Evidence map›Paper›PMID 38540992›Full record

ArticleJournal of personalized medicine2024

Uncommon Carotid Artery Stenting Complications: A Series by Images.

Giuseppe Vadalà, Vincenzo Sucato, Francesco Costa, Fausto Castriota, Roberto Nerla, Giuseppe Roscitano, Antonio Giovanni Versace, Alfredo Ruggero Galassi, Antonio Micari

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Early and long-term mechanical complications after carotid artery stenting.Journal of vascular surgery cases and innovative techniques · 2026
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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

9 authors at 5 institutions in 1 country.

Giuseppe VadalàDivision of Cardiology, University Hospital Paolo Giaccone, 90100 Palermo, Italy.ORCID 0000-0003-0869-4855
Vincenzo SucatoDivision of Cardiology, University Hospital Paolo Giaccone, 90100 Palermo, Italy.ORCID 0000-0001-9514-1575
Francesco CostaInterventional Cardiology Department, Policlinic G. Martino, University of Messina, 98122 Messina, Italy.
Fausto CastriotaCardio-Vascular Department, Maria Cecilia Hospital, GVM Care and Research, 48100 Ravenna, Italy.
Roberto NerlaCardio-Vascular Department, Maria Cecilia Hospital, GVM Care and Research, 48100 Ravenna, Italy.
Giuseppe RoscitanoDepartment of General Surgery and Medical Specialities, University of Catania, 95123 Catania, Italy.
Antonio Giovanni VersaceInternal Medicine Department, AO Papardo, 98100 Messina, Italy.
Alfredo Ruggero GalassiDivision of Cardiology, University Hospital Paolo Giaccone, 90100 Palermo, Italy.
Antonio MicariInterventional Cardiology Department, Policlinic G. Martino, University of Messina, 98122 Messina, Italy.
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITMaria Cecilia Hospital · ITUniversity of Messina · ITAzienda Ospedaliera Ospedali Riuniti Papardo Piemonte · ITUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo describe through emblematic images rare but clinically relevant carotid artery stenting complications that occurred at two high-volume centres for carotid artery stenting (CAS).

backgroundCAS is an alternative to carotid endarterectomy (CEA) for the treatment of carotid artery stenosis in patients judged to be at high risk for CEA. CAS complications range between 1 and 9% and are higher in older patients complaining of neurological symptoms at the time of presentation. Besides periprocedural or early-after-procedure stroke, which remains the true Achilles' heel of CAS, other dramatic complications might compromise the clinical outcomes of this procedure.

methodsFive infrequent complications, out of more than 1000 CAS performed in the years 2016-2021, have been described.

resultsAmong CAS complications, acute carotid stent thrombosis, rescue retrieval of a disconnected distal cerebral embolic protection device, plaque prolapse after carotid stenting, cerebral hyperperfusion syndrome (CHS), and radial artery long sheath entrapment requiring surgical intervention were found to account for 0.3% of the total number of procedures performed by operators with high CAS volume.

conclusionsUnusual CAS complications may infrequently occur, even in hands of expert operators. To know how to deal with such complications might help interventionalists to improve CAS performance.

Indexed as

acute carotid stent thrombosiscarotid artery stenting (CAS) complicationscerebral embolic protection device failurecerebral hyper perfusion Syndrome (CHS)plaque prolapse after carotid stentingradial access site complications

Identifiers

PMID38540992
PMCPMC10971077
OpenAlexW4392162965

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.