ArticleJACC. Case reports2026
Bedside Ultrasound-Driven Emergency Stenting for Spontaneous Carotid Artery Dissection: Clinical and Technical Insights.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpontaneous carotid artery dissection is a leading cause of stroke in young adults. Timely diagnosis and monitoring are crucial as the condition is hemodynamically dynamic. CASE SUMMARY: A 52-year-old man presented with minor stroke (National Institutes of Health Stroke Scale 3) due to spontaneous carotid artery dissection. Initial imaging showed nonsignificant stenosis, and medical therapy was started. Following sudden neurological deterioration (National Institutes of Health Stroke Scale 15), bedside carotid Doppler ultrasound revealed a critical stenosis caused by a rapidly expanding intramural hematoma. The patient underwent emergent percutaneous stenting with a nitinol self-expandable stent, resulting in immediate clinical improvement and complete symptom resolution at 1 month. DISCUSSION: While computed tomography angiography is the gold standard for initial diagnosis, its static nature may underestimate evolving lesions. This case highlights how bedside carotid Doppler ultrasound's superior temporal resolution captures dynamic hematoma expansion that angiography might miss, guiding life-saving emergency intervention when medical therapy fails. TAKE-HOME MESSAGES: Bedside carotid Doppler ultrasound is pivotal for monitoring patients with spontaneous carotid artery dissection, as it detects real-time instability of the intramural hematoma. Emergency stenting is an effective salvage therapy for neurological worsening.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.