Evidence map›Paper›PMID 31540442›Full record

ArticleJournal of clinical medicine2019

Radial Approach Expertise and Clinical Outcomes of Percutanous Coronary Interventions Performed Using Femoral Approach.

Tomasz Tokarek, Artur Dziewierz, Krzysztof Plens, Tomasz Rakowski, Michał Zabojszcz, Dariusz Dudek, Zbigniew Siudak

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
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  3. Radial artery access in interventional cardiology: a review of current practices.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
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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

7 authors at 4 institutions in 1 country.

Tomasz Tokarek2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, 17 Kopernika St., 31-501 Krakow, Poland. tomek.tokarek@gmail.com.
Artur Dziewierz2nd Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, 31-501 Krakow, Poland. adziewierz@gmail.com.ORCID 0000-0002-2100-5076
Krzysztof PlensKrakow Cardiovascular Research Institute, 30-055 Krakow, Poland. plens_krzysztof@o2.pl.
Tomasz Rakowski2nd Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, 31-501 Krakow, Poland. mcrakows@cyfronet.pl.ORCID 0000-0001-6478-6186
Michał ZabojszczFaculty of Medicine and Health Science, Jan Kochanowski University, 25-317 Kielce, Poland. michal.zabojszcz@gmail.com.ORCID 0000-0002-5913-3815
Dariusz Dudek2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, 17 Kopernika St., 31-501 Krakow, Poland. mcdudek@cyfronet.pl.
Zbigniew SiudakFaculty of Medicine and Health Science, Jan Kochanowski University, 25-317 Kielce, Poland. zbigniew.siudak@gmail.com.
Jagiellonian University · PLJan Kochanowski University · PLKrakow Cardiovascular Research Institute · PLUniversity School of Physical Education in Kraków · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We sought to evaluate the impact of experience and proficiency with radial approach (RA) on clinical outcomes of percutaneous coronary interventions (PCI) performed via femoral approach (FA) in the "real-world" national registry. A total of 539 invasive cardiologists performing PCIs in 151 invasive cardiology centers in Poland between 2014 and 2017 were included. Proficiency threshold was set at >300 PCIs during four consecutive years per individual operator. The majority of operators performed >75% of all PCIs via RA (449 (65.4%)), 143 (20.8%) in 50-75% of cases, 62 (9.0%) in 25-50% and only 33 (4.8%) invasive cardiologists were using RA in <25% of all PCIs. Operators with the highest proficiency in RA were associated with increased risk of periprocedural death, stroke and bleeding complications at access site during angiography via FA. Similarly, higher prevalence of periprocedural mortality during PCI with FA was observed in most experienced radial operators as compared to other groups. The detrimental effect of FA utilization by the most experienced radial operators was observed in both stable angina and acute coronary syndromes. Higher experience and utilization of RA might be linked to worse outcomes of PCIs performed via femoral artery in both stable and acute settings.

Indexed as

all-comersexperiencefemoralradialregistry

Identifiers

PMID31540442
PMCPMC6780122
OpenAlexW2974928983

What OpenQuestion 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 OpenQuestion graph.