Evidence map›Paper›PMID 33707276›Full record

SynthesisAJNR. American journal of neuroradiology2021

Distal Transradial Access for Diagnostic Cerebral Angiography and Neurointervention: Systematic Review and Meta-analysis.

H Hoffman, M S Jalal, H E Masoud, R B Pons, I Rodriguez Caamaño, P Khandelwal, T Prakash, G C Gould

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.7field-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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Efficacy and Safety of Distal Radial Artery Access versus Proximal Radial Artery Access for Cardiac Procedures: A Systematic Review and Meta-Analysis.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Smaller diameter sheaths are required to safely perform transradial neurointerventions.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Feasibility of the distal transradial approach with an 8-Fr balloon guide catheter for neurointerventional procedures.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Distal transradial access for targeted spinal angiography and embolization.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  15. Rist Guide Catheter for Endovascular Procedures: Initial Case Series from a Single Center.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  16. Article
  17. Usefulness of a Radial-Specific Neurointerventional Guiding Sheath.AJNR. American journal of neuroradiology · 2021
    Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

H HoffmanFrom the Department of Neurosurgery (H.H., M.S.J., G.C.G.), State University of New York Upstate Medical University, Syracuse, New York hoffmanh@upstate.edu.ORCID 0000-0002-2967-6528
M S JalalFrom the Department of Neurosurgery (H.H., M.S.J., G.C.G.), State University of New York Upstate Medical University, Syracuse, New York.ORCID 0000-0003-3140-3526
H E MasoudDepartment of Neurology (H.E.M.), State University of New York Upstate Medical University, Syracuse, New York.ORCID 0000-0002-2796-1499
R B PonsDepartment of Interventional Neuroradiology (R.B.P., I.R.C.), Hospital Universitari de Bellvitge, Fundació Institut d'Investigació Biomèdica de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0001-5491-2687
I Rodriguez CaamañoDepartment of Interventional Neuroradiology (R.B.P., I.R.C.), Hospital Universitari de Bellvitge, Fundació Institut d'Investigació Biomèdica de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0002-6377-6952
P KhandelwalDepartment of Neurosurgery (P.K., T.P.), Rutgers New Jersey Medical School, Newark, New Jersey.ORCID 0000-0003-3140-780X
T PrakashDepartment of Neurosurgery (P.K., T.P.), Rutgers New Jersey Medical School, Newark, New Jersey.ORCID 0000-0002-1594-5029
G C GouldFrom the Department of Neurosurgery (H.H., M.S.J., G.C.G.), State University of New York Upstate Medical University, Syracuse, New York.ORCID 0000-0003-4579-1099
SUNY Upstate Medical University · USBellvitge University Hospital · ESRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadial artery access for cerebral angiography is traditionally performed in the wrist. Distal transradial access in the anatomic snuffbox is an alternative with several advantages. PURPOSE: Our aim was to review the safety and efficacy of distal transradial access for diagnostic cerebral angiography and neurointerventions. DATA SOURCES: We performed a comprehensive search of the literature using PubMed, Scopus, and EMBASE. STUDY SELECTION: The study included all case series of at least 10 patients describing outcomes associated with distal transradial access for diagnostic cerebral angiography or a neurointervention. DATA ANALYSIS: Random-effects models were used to obtain pooled rates of procedural success and complications. DATA SYNTHESIS: A total of 7 studies comprising 348 (75.8%) diagnostic cerebral angiograms and 111 (24.2%) interventions met the inclusion criteria. The pooled success rate was 95% (95% CI, 91%-98%; I LIMITATIONS: A small number of studies met the inclusion criteria, all of them were retrospective, and none compared outcomes with proximal transradial or femoral access.

conclusionsEarly experience with distal transradial access suggests that it is a safe and effective alternative to proximal radial and femoral access for performing diagnostic cerebral angiography and interventions. Additional studies are needed to establish its efficacy and compare it with other access sites.

Indexed as

Cerebral AngiographyHumansNeuroendoscopyRadial ArteryRetrospective Studies

Identifiers

PMID33707276
PMCPMC8115378
OpenAlexW3135637605

What OpenQuestion holds

Textmetadata
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.