC7490601
OpenAlexW3049311116

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.