Evidence map›Paper›PMID 41216149›Full record

ReviewSurgical neurology international2025

Left common carotid artery ostium iatrogenic dissection: A case report and systematic review of the literature.

Luis Gustavo Biondi-Soares, Luis Flavio Fabrini Paleare, Felipe Salvagni, Nicole Beatrix Sanches, Gabriel Ataide Monção, Marcio Yuri Ferreira, Filipi Fim Andreão, Ahmet Günkan, Robert Guimarães do Nascimento, Leonardo Bilich Abaurre and 1 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Surgical neurology international, 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

11 authors.

Luis Gustavo Biondi-SoaresDepartment of Neurosurgery/Interventional Neuroradiology, Santa Casa de Montes Claros, Montes Claros, Brazil.
Luis Flavio Fabrini PaleareFaculty of Medicine, Pontifical Catholic University of Paraná, Curitiba, Brazil.
Felipe SalvagniPostgraduate Department, Mackenzie Evangelical College of Paraná, Curitiba, Brazil.
Nicole Beatrix SanchesFaculty of Medicine, Pontifical Catholic University of Paraná, Curitiba, Brazil.
Gabriel Ataide MonçãoDepartment of Surgery, Hospital Governador Israel Pinheiro, Alameda Ezequiel Dias, Horizonte, Brazil.
Marcio Yuri FerreiraDepartment of Neurosurgery, Lenox Hill Hospital - Northwell Health, New York, USA.
Filipi Fim AndreãoFaculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Ahmet GünkanDivision of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, University of Arizona, Tucson, Arizona, USA.
Robert Guimarães do NascimentoDepartment of Neurosurgery, Hospital Beneficencia Portuguesa de São Paulo, São Paulo, Brazil.
Leonardo Bilich AbaurreDepartment of Neurosurgery, Central State Hospital, Espirito Santo, Brazil.
Leandro de Assis BarbosaDepartment of Neurosurgery, Central State Hospital, Espirito Santo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Common carotid artery dissections (CCADs) are rare but potentially life-threatening, often leading to ischemic events. Iatrogenic CCADs have been reported, but this is the first case of an ostium-located CCAD occurring during cerebral angiography. A systematic review was conducted to identify similar cases. Methods: This case report followed the CAse REport (CARE) checklist, and the systematic review adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. A literature search was performed across PubMed, Embase, and Cochrane Library to identify case reports or series on iatrogenic CCADs. Results: An 81-year-old female undergoing follow-up cerebral angiography postaneurysm clipping developed an 80% left common carotid artery ostium stenosis due to a Simmons 2 catheter. She remained asymptomatic and was treated with dual antiplatelet therapy (aspirin and clopidogrel). The systematic review included eight studies (13 patients, mean age 58.2 years), with diverse iatrogenic causes, including catheter misplacement ( Conclusion: This is the first reported case of an ostium-located CCAD during routine angiography. The systematic review highlights the diverse etiologies and clinical courses of iatrogenic CCADs, underscoring the need for individualized management to optimize outcomes and reduce complications.

Indexed as

AngiographyCase reportCommon carotid artery dissectionDissectionOstiumSystematic review

Identifiers

PMID41216149
PMCPMC12596794

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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.