Evidence map›Paper›PMID 38317704›Full record

ArticleRadiology case reports2024

Successful carotid stenting of a carotid arterial dissection after straightening the tortuosity using an inflated balloon guiding catheter and the delivery wire of an anchored stent retriever.

Koji Yoshida, Yosuke Akamatsu, Yoshiyasu Matsumoto, Yasushi Ogasawara, Toshinari Misaki, Hiromu Konno, Kuniaki Ogasawara

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2024. 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

7 authors.

Koji YoshidaDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, Japan.
Yosuke AkamatsuDepartment of Neurosurgery, Iwate Medical School of Medicine, Yahaba-cho, Iwate, Japan.
Yoshiyasu MatsumotoDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, Japan.
Yasushi OgasawaraDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, Japan.
Toshinari MisakiDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, Japan.
Hiromu KonnoDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, Japan.
Kuniaki OgasawaraDepartment of Neurosurgery, Iwate Medical School of Medicine, Yahaba-cho, Iwate, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The authors present a patient with carotid dissection in a tortuous arterial segment who successfully underwent carotid artery stenting (CAS) by straightening the tortuosity using an inflated balloon guiding catheter (BGC) and a stent retriever (SR). A 56-year-old man was transferred to our institute with right hemiparesis and a National Institutes of Health Stroke Scale score of 9. Magnetic resonance imaging showed left internal carotid artery (ICA) occlusion and ischemic change in the parietal lobe. Emergent angiography revealed tapered extracranial ICA occlusion sugg carotid artery dissection (CAD). CAS was attempted for CAD due to a mismatch of the motor area on clinical imaging. However, several attempts to navigate the stent delivery system over a guidewire failed. Therefore, we deployed a Trevo NXT ProVue SR (3 × 32 mm) in the middle cerebral artery, inflated a BGC, and then pulled on both to straighten the tortuous carotid artery, which resulted in successful navigation of the stent delivery system. The patient's symptoms improved after the recanalization. This case demonstrates the utility of a technique for navigation of a stent delivery system through a tortuous carotid artery in which the tortuosity is straightened by pulling on an inflated BGC and the delivery wire of the SR.

Indexed as

Carotid artery dissectionCarotid artery stentingVessel tortuosity

Identifiers

PMID38317704
PMCPMC10839756

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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.