Evidence map›Paper›PMID 42700223›Full record

ArticleNeuroradiology2026

Large vessel occlusion in a carotid terminus pure arterial malformation treated with mechanical thrombectomy and early re-occlusion.

Francesco Biraschi, Carlo Cirelli, Luca Milonia, Francesco Arbia, Francesco Diana

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Article in Neuroradiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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.

Francesco BiraschiInterventional Neuroradiology, Sapienza University of Rome, Rome, Italy. f.biraschi@gmail.com.
Carlo CirelliInterventional Neuroradiology, Sapienza University of Rome, Rome, Italy.
Luca MiloniaInterventional Neuroradiology, Sapienza University of Rome, Rome, Italy.
Francesco ArbiaInterventional Neuroradiology, Sapienza University of Rome, Rome, Italy.
Francesco DianaDiagnostic Imaging Department, Interventional Neuroradiology Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pure arterial malformations (PAMs) are rare arterial anomalies typically considered incidental, and their role in acute large vessel occlusion is not well defined. We describe a case of acute large vessel occlusion occurring in direct anatomical association with a carotid terminus PAM, treated with mechanical thrombectomy and followed by early selective re-occlusion of the malformed segment. Multimodal imaging and clinical history suggested pre-existing hemodynamic compromise and in situ thrombosis with distal embolization. Mechanical thrombectomy across the PAM segment was technically feasible and resulted in distal reperfusion, but durable patency of the malformed tract was not maintained. This case expands the recognized ischemic spectrum of PAM and suggests that selected morphologically complex lesions may behave as hemodynamically unstable substrates rather than incidental vascular variants.

Indexed as

Cerebral angiographyLarge vessel occlusionMechanical thrombectomyPure arterial malformationRecanalization

Identifiers

PMID42700223

What OpenQuestion holds

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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.