Evidence map›Paper›PMID 40416231›Full record

ArticleCureus2025

Recurrent Transient Ischemic Attacks While on Hemodialysis: A Case Report.

Pallavi Shirsat, Kunal Sonavane, Bhawna Agarwal, Gautam Agrawal

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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

4 authors.

Pallavi ShirsatNephrology, Minden Medical Center, Minden, USA.
Kunal SonavaneInternal Medicine, Willis Knighton Health, Bossier City, USA.
Bhawna AgarwalInternal Medicine, University of Pittsburgh Medical Center McKeesport Hospital, McKeesport, USA.
Gautam AgrawalNephrology, Independence Health System, Greensburg, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebrovascular accidents (CVAs) remain a crucial cause of morbidity and mortality while posing a significant burden to public health systems worldwide. Its incidence is higher in elderly patients with end-stage renal disease (ESRD) on hemodialysis due to concomitant conditions (advanced age, diabetes, cardiovascular disease, hypertension), altered cerebral blood flow, and frequent use of anticoagulants during hemodialysis treatments. In this report, we discuss a case of an 85-year-old female patient with ESRD on hemodialysis who started having recurrent episodes of transient ischemic attacks (TIA) that coincided with her dialysis treatments. Cerebral blood flow shunting during dialysis sessions was thought to be the likely cause of these events. After multiple failed attempts to convince the patient to transition to peritoneal dialysis, her dialysis prescription was modified to shorter duration treatments. With this modification, she experienced no further TIA episodes. This highlights the importance of an individualized approach to management decisions when there is a lack of clear treatment guidelines.

Indexed as

carotid artery stenosiscerebral blood flow shuntingdialysis challengesdialysis disequilibriumend stage renal disease (esrd)hemodialysis relatedrecurrent tiarecurrent transient ischemic attackstransient ischemic attacks

Identifiers

PMID40416231
PMCPMC12103909

What OpenQuestion holds

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LicenceCC BY
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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.