Evidence map›Paper›PMID 42105183›Full record

ArticleGeneral thoracic and cardiovascular surgery2026

Larger common femoral artery diameter is a risk factor for type A acute aortic dissection.

Makoto Ikematsu, Keiji Uchida, Tomoki Cho, Kenichi Fushimi, Norihisa Tominaga, Ryo Izubuchi, Tomoyuki Minami, Shota Yasuda, Yoshiyuki Kobayashi, Aya Saito

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Article in General thoracic and cardiovascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Imaging risk factors for development of type A acute aortic dissection.General thoracic and cardiovascular surgery · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Makoto IkematsuCardiovascular Center, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan. ikematsu@yokohama-cu.ac.jp.ORCID http://orcid.org/0009-0000-6640-8402
Keiji UchidaCardiovascular Center, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
Tomoki ChoCardiovascular Center, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
Kenichi FushimiCardiovascular Center, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
Norihisa TominagaCardiovascular Center, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
Ryo IzubuchiCardiovascular Center, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
Tomoyuki MinamiDepartment of Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Shota YasudaCardiovascular Center, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
Yoshiyuki KobayashiDepartment of Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Aya SaitoDepartment of Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe etiology of type A acute aortic dissection (TAAAD) remains unclear. This study aimed to investigate whether the diameter of the common femoral artery (CFA) could serve as a predictor of TAAAD.

methodsThis retrospective study included 100 patients aged 20-70 years who underwent surgery for TAAAD and had postoperative contrast-enhanced (CT) performed before discharge (TAAAD group). The control group comprised 100 patients who underwent elective surgery for stage ≤ 2 colorectal cancer without preoperative bowel obstruction or perforation between April 2021 and March 2024. CFA diameters measured on postoperative CT images in the TAAAD group were compared with those measured on preoperative CT images in the control group.

resultsThe TAAAD group had a higher proportion of men (76% vs. 59%; p = 0.016), larger body surface area (1.78 [1.65-1.91] vs. 1.70 [1.57-1.83]; p = 0.004), younger age (57 [52-64] vs. 60 [54-67]; p = 0.011), and larger CFA diameter (11.2 mm [10.1-12.1] vs. 9.0 mm [8.5-9.8]; p < 0.001). Receiver operating characteristic curve analysis for CFA diameter demonstrated good discriminatory performance (area under the curve, 0.88; 95% confidence interval, 0.84-0.93). An optimal cutoff value of 10.5 mm yielded a sensitivity of 70% and a specificity of 90%. In multivariable logistic regression analysis, CFA diameter remained significantly associated with TAAAD (OR 5.45, 95% confidence interval 3.47- 9.31, p < 0.001).

conclusionsThe CFA diameter was significantly larger among patients with TAAAD. These findings suggest that CFA diameter may be associated with the risk of TAAAD.

Indexed as

Aortic DissectionDissection, Ascending AortaFemoral ArteryAcute DiseaseAdultAgedComputed Tomography AngiographyFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsTomography, X-Ray ComputedCommon femoral arteryEtiologyType A acute aortic dissection

Identifiers

PMID42105183

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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.