Evidence map›Paper›PMID 41942621›Full record

ArticleActa neurochirurgica2026

Hybrid surgical-endovascular revascularization for long‑segment common carotid artery occlusion close to the aortic arch: a case report.

Takeshi Uno, Masaaki Shojima, Yuki Nakamura, Yuta Oyama, Ai Kawaguchi, Hirotomo Ten, Masahiro Shin

Abstract readCase Reports
In one paragraph

Article in Acta neurochirurgica, 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

7 authors.

Takeshi UnoDepartment of Neurosurgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, Japan. uno.takeshi.rb@teikyo-u.ac.jp.
Masaaki ShojimaDepartment of Neurosurgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, Japan.
Yuki NakamuraDepartment of Neurosurgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, Japan.
Yuta OyamaDepartment of Neurosurgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, Japan.
Ai KawaguchiDepartment of Neurosurgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, Japan.
Hirotomo TenDepartment of Neurosurgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, Japan.
Masahiro ShinDepartment of Neurosurgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Common carotid artery occlusion (CCAO) is a rare condition without standardized treatment, particularly in cases with long, calcified occlusions. We present a 56-year-old man with symptomatic left CCAO (Riles type 1A) treated with a hybrid surgical-endovascular approach due to limited bypass options. Although a guidewire crossed the lesion, device advancement was prevented by dense plaque. Through cervical exposure, the distal wire was grasped and traction applied, allowing balloon angioplasty and stent placement. Complete revascularization was achieved without complications. This case highlights the effectiveness of hybrid strategies for managing complex CCAO with challenging anatomical features.

Indexed as

Angioplasty, BalloonAorta, ThoracicCarotid Artery, CommonCarotid StenosisEndarterectomy, CarotidEndovascular ProceduresHumansMaleMiddle AgedStentsCarotid artery stentingCarotid endarterectomyChronic total occlusionCommon carotid artery occlusionEndovascular interventionHybrid surgery

Identifiers

PMID41942621
PMCPMC13056724

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.