Evidence map›Paper›PMID 33598013›Full record

ArticlePostepy w kardiologii interwencyjnej = Advances in interventional cardiology2020

Clinical situations requiring radial or brachial access during carotid artery stenting.

Damian R Maciejewski, Łukasz Tekieli, Mariusz Trystuła, Tomasz Tomaszewski, Roman Machnik, Jacek Legutko, Marek Kazibudzki, Robert Musiał, Marcin Misztal, Piotr Pieniążek

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.1field-weighted citation impact, top 43% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Transradial versus transfemoral access in carotid artery stenting: A meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. Pooled it
  3. [Stenting of the extracranial internal carotid artery].Innere Medizin (Heidelberg, Germany) · 2025
    Review
  4. Article
  5. Article
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  7. Review
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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

10 authors at 2 institutions in 1 country.

Damian R MaciejewskiDepartment of Interventional Cardiology, Institute of Cardiology, Medical College, Jagiellonian University, John Paul II Hospital, Krakow, Poland.
Łukasz TekieliDepartment of Interventional Cardiology, Institute of Cardiology, Medical College, Jagiellonian University, John Paul II Hospital, Krakow, Poland.
Mariusz TrystułaDepartment of Vascular Surgery and Endovascular Interventions, John Paul II Hospital, Krakow, Poland.
Tomasz TomaszewskiDepartment of Neurology and Stroke Unit, John Paul II Hospital, Krakow, Poland.
Roman MachnikDepartment of Vascular Surgery and Endovascular Interventions, John Paul II Hospital, Krakow, Poland.
Jacek LegutkoDepartment of Interventional Cardiology, Institute of Cardiology, Medical College, Jagiellonian University, John Paul II Hospital, Krakow, Poland.
Marek KazibudzkiDepartment of Vascular Surgery and Endovascular Interventions, John Paul II Hospital, Krakow, Poland.
Robert MusiałDepartment of Anesthesiology and Intensive Care, John Paul II Hospital, Krakow, Poland.
Marcin MisztalDepartment of Vascular Surgery and Endovascular Interventions, John Paul II Hospital, Krakow, Poland.
Piotr PieniążekDepartment of Interventional Cardiology, Institute of Cardiology, Medical College, Jagiellonian University, John Paul II Hospital, Krakow, Poland.
John Paul II Hospital · PLJagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRadial or brachial access may be preferred in the case of severe peripheral artery disease (PAD) or difficult aortic arch anatomy during carotid artery stenting (CAS).

aimTo evaluate the clinical conditions indicating potential benefit from non-femoral access as well as feasibility and safety of transradial/transbrachial access (TRA/TBA) as an alternative approach for CAS. MATERIAL AND

methodsSince 2013, 67 patients (mean age: 70 years old, 44 men, 42% symptomatic) were selected for CAS with the TRA/TBA approach. The composite endpoint was stroke/death/myocardial infarction within 30 days of the procedure and compared to the propensity score matched transfemoral approach (TFA) group. Clinical (including neurological) examination and Doppler ultrasonography were performed before the procedure, at discharge and at 30 days.

resultsCAS with TRA/TBA was successful in 63/67 patients. Transfemoral access was not feasible due to PAD in 35 (52.2%) patients, bovine arch in 10 (14.9%), obesity (BMI > 35 kg/m

conclusionsTransradial and transbrachial CAS may be an effective and safe procedure, and it may constitute a viable alternative to the femoral approach in patients with severe PAD, difficult aortic arch anatomy or obesity.

Indexed as

brachial approachcarotid artery stentingperipheral artery diseaseradial approach

Identifiers

PMID33598013
PMCPMC7863832
OpenAlexW3119686770

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.