Evidence map›Paper›PMID 38628507›Full record

ArticleSurgical neurology international2024

A technique for reconstruction of a giant extracranial internal carotid artery aneurysm: A technical note.

Atsushi Hashio, Hiroki Sato, Milan Lepić, Kaima Suzuki, Tsugumi Satoh, Shin Nemoto, Seiji Kuribara, Yuhei Ito, Shun Suzuki, Ichi Lee and 5 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical neurology international, 2024. 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
0.4field-weighted citation impact, top 42% 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, 1 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

15 authors at 1 institution in 1 country.

Atsushi HashioDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Hiroki SatoDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Milan LepićDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Kaima SuzukiDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Tsugumi SatohDepartment of Pathology, International Medical Center, Saitama Medical University, Hidaka, Japan.
Shin NemotoDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Seiji KuribaraDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Yuhei ItoDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Shun SuzukiDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Ichi LeeDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Akio TeranishiDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Taro YanagawaDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Toshiki IkedaDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Hidetoshi OoigawaDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Hiroki KuritaDepartment of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, Hidaka, Japan.
Saitama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Surgery is effective for extracranial internal carotid artery (EICA) aneurysms. However, the risk of cranial nerve injury associated with surgical repair, such as graft-assisted resection and extracranial-intracranial bypass techniques, is relatively high. Here, we report two cases of surgical treatment for EICA aneurysms and describe the surgical techniques and strategies to avoid cranial nerve injury. Methods: Two patients presented to our facility with an increasing cervical pulsatile mass and no neurological symptoms. Angiography showed a large aneurysm in the cervical internal carotid artery. Surgical treatment was performed to prevent rupture of the aneurysm. In both patients, the aneurysm was strongly attached to the vagus nerve. The aneurysm and vagus nerve were carefully dissected using a low-power bipolar (20 Malis; 3 watts), leaving connective tissue on the vagus nerve side. Results: The aneurysm was detached from the vagus nerve without injury. Based on intraoperative findings, one patient underwent clipping, and the other underwent aneurysmectomy and primary closure for aneurysm obliteration and angioplasty. Both patients were discharged without any cranial nerve dysfunction. Conclusion: The selection of a strategy based on intraoperative findings and low-power bipolar cutting is important for the treatment of extracranial carotid artery aneurysms to preserve cranial nerves.

Indexed as

AneurysmectomyBipolar cuttingExtracranial internal carotid artery aneurysmReconstructionVagus nerve

Identifiers

PMID38628507
PMCPMC11021075
OpenAlexW4392590333

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.