Evidence map›Paper›PMID 31655876›Full record

Trial reportHeart and vessels2020

Efficacy and safety of kaolin-based hemostatic pad vs. standard mechanical compression following transradial and transulnar access for elective coronary angiography and PCI: RAUL trial substudy.

Lewandowski Pawel, Gralak-Lachowska Dagmara, Maciejewski Pawel, Ramotowski Bogumil, Budaj Andrzej, Stec Sebastian

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Heart and vessels, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Safe and rapid radial hemostasis achieved using a novel topical hemostatic patch: Results of a first-in-human pilot study using hydrophobically modified polysaccharide-chitosan.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Article
  3. 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

6 authors at 2 institutions in 1 country.

Lewandowski PawelCentre of Postgraduate Medical Education, Grochowski Hospital, Cardiology Department, Grenadierow 51/59, 04-073, Warsaw, Poland. p.lewandowski@vita-medica.pl.ORCID http://orcid.org/0000-0003-1759-9593
Gralak-Lachowska DagmaraCentre of Postgraduate Medical Education, Grochowski Hospital, Cardiology Department, Grenadierow 51/59, 04-073, Warsaw, Poland.
Maciejewski PawelCentre of Postgraduate Medical Education, Grochowski Hospital, Cardiology Department, Grenadierow 51/59, 04-073, Warsaw, Poland.
Ramotowski BogumilCentre of Postgraduate Medical Education, Grochowski Hospital, Cardiology Department, Grenadierow 51/59, 04-073, Warsaw, Poland.
Budaj AndrzejCentre of Postgraduate Medical Education, Grochowski Hospital, Cardiology Department, Grenadierow 51/59, 04-073, Warsaw, Poland.
Stec SebastianChair of Electroradiology, Faculty of Medicine, University of Rzeszow, Rzeszow, Poland.
Grochowski Hospital · PLUniversity of Rzeszów · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemostatic devices used in the transradial approach (TRA) and transulnar approach (TUA) are limited. This study compared the efficacy and safety of hemostasis using the QuikClot Radial hemostatic pad (QC) vs. standard mechanical compression (SC) after coronary angiography (CAG). This prospective single-center randomized trial included CAG patients. The primary and secondary endpoints were efficacy (successful hemostasis) and safety (total artery occlusion [TAO], pseudoaneurysm, hematoma), respectively. A visual analog scale (VAS) evaluated patient pain during compression. In 2013-2017, 200 patients were randomized 2 × 2 into the: (1) TRA and TUA groups and (2) QC and SC groups. Successful hemostasis was achieved in 92 (92%) patients in the QC group and 100 (100%) patients in the SC group (p < 0.006). The TRA SC subgroup showed significantly better results than the TRA QC subgroup (100% vs. 90.0%; p < 0.03). Similar results were obtained in the TUA QC and TUA SC subgroups (95% vs. 100%; p = 0.5). The secondary endpoint was achieved in the QC and SC groups (8% vs. 9%; p = 0.8). Patients reported significantly less pain during QC application than during SC (VAS: 2.6 ± 2.6 vs. 3.4 ± 2.9; p < 0.03). In patients undergoing CAG with TRA or TUA, QC was associated with lower efficacy, less discomfort, and similar safety compared to SC.

Indexed as

Compression BandagesAgedCatheterization, PeripheralCoronary AngiographyFemaleHemostasis, SurgicalHemostaticsHumansKaolinMaleMiddle AgedMonitoring, PhysiologicOutcome and Process Assessment, Health CarePercutaneous Coronary InterventionProspective StudiesRadial ArteryHemostaticsKaolinHemostasis deviceTransradial accessTransulnar access

Identifiers

PMID31655876
PMCPMC7085472
OpenAlexW2982418605

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.