Evidence map›Paper›PMID 40707223›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Acute Ischemic Stroke Due to a Mobile Thrombus Adherent to a Carotid Web.

Shunsuke Kimura, Naoki Tagawa, Tadataka Mizoguchi, Yoko Nakamura, Hiroyuki Hayashida, Yohei Kubara, Yusuke Imamura, Kota Mori, Fumihiko Kinjo, So Tokunaga and 3 more

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

Article in Internal medicine (Tokyo, Japan), 2026. 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

13 authors.

Shunsuke KimuraDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Naoki TagawaDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Tadataka MizoguchiDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Yoko NakamuraDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Hiroyuki HayashidaDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Yohei KubaraDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Yusuke ImamuraDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Kota MoriDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Fumihiko KinjoDepartment of Neuroendovascular Surgery, National Hospital Organization Kyushu Medical Center, Japan.
So TokunagaDepartment of Neuroendovascular Surgery, National Hospital Organization Kyushu Medical Center, Japan.
Takahiro KuwashiroDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Hiroshi SugimoriDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.
Yasushi OkadaDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 48-year-old man presented with impaired consciousness and aphasia. Magnetic resonance imaging (MRI) of the head revealed acute cerebral infarction in the left temporal and parietal lobes. Carotid ultrasonography revealed a mobile structure at the origin of the left internal carotid artery. Cervical MRI using fat-saturation T1 imaging showed an isointense structure at the origin, with a high-signal structure extending toward the head. Digital subtraction angiography revealed contrast stagnation, suggesting the presence of a carotid web (CaW). The mobile structure was released, indicating thrombus resolution. Carotid artery stenting eliminated contrast stagnation and was well-tolerated. This case highlights the diagnostic challenges associated with a CaW-related stroke.

Indexed as

Carotid Artery, InternalCarotid Artery ThrombosisIschemic StrokeThrombosisAngiography, Digital SubtractionHumansMagnetic Resonance ImagingMaleMiddle Agedcarotid artery stenting (CAS)carotid webmobile thrombus

Identifiers

PMID40707223
PMCPMC12979638

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Registered trials

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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.