Evidence map›Paper›PMID 42812215›Full record

SynthesisFrontiers in veterinary science2026

Common carotid artery occlusion during slaughter without stunning in cattle: incidence and evidence for physiological significance-a systematic review.

Elie Girsowicz, Ari Z Zivotofsky, Stuart D Rosen, Jacob R Hascalovici

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in veterinary science, 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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0cells of the map it votes in
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

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

4 authors.

Elie Girsowicz *Department of Surgery, McGill University, Montreal, QC, Canada.
Ari Z Zivotofsky *Gonda Brain Center, Bar Ilan University, Ramat Gan, Israel.
Stuart D RosenNational Heart and Lung Institute, Imperial College, London, United Kingdom.
Jacob R HascaloviciAlbert Einstein College of Medicine, Bronx, NY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Slaughter by exsanguination via ventral neck incision (SEVNI), as performed in religious slaughter, has been criticized on the grounds that carotid occlusion may impair exsanguination and potentially delay loss of consciousness (LOC), leading to unnecessary pain and distress. The objective of this review is to evaluate the literature specifically addressing the prevalence of carotid occlusions (CO) in SEVNI of cattle and the available evidence for their potential consequences on cerebral perfusion, cortical function, and inferred LOC. Methods: A systematic search of PubMed, Google Scholar, Cochrane Library, Medline, and Web of Science identified studies assessing the prevalence and significance of CO in cattle after SEVNI. Non-cattle studies, reviews, commentaries and abstracts without full text were excluded. Studies were independently reviewed by co-authors to minimize risk of bias. Due to heterogeneity in methods and outcomes, results were synthesized narratively. Results: Fifteen studies met the inclusion criteria. ROBINS-I framework determined the overall risk of bias to be moderate. Across eligible prevalence cohorts, 13.8% of animals exhibited at least one reported carotid occlusive phenomenon. Conclusions suggesting delayed LOC in animals with CO are primarily inferential and rely on indirect evidence from a small number of studies with methodological limitations. Discussion: Based on the available evidence, while CO do appear to occur in a subgroup of animals following SEVNI, there is insufficient evidence to demonstrate that they preserve cerebral perfusion or sustain cortical function at levels sufficient to delay LOC as inferred from available proxy measures. Available physiological and mathematical modeling data instead suggest that cortical perfusion would be expected to fall rapidly after bilateral carotid transection, but these data do not directly measure consciousness. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420261325822, identifier PROSPERA; (registration number CRD420261325822).

Indexed as

carotid occlusionscommon carotid arteriesconsciousnesscortexfalse aneurysmhalal slaughterruminantsshechita

Identifiers

PMID42812215
PMCPMC13619484

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.