ArticleFrontiers in surgery2026
Case Report: Hybrid retrograde transcarotid stenting for common carotid artery dissection secondary to acute type A aortic dissection.
Article in Frontiers in surgery, 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
Background: Endovascular repair is an established option for symptomatic carotid artery dissection, particularly when hemodynamic compromise or embolic risk persists. In patients undergoing repair for acute type A aortic dissection (ATAAD), conventional transfemoral or transradial access may be prohibitive because of altered arch anatomy after graft reconstruction and stent-grafting. We report a postoperative left common carotid artery (CCA) dissection with focal aneurysmal dilatation and cerebral malperfusion following ATAAD repair. The lesion was treated using a hybrid strategy: direct cervical exposure for controlled retrograde transcarotid access and overlapping stent reconstruction. Case description: A 48-year-old man presented with acute chest and back pain and was diagnosed with ATAAD. He underwent composite aortic repair including aortic root reconstruction, ascending and arch replacement, and descending aortic stent-grafting. Twenty-six hours postoperatively, he developed severe right-sided hemiparesis in the intensive care unit. Computed tomography angiography (CTA) showed near-occlusion of the mid-left CCA and delayed distal opacification. Given unfavorable transfemoral catheterization, emergent surgical cervical exposure enabled retrograde transcarotid sheath placement and deployment of three overlapping self-expanding stents. Final angiography demonstrated complete reperfusion (modified Thrombolysis in Cerebral Infarction, mTICI, grade 3) without intracranial distal embolization. Neurological recovery was favorable, with sustained stent patency and functional independence at follow-up. Conclusion: Hybrid open retrograde transcarotid access may be considered a salvage option for postoperative CCA dissection after ATAAD repair when transfemoral access is prohibitive.
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.