Evidence map›Paper›PMID 40473323›Full record

ArticleBMJ case reports2025

Incidental aneurysm rupture during endovascular thrombectomy for acute ischaemic stroke.

Selina Dong, Thien Huynh, Eef Hendriks, David Volders

Abstract readCase Reports
In one paragraph

Article in BMJ 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

4 authors.

Selina DongDepartment of Diagnostic Imaging, QEII Health Sciences Centre Foundation, Halifax, Nova Scotia, Canada.ORCID http://orcid.org/0000-0001-5408-0200
Thien HuynhDepartment of Diagnostic Imaging, Mayo Clinic in Florida, Jacksonville, Florida, USA.
Eef HendriksDepartment of Diagnostic Imaging, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada.
David VoldersDepartment of Diagnostic Imaging, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada david.volders@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute ischaemic stroke remains a leading cause of disability and mortality worldwide. Treatments include systemic fibrinolysis and more recently, endovascular thrombectomy (EVT). The presence of incidental intracranial aneurysms may increase procedural risk during EVT, particularly given their potential higher prevalence in patients with stroke due to shared risk factors such as smoking and hypertension.We present the case of an elderly woman who experienced rupture of an unrecognised intracranial aneurysm during EVT. This case underscores the importance of meticulous preprocedural imaging review, awareness of high-risk anatomical locations and cautious selection of EVT techniques. We also provide a brief review of the literature regarding the incidence, mechanisms and management of intraprocedural aneurysm rupture.

Indexed as

Aneurysm, RupturedEndovascular ProceduresIntracranial AneurysmIschemic StrokeThrombectomyAged, 80 and overFemaleHumansIncidental FindingsInterventional radiologyRadiologyStroke

Identifiers

PMID40473323
PMCPMC12141813

What OpenQuestion holds

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LicenceCC BY-NC
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.