Evidence map›Paper›PMID 40755638›Full record

ArticleCureus2025

Staged Endovascular and Open Surgical Repair of Multiple High-Risk Thoracoabdominal Aortic Aneurysms Following Initial Presentation With a Ruptured Juxtarenal Aneurysm: A Case Report.

Kenji Sakai, Yushi Okumura, Tetsuya Yoshida

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

3 authors.

Kenji SakaiDepartment of Cardiovascular Surgery, Hokushin General Hospital, Nakano City, JPN.
Yushi OkumuraDepartment of Cardiovascular Surgery, Hokushin General Hospital, Nakano City, JPN.
Tetsuya YoshidaDepartment of Cardiovascular Surgery, Hokushin General Hospital, Nakano City, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Simultaneous repair of extensive aortic aneurysms carries a high risk of spinal cord ischemia. Staged repair is one strategy to reduce this risk; however, aneurysm rupture during the interval is a concern. A 74-year-old man presented with a ruptured juxtarenal abdominal aortic aneurysm (AAA). A CT scan revealed a large (87 mm) ruptured AAA, a 95-mm descending thoracic aortic aneurysm (TAA), and an 80-mm saccular aneurysm in the aortic arch. Emergency EVAR (endovascular aneurysm repair) and right renal artery embolization were performed. Two weeks later, TEVAR (thoracic endovascular aortic repair) was completed for the descending TAA. At six weeks post-initial intervention, open arch replacement with open stent graft technique was performed. The patient had no neurologic or renal complications. Staged repair, prioritizing rupture risk, can allow the complete and safe treatment of extensive aortic disease without major complications.

Indexed as

aortic aneurysmevaropen arch replacementspinal cord ischemia preventionstaged repairtevar

Identifiers

PMID40755638
PMCPMC12318129

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.