Evidence map›Paper›PMID 29487193›Full record

ArticleJournal of neurointerventional surgery2018

Comparison of a pressure-sensing sheath and radial arterial line for intraoperative blood pressure monitoring in neurointerventional procedures.

Michael T Froehler, Rohan Chitale, Jordan A Magarik, Matthew R Fusco

3 registry-linked trialsOpen access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of neurointerventional surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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.

NCT03239847 nacompletednot on this map

Cost Effectiveness of the EndoPhys Pressure Sensing Access System vs. Radial A-line for Intra-operative Blood Pressure Monitoring

TypeinterventionalSponsorVanderbilt University Medical CenterRan2016 to 2017Enrolled40ConditionsCerebrovascular DisordersArmsEndoPhys Sheath and Radial Arterial Line, EndoPhys Sheath
NCT05105204 unknown statusnot on this mapstarted 2021, after this paper: background citation

ArteVu Blood Pressure Accuracy Study

Typeobservational_patient_registrySponsorCardio Ring Technologies, Inc. Taiwan BranchRan2021 to 2022Enrolled50ConditionsBlood PressureArmsArteVu
NCT07257367 recruitingnot on this mapstarted 2025, after this paper: background citation

Accuracy and Safety Assessment of Pressure Sensing Sheath Blood Pressure Monitoring Compared to Traditional Invasive and Non-invasive Blood Pressure Monitoring in Interventional Procedures: A Prospective, Single-Center, Self-Controlled Randomized Study

TypeobservationalSponsorShanghai Fourth People's Hospital Tongji UniversityRan2025 to 2027Enrolled50ConditionsBlood Pressure Monitoring, Neuroendovascular ProceduresArmsPressure Sensing Sheath Monitoring, Radial Arterial Line Monitoring
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Advances in Non-Invasive Blood Pressure Monitoring.Sensors (Basel, Switzerland) · 2021
    Review
  4. Article
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 at 2 institutions in 1 country.

Michael T FroehlerCerebrovascular Program, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Rohan ChitaleCerebrovascular Program, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jordan A MagarikCerebrovascular Program, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Matthew R FuscoCerebrovascular Program, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University Medical Center · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe efficiency of neuroendovascular procedures may partly depend on the time devoted to placement of a radial arterial line (RAL) for intraoperative blood pressure monitoring. An alternative approach is to use a pressure-sensing sheath (PSS) that serves to provide invasive blood pressure monitoring without requiring a separate procedure for placement. We compared the use of a RAL versus PSS and assessed procedure time, anesthetist and patient satisfaction, and cost.

methodsWe performed a single-center, prospective, blockwise, comparative trial of procedure start time using traditional RAL placement versus the EndoPhys PSS for invasive blood pressure monitoring. Endpoints included time from room arrival to groin puncture, patient and anesthetist satisfaction ratings, and costs associated with RAL placement.

resultsTwenty patients were enrolled in the PSS+RAL arm and 20 in the PSS-alone arm. Mean time from arrival in the room until groin puncture was 61.9±14.0 min in the RAL group and 51.2±10.8 min in the PSS-alone group (P=0.01; difference=10.7 min). Patients in the PSS-alone group reported less pain than those in the RAL group. Furthermore, anesthetists reported accurate blood pressure in the PSS group. The average cost estimate of RAL placement was US$774.70, with a range of US$743 to US$1171.

conclusionsPlacement of a RAL at the start of the neuroendovascular procedures resulted in increased delays to procedure start time and more patient-reported pain compared with the PSS, which may offer a more efficient means of blood pressure monitoring for neurointerventional procedures. CLINICAL

trial registrationNCT03239847.

Indexed as

Vascular Access DevicesAgedArterial PressureBlood PressureBlood Pressure DeterminationFemaleGroinHumansIntraoperative Neurophysiological MonitoringMaleMiddle AgedNeurosurgical ProceduresPressureProspective StudiesRadial Arteryblood pressureeconomics

Identifiers

PMID29487193
PMCPMC6204936
OpenAlexW2788059974

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.