Evidence map›Paper›PMID 41137827›Full record

ArticleJACC. Case reports2025

Endovascular Extraction of an Aortic Arch Thrombus Using Dual Snares and Aspiration Thrombectomy.

Michal Droppa, Hüseyin Kocaman-Graf, Katharina Feil, Annerose Mengel, Ulrike Schempf, Ulf Ziemann, Reimer Riessen, Robert Rottscholl, Meinrad Gawaz, Tobias Geisler

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 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

10 authors.

Michal DroppaDepartment of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany. Electronic address: michal.droppa@med.uni-tuebingen.de.
Hüseyin Kocaman-GrafDepartment of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Katharina FeilDepartment of Neurology & Stroke, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Annerose MengelDepartment of Neurology & Stroke, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Ulrike SchempfDepartment of Internal Medicine I, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Ulf ZiemannDepartment of Neurology & Stroke, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Reimer RiessenDepartment for Internal Medicine, Intensive Care Unit, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Robert RottschollDepartment of Pathology, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Meinrad GawazDepartment of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Tobias GeislerDepartment of Cardiology and Angiology, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAortic mural thrombi are rare causes of embolic stroke and pose therapeutic challenges, particularly in critically ill patients. CASE SUMMARY: A 47-year-old man presented with middle cerebral artery infarction. Imaging revealed a large, mobile mass in the aortic arch, suspected as the embolic source. Surgical removal was contraindicated owing to cerebral hemorrhage, and an endovascular approach was chosen. Using a cerebral protection device, dual snares, and a large-bore aspiration catheter, the thrombus was successfully removed without procedural complications. Histology confirmed an organized thrombus. Despite technical success, the patient died from complications of malignant stroke. DISCUSSION: This case highlights a unique endovascular strategy for removing an intra-aortic structure. The combined use of aspiration and snaring devices enables safe extraction, with cerebral protection minimizing embolic risk. This approach may serve as a valuable alternative to surgery in selected high-risk patients. TAKE-HOME MESSAGE: Minimally invasive removal of aortic thrombi is feasible and may reduce embolic risk in critically ill patients.

Indexed as

aortic arch thrombusaspiration thrombectomyendovascular extraction

Identifiers

PMID41137827
PMCPMC12714524

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.