Evidence map›Paper›PMID 34428222›Full record

ArticlePloS one2021

Incidence of and predisposing factors for pseudoaneurysm formation in a high-volume cardiovascular center.

Hunor Sarkadi, Judit Csőre, Dániel Sándor Veres, Nándor Szegedi, Levente Molnár, László Gellér, Viktor Bérczi, Edit Dósa

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Silent Danger: Coexistence of Late-Onset External Iliac Artery Pseudoaneurysm and Deep Vein Thrombosis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
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  4. Radiology case reports · 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

8 authors at 1 institution in 1 country.

Hunor SarkadiHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Judit CsőreHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Dániel Sándor VeresDepartment of Biophysics and Radiation Biology, Semmelweis University, Budapest, Hungary.ORCID 0000-0002-9687-3556
Nándor SzegediHeart and Vascular Center, Semmelweis University, Budapest, Hungary.ORCID 0000-0001-5670-745X
Levente MolnárHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
László GellérHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Viktor BércziMedical Imaging Center, Semmelweis University, Budapest, Hungary.
Edit DósaHeart and Vascular Center, Semmelweis University, Budapest, Hungary.ORCID 0000-0003-2984-2642
Semmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate factors associated with pseudoaneurysm (PSA) development.

methodsBetween January 2016 and May 2020, 30,196 patients had invasive vascular radiological or cardiac endovascular procedures that required arterial puncture. All patients with PSA were identified. A matched (age, gender, and type of the procedure) control group of 134 patients was created to reveal predictors of PSA formation.

resultsSingle PSAs were found in 134 patients. Fifty-three PSAs developed after radiological procedures (53/6555 [0.8%]), 31 after coronary artery procedures (31/18038 [0.2%]), 25 after non-coronary artery cardiac procedures (25/5603 [0.4%]), and 25 due to procedures in which the arterial puncture was unintended. Thirty-four PSAs (25.4%) were localized to the upper extremity arteries (vascular closure device [VCD], N = 0), while 100 (74.6%) arose from the lower extremity arteries (VCD, N = 37). The PSA prevalence was 0.05% (10/20478) in the radial artery, 0.1% (2/1818) in the ulnar artery, 1.2% (22/1897) in the brachial artery, and 0.4% (99/22202) in the femoral artery. Treatments for upper and lower limb PSAs were as follows: bandage replacement (32.4% and 14%, respectively), ultrasound-guided compression (11.8% and 1%, respectively), ultrasound-guided thrombin injection (38.2% and 78%, respectively), and open surgery (17.6% and 12%, respectively). Reintervention was necessary in 19 patients (14.2%). The prevalence of PSA for the punctured artery with and without VCD use was 37/3555 (1%) and 97/27204 (0.4%), respectively (OR, 2.94; 95% CI, 1.95-4.34; P<0.001). The effect of red blood cell (RBC) count (P<0.001), hematocrit value (P<0.001), hemoglobin value (P<0.001), international normalized ratio (INR; P<0.001), RBC count-INR interaction (P = 0.003), and RBC count-VCD use interaction (P = 0.036) on PSA formation was significant.

conclusionPatients in whom the puncture site is closed with a VCD require increased observation. Preprocedural laboratory findings are useful for the identification of patients at high risk of PSA formation.

Indexed as

AgedAneurysm, FalseBrachial ArteryEndovascular ProceduresFemaleFemoral ArteryHumansLower ExtremityMaleMiddle AgedPuncturesTreatment OutcomeUltrasonography, InterventionalVascular Closure Devices

Identifiers

PMID34428222
PMCPMC8384184
OpenAlexW3195019713

What OpenQuestion holds

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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.