Evidence map›Paper›PMID 28838915›Full record

SynthesisJournal of the American Heart Association2017

Radial Artery and Ulnar Artery Occlusions Following Coronary Procedures and the Impact of Anticoagulation:

George Hahalis, Konstantinos Aznaouridis, Gregory Tsigkas, Periklis Davlouros, Ioanna Xanthopoulou, Nikolaos Koutsogiannis, Ioanna Koniari, Marianna Leopoulou, Olivier Costerousse, Dimitris Tousoulis and 1 more

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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.

NCT03630055 phase3terminatednot on this mapstarted 2018, after this paper: background citation

Rivaroxaban Post-Transradial Access for the Prevention of Radial Artery Occlusion

TypeinterventionalSponsorOttawa Heart Institute Research CorporationRan2018 to 2025Enrolled930ConditionsRadial Artery OcclusionArmsRivaroxaban 15 MG Oral Tablet [Xarelto]
NCT07380399 recruitingnot on this mapstarted 2025, after this paper: background citation

Transulnar Access in Patients With Ipsilateral Radial Artery Occlusion Undergoing Coronary Angiography or Angioplasty: Safety and Effect on Hand Function (ULNART)

Typeobservational_patient_registrySponsorNational and Kapodistrian University of AthensRan2025 to 2032Enrolled127ConditionsRadial Artery Occlusion, Vascular Access, Coronary Artery Disease (CAD)
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Traditional Versus Distal Radial Access for Coronary Diagnostic and Revascularization Procedures: Final Results of the TENDERA Multicenter, Randomized Controlled Study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2024
    Trial
  3. Trial
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  6. Article
  7. Article
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  9. Optimal radial artery diameter for predicting radial artery occlusion after transradial coronary catheterization.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  10. Article
  11. Risk factors for radial artery occlusion after neurointervention for unruptured intracranial aneurysm via transradial access.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  12. Article
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  15. Observational
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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

11 authors at 5 institutions in 3 countries.

George HahalisPatras University Hospital Rio, Rio Patras, Greece hahalisg@yahoo.com.
Konstantinos AznaouridisHippokration Hospital, Athens Medical School, Athens, Greece.
Gregory TsigkasPatras University Hospital Rio, Rio Patras, Greece.
Periklis DavlourosPatras University Hospital Rio, Rio Patras, Greece.
Ioanna XanthopoulouPatras University Hospital Rio, Rio Patras, Greece.
Nikolaos KoutsogiannisPatras University Hospital Rio, Rio Patras, Greece.
Ioanna KoniariPatras University Hospital Rio, Rio Patras, Greece.
Marianna LeopoulouPatras University Hospital Rio, Rio Patras, Greece.
Olivier CosterousseQuebec Heart-Lung Institute, Quebec, Canada.
Dimitris TousoulisHippokration Hospital, Athens Medical School, Athens, Greece.
Olivier F BertrandQuebec Heart-Lung Institute, Quebec, Canada.
University of Patras · GRGeneral University Hospital of Patras · GRMontreal Heart Institute · CACastle Hill Hospital · GBHippocration General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncidence of radial artery occclusions (RAO) and ulnar artery occclusions (UAO) in coronary procedures, factors predisposing to forearm arteries occlusion, and the benefit of anticoaggulation vary significantly in existing literature. We sought to determine the incidence of RAO/UAO and the impact of anticoagulation intensity. METHODS AND

resultsMeta-analysis of 112 studies assessing RAO and/or UAO (N=46 631) were included. Overall, there was no difference between crude RAO and UAO rates (5.2%; 95% confidence interval [CI], 4.4-6.0 versus 4.0%; 95% CI, 2.8-5.8;

conclusionsRAO and UAO occur with similar frequency and in the order of 7% to 8% when evaluated early by vascular ultrasonography following coronary procedures. More-intensive anticoagulation is protective. Late recanalization occurs in a substantial minority of patients.

Indexed as

VasoconstrictionAgedAnticoagulantsArterial Occlusive DiseasesCardiac CatheterizationCoronary AngiographyFemaleHumansIncidenceMaleMiddle AgedPuncturesRadial ArteryRisk AssessmentRisk FactorsTime FactorsAnticoagulantscoronary angiographyradial occlusiontransradialtransulnarulnar occlusion

Identifiers

PMID28838915
PMCPMC5586412
OpenAlexW2746106070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.