Evidence map›Paper›PMID 32936322›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2021

Dual-axis rotational coronary angiography versus conventional coronary angiography: a randomized comparison.

Michaela M Hell, Melanie D Gilg, Jens Röther, Florian Blachutzik, Stephan Achenbach, Christian Schlundt

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Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Michaela M Hell *Department of Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany. mmhell@gmx.de.
Melanie D Gilg *Department of Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Jens RötherDepartment of Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Florian BlachutzikDepartment of Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Stephan AchenbachDepartment of Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Christian SchlundtDepartment of Cardiology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDual-axis of rotational coronary angiography (RA), with one single cine acquisition during continuous C-arm motion along a pre-described path, is an alternative to conventional coronary angiography (CA). We assessed the performance of RA versus CA in a modern, experienced cath lab setting.

methodsSixty-seven patients with suspected coronary artery disease undergoing invasive coronary angiography were randomized to CA (n = 35) or dual-axis RA (n = 32). CA was performed with four left and two right coronary artery acquisitions with manual contrast medium injection. In RA, one cine acquisition each was performed for the left (5 projections) and right coronary artery (3 projections) with a fixed amount of contrast medium applied by a power injector. In both groups, single cine acquisitions in additional angulations were performed to fully interpret the coronary system, if necessary. Procedural parameters and outcome were compared.

resultsMean age was 63 ± 12 years (64% males). Six additional projections were required in the RA group compared to 13 in the CA group (p = 0.173). Fluoroscopy duration (CA: 3 ± 3 min, RA: 3 ± 2 min, p = 0.748) and dose area product (CA: 1291 ± 761 µGym

conclusionsDual-axis RA represents a feasible and safe alternative method to CA for obtaining coronary angiograms. However, no superiority was observed when performed by an experienced interventionalist with a modern system.

Indexed as

AgedCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleFollow-Up StudiesHumansMaleMiddle AgedRadiation DosageReproducibility of ResultsRetrospective StudiesCoronary angiographyCoronary artery diseaseDual-axis rotational coronary angiography

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Registered trials

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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.