Evidence map›Paper›PMID 35228219›Full record

ArticleBMJ case reports2022

Vertebral artery dissection managed by interventional radiology.

Nicole Mooney, Laura M White, Arun Chandran, Michael Bonello

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

4 authors at 3 institutions in 1 country.

Nicole Mooney *Department of Medicine, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Laura M White *Department of Medicine, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Arun ChandranDepartment of Neuroradiology, Walton Centre NHS Foundation Trust, Liverpool, UK.
Michael Bonello *Department of Medicine, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK michael.bonello@thewaltoncentre.nhs.uk.
Aintree University Hospitals NHS Foundation Trust · GBUniversity of Liverpool · GBWalton Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 21-year-old patient presented with sudden-onset headache, visual disturbance and left hand incoordination. She was diagnosed with a left vertebral artery dissection of the V3 segment resulting in multiple cerebellar and cerebral infarcts. There were no risk factors for dissection other than recent COVID-19 infection. She was treated initially with antiplatelets, followed by anticoagulation, but experienced recurrent ischaemia. Although guidance suggests endovascular repair may be beneficial for patients with cerebral artery dissection (CAD) who experience recurrent strokes on medical therapy, evidence is limited. After multidisciplinary team consideration of the individual patient anatomy and risks and benefits of different endovascular techniques, the patient was treated with endovascular coiling. At 10 months follow-up, she had no further strokes and improving neurological symptoms. The case highlighted COVID-19 as a potential trigger for CAD and the use of endovascular coiling in preventing catastrophic cerebral ischaemia in CAD refractive to medical therapy.

Indexed as

COVID-19Endovascular ProceduresVertebral Artery DissectionAdultFemaleHumansRadiology, InterventionalSARS-CoV-2Vertebral ArteryYoung Adultinterventional radiologyneuroimagingneurologystroke

Identifiers

PMID35228219
PMCPMC8886384
OpenAlexW4214496477

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.