Evidence map›Paper›PMID 40679614›Full record

ArticleNeuroradiology2025

Reverse flow-enhanced catheterization of true lumen in carotid artery dissection: the REFLECT technique.

Francesco Mistretta, Riccardo Russo, Stefano Molinaro, Umberto Amedeo Gava, Mauro Bergui

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Neuroradiology, 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

5 authors.

Francesco MistrettaAzienda Ospedaliera Citta' della Salute e della Scienza di Torino, Turin, Italy. francescomistretta93@gmail.com.
Riccardo RussoUniversity of Turin, Turin, Italy.
Stefano MolinaroAzienda Ospedaliera Citta' della Salute e della Scienza di Torino, Turin, Italy.
Umberto Amedeo GavaAzienda Ospedaliera Citta' della Salute e della Scienza di Torino, Turin, Italy.
Mauro BerguiUniversity of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endovascular treatment of large vessel occlusion (LVO) caused by carotid artery dissection (CAD) is challenging due to difficulties in identifying and navigating the true lumen. Entering through the false lumen can complicate the procedure, increasing the risk of distal embolization into patent arteries and hindering access to the LVO. We report a case of CAD causing middle cerebral artery (MCA) occlusion, successfully managed with mechanical thrombectomy using a balloon guide catheter. Proximal flow arrest in the dissected carotid artery enabled flow reversal, promoting collapse of the false lumen and improving visualization and access to the true lumen-an approach we term REFLECT technique (Reverse Flow-Enhanced Catheterization of True Lumen in Carotid Artery Dissection). Once the guiding catheter was advanced into the distal healthy carotid segment, intracranial circulation was revascularized. Carotid stents were then deployed within the true lumen to reconstruct the dissected artery and maintain long-term patency.

Indexed as

Carotid Artery, Internal, DissectionEndovascular ProceduresInfarction, Middle Cerebral ArteryThrombectomyCerebral AngiographyHumansStentsTreatment OutcomeBalloon guide catheterCarotid dissectionCarotid stentingIschemic strokeMechanical thrombectomyReverse flow

Identifiers

PMID40679614

What OpenQuestion holds

Textmetadata
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.