Evidence map›Paper›PMID 40129835›Full record

ArticleRadiology case reports2025

A case of vertebral artery stump syndrome treated by parent artery occlusion via collateral anastomosis.

Yu Sakamoto, Yoshikazu Matsuda, Akito Oiwa, Hiroaki Matsumoto, Tohru Mizutani

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

Article in Radiology case reports, 2025. 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
–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

1 citing paper in PubMed.

  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

5 authors.

Yu SakamotoDepartment of Neurosurgery, Kohno Clinical Medicine Research Institute Disan Kitashinagawa Hospital, 3-3-7 Kitashinagawa, Shinagawa-ku, Tokyo 140-0001, Japan.
Yoshikazu MatsudaDepartment of Neurosurgery, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan.
Akito OiwaDepartment of Neurosurgery, Tokyo Metropolitan Hospital Organization Tokyo Metropolitan Ebara Hospital, 4-5-10 Higasiyukigaya, Ota-ku, Tokyo 145-0065, Japan.
Hiroaki MatsumotoDepartment of Neurosurgery, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan.
Tohru MizutaniDepartment of Neurosurgery, Showa University Hospital, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment for vertebral artery stump syndrome (VASS) remains controversial. Here, we report a case of VASS in which cervical vertebral artery (VA) occlusion was performed. A 35-year-old man was admitted for left VA cerebellar infarction caused by left cervical VA dissection with severe stenosis on angiography, and was administered aspirin (100 mg/day). One month after discharge, the patient experienced recurrent stroke with cerebellar infarction. Digital subtraction angiography revealed that the origin of the left VA was occluded and that the VA received antegrade and retrograde flow via the left ascending and deep cervical arteries. The patient was diagnosed with a retrograde flow-induced thrombosis and recurrent embolic stroke. Planned parent artery occlusion (PAO) was performed using a left radial approach under local anesthesia. The patient did not experience stroke recurrence after the procedure. PAO via collateral anastomosis is an option for recurrent stroke treatment when anastomosis via the muscle branch is well developed.

Indexed as

Collateral anastomosisLocal anesthesiaMuscle branchParent artery occlusionVertebral artery stump syndrome

Identifiers

PMID40129835
PMCPMC11930414

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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.