Evidence map›Paper›PMID 38911923›Full record

ArticleNMC case report journal2024

A Case of Pontine Infarction due to Subclavian Steal Phenomenon Enhanced by an Arteriovenous Shunt for Hemodialysis.

Motohide Takahara, Tomoaki Murakami, Shingo Toyota, Shuki Okuhara, Kazuhiro Touhara, Yuhei Hoshikuma, Takamune Achiha, Shuhei Yamada, Maki Kobayashi, Haruhiko Kishima

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

Article in NMC case report journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Motohide TakaharaDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Tomoaki MurakamiDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Shingo ToyotaDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Shuki OkuharaDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Kazuhiro TouharaDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Yuhei HoshikumaDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Takamune AchihaDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Shuhei YamadaDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Maki KobayashiDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.
Haruhiko KishimaDepartment of Neurosurgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of pontine infarction caused by subclavian steal phenomenon (SSP) due to subclavian artery stenosis (SAS) and an arteriovenous shunt in the forearm in a 74-year-old man with hemodialysis and stenting for SAS with improvement of SSP. He developed dysarthria during dialysis. He was admitted to our hospital and diagnosed with a pontine infarction. As the basilar artery appeared to be occluded on magnetic resonance angiography, an emergency diagnostic angiography was performed. Aortagram showed severe stenosis of the left subclavian artery. Right vertebral artery (VA) angiogram revealed retrograde arterial blood flow from the right VA to the left VA via the VA union, which suggested SSP. In addition, the steal was augmented by an ipsilateral hemodialysis arteriovenous shunt. Percutaneous subclavian artery stenting was performed 12 days later, and there was no recurrence of symptoms in the follow-up period. To our knowledge, this study is the first to report a patient with SSP who developed a pontine infarction due to SAS and an arteriovenous shunt during hemodialysis and who underwent subclavian artery stenting and had a good outcome.

Indexed as

brainstem infarctionhemodialysisstent treatmentsubclavian artery stenosissubclavian steal phenomenon

Identifiers

PMID38911923
PMCPMC11190656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.