ArticleFrontiers in cardiovascular medicine2026
Case Report: A successful percutaneous revascularization of bilateral acute limb ischemia caused by an aortic saddle embolism in a patient with mitral stenosis.
Article in Frontiers in cardiovascular medicine, 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
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: An aortic saddle embolism (ASE) is an uncommon condition involving sudden aortoiliac occlusion where emboli lodge at the aortic bifurcation, causing bilateral lower-extremity arterial occlusion. This can lead to ischemia, potential amputation, or even death due to severe reperfusion injury and multiple organ failure. Prompt and effective restoration of arterial flow is crucial to prevent irreversible tissue infarction and to preserve limb viability. Various revascularization techniques, including endovascular and surgical thrombectomy, can be employed to manage this condition. Case illustration: A 40-year-old woman presented with severe pain and numbness in both legs and a bluish tinge in both toes. An electrocardiogram showed atrial fibrillation, and transthoracic echocardiography revealed severe mitral stenosis. The patient underwent percutaneous angiography, which revealed total occlusion at the distal abdominal aorta, followed by percutaneous mechanical thrombectomy or percutaneous thromboaspiration, for which a vacuum-assisted device with conventional wall suction was used, which restored flow to the left lower extremity. Subsequently, the patient received heparin therapy, pain management, and anti-inflammatory treatment. A second percutaneous thromboaspiration with additional balloon angioplasty was performed several days later, which successfully restored flow to the right distal extremity. A duplex ultrasound evaluation after the second percutaneous procedure showed normal arterial and venous blood flow in both lower extremities. The patient experienced no significant complications and recovered fully. One year later, the patient underwent mitral valve replacement with good outcomes and no complications. Conclusion: A modified wall-suction thromboaspiration may represent a feasible bailout or resource-adapted option for bilateral acute limb ischemia caused by an aortic saddle embolism when dedicated thrombectomy devices are unavailable, but the safety, blood loss risk, and reproducibility of this procedure require further evaluation.
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.