{"ok":true,"api":{"name":"SAIMSARA Evidence Object Discovery API","version":"v1"},"mode":"doc_key","editorial_verification":{"status":"human_reviewed","trust_label":"machine_generated_human_reviewed","method":"World ID proof-of-human editorial account","scope":["clinical_integrity","reference_quality","scientific_coherence"],"verification_note":"This Evidence Object is machine-generated and human-reviewed. World ID is used to verify that editorial oversight was submitted by a unique human account.","does_not_mean":"World ID verifies proof-of-human editorial oversight; it does not independently certify the scientific truth of every claim."},"object":{"object_type":"saimsara_evidence_object_metadata","doc_key":"vascular::CAROTID_SHUNT_SS","issue_slug":"vascular","doc_id":"CAROTID_SHUNT_SS","title":"Carotid Shunt","doi":"10.62487/saimsara9d60e2fd","doi_url":"https://doi.org/10.62487/saimsara9d60e2fd","version":"2026-03-16","source_name":"PubMed","article_url":"https://saimsara.com/sessions/carotid-shunt-stroke-20251020-091305-9d60e2fd/","image_url":"","topic_tags":"Carotid shunt,Carotid endarterectomy,Internal carotid artery,Cerebral ischemia,Stroke prevention,Selective shunting,Somatosensory evoked potentials,Transcranial Doppler,Carotid stenosis,Vascular surgery","keywords":["Carotid shunt","Carotid endarterectomy","Internal carotid artery","Cerebral ischemia","Stroke prevention","Selective shunting","Somatosensory evoked potentials","Transcranial Doppler","Carotid stenosis","Vascular surgery"],"metrics":{"included_all":743,"included_original":704,"reference_index":128,"total_participants":1121507},"discover_url":"https://saimsara.com/api/v1/discover.php?doc_key=vascular%3A%3ACAROTID_SHUNT_SS","paid_evidence_url":"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3ACAROTID_SHUNT_SS","price":{"amount":"5.00","currency":"USD","units":5,"unit_amount":"1.00"},"payment_methods":["api_key","stripe_checkout","object_grant","x402"],"text_length":8206,"preview":"Results Key finding aligned to the query: Carotid shunts play a complex, context-dependent role in maintaining cerebral perfusion during vascular procedures, notably carotid endarterectomy (CEA), where they can mitigate stroke risk in high-risk patients, yet are associated with specific complications. For instance, patients with an isolated middle cerebral artery (iMCA) face an 11-fold higher risk of neurologic events during CEA without shunt protection (OR=11.12, 95% CI 3.57-35.87, p","trust_label":"machine_generated_human_reviewed","editorial_verification":{"status":"human_reviewed","trust_label":"machine_generated_human_reviewed","method":"World ID proof-of-human editorial account","scope":["clinical_integrity","reference_quality","scientific_coherence"],"verification_note":"This Evidence Object is machine-generated and human-reviewed. World ID is used to verify that editorial oversight was submitted by a unique human account.","does_not_mean":"World ID verifies proof-of-human editorial oversight; it does not independently certify the scientific truth of every claim."},"checkout":{"method":"POST","url":"https://saimsara.com/create_checkout_session.php","content_type":"application/x-www-form-urlencoded","params":{"plan":"evidence_object","doc_key":"vascular::CAROTID_SHUNT_SS"},"optional_params":{"customer_email":"user@example.com"},"price":{"amount":"5.00","currency":"USD","units":5,"unit_amount":"1.00"},"curl_example":"curl -X POST https://saimsara.com/create_checkout_session.php -d \"plan=evidence_object\" -d \"doc_key=vascular::CAROTID_SHUNT_SS\" -d \"customer_email=user@example.com\""},"access_after_payment":{"header":"X-SAIMSARA-Payment-Proof","endpoint":"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3ACAROTID_SHUNT_SS","curl_example":"curl -H \"X-SAIMSARA-Payment-Proof: YOUR_PAYMENT_PROOF_TOKEN\" \"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3ACAROTID_SHUNT_SS\""}}}