Brachial artery cannulation for right upper limb ischemia secondary to acute type A aortic dissection.

Durr Al-Hakim, Rosalind Groenewoud, Farhad Udwadia, Jerry Chen, Jong Moo Kim

Abstract readCase Reports

In one paragraph

Article in Journal of surgical 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.

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

5 authors.

Durr Al-HakimFaculty of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, V5Z 1M9, Canada.ORCID https://orcid.org/0009-0005-6682-7670

Rosalind GroenewoudDivision of Cardiac Surgery, University of British Columbia, 1081 Burrard Street, Vancouver, V6Z 1Y6, Canada.

Farhad UdwadiaDivision of Vascular Surgery, University of British Columbia, 2775 Laurel Street, Vancouver, V5Z 1M9, Canada.

Jerry ChenDivision of Vascular Surgery, University of British Columbia, 2775 Laurel Street, Vancouver, V5Z 1M9, Canada.

Jong Moo KimDivision of Cardiac Surgery, University of British Columbia, 1081 Burrard Street, Vancouver, V6Z 1Y6, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Upper limb ischemia is rare complication of acute type A aortic dissection (ATAAD) with high morbidity and mortality. A 61-year-old male presented following 8-hour onset of severe chest pain and progressive right arm pain with motor-sensory deficits. Computed tomography angiography revealed ATAAD with brachiocephalic and right subclavian artery occlusion. He underwent successful ascending aortic and arch replacement with intraoperative right brachial perfusion and forearm fasciotomy. Proximal limb function was preserved, with gradual distal motor recovery at 5 months under intensive physiotherapy. Dissection-related arterial occlusion may mimic isolated thrombosis on imaging. Prompt central aortic repair with simultaneous intraoperative limb perfusion can preserve limb viability and obviate the need for peripheral revascularization.

Indexed as

acute type A aortic dissectionaortic repaircannulationrevascularizationupper limb ischemia

Identifiers

PMID42145308

DOI10.1093/jscr/rjag368

PMCPMC13179499

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC

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.