ArticleJournal of clinical medicine2021
Distal Radial Artery Access for Coronary and Peripheral Procedures: A Multicenter Experience.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05501925 (GlideSheath Slender® Versus Conventional 6 French Arterial Sheath), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
GlideSheath Slender® Versus Conventional 6 French Arterial Sheath: Impact on the Incidence of Distal Radial Artery Occlusion in Cardiovascular Intervention Via Distal Radial Artery (SMART)
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Distal versus proximal radial access in coronary angiography: a meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Pooled it
- Efficacy and safety of distal transradial access for coronary angiography and percutaneous coronary intervention: a meta-analysis.Frontiers in cardiovascular medicine · 2025Pooled it
- Evaluation of a new insertion site for arterial pressure line in intensive care unit management: a prospective study.Journal of clinical monitoring and computing · 2023Trial
- Optimization of Distal Radial Access Into Clinical Routine Practice Through Ultrasound Guidance: A Review and Technical Guide.Reviews in cardiovascular medicine · 2026Review
- Effect of TR Band™ radial artery compression device-screw and air types on bleeding severity after radial arterial line removal in open-heart surgery: A randomized controlled clinical trial.Journal of education and health promotion · 2026Article
- Factors influencing pain, anxiety, and comfort in patients undergoing coronary angiography: A prospective observational study.Saudi medical journal · 2025Observational
- Impact of Anthropometric Measures on Distal vs Conventional Radial Access for Percutaneous Coronary Procedures.JACC. Advances · 2025Article
- Clinical comparison of transfemoral vs. distal transradial access for lower extremity arteriography.Frontiers in surgery · 2025Review
- Article
- Incidence and Predictors of Early and Late Radial Artery Occlusion after Percutaneous Coronary Intervention and Coronary Angiography: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Distal Transradial Access Optimization: A Prospective Trial of Ultrasound-Guided Radial Artery Characterization for the Anatomical Snuffbox.Diagnostics (Basel, Switzerland) · 2024Article
- First application of the distal radial approach for severe mechanical surgical aortic valve paravalvular leak transcatheter closure with a double vascular plug: a case report.European heart journal. Case reports · 2024Article
- Special Issue "Coronary Artery Disease Interventions".Journal of clinical medicine · 2024Article
- Feasibility and Safety of the Routine Distal Transradial Approach in the Anatomical Snuffbox for Coronary Procedures: The ANTARES Randomized Trial.Journal of clinical medicine · 2023Article
- The Role of Ultrasound in Accessing the Distal Radial Artery at the Anatomical Snuffbox for Cardiovascular Interventions.Life (Basel, Switzerland) · 2022Review
- Distal Radial Artery Access for Recanalization of Radial Artery Occlusion and Repeat Intervention: A Single Center Experience.Journal of clinical medicine · 2022Article
- Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory.Reviews in cardiovascular medicine · 2022Review
- Approaches to Peripheral Artery Disease in Diabetes: Are There Any Differences?International journal of environmental research and public health · 2022Review
- Radial Artery Calcification in Predicting Coronary Calcification and Atherosclerosis Burden.Cardiology research and practice · 2022Article
- Switching From Proximal to Distal Radial Artery Access for Coronary Chronic Total Occlusion Recanalization.Frontiers in cardiovascular medicine · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDistal radial access (dRA) has recently gained global popularity as an alternative access route for vascular procedures. Among the benefits of dRA are the low risk of entry site bleeding complications, the low rate of radial artery occlusion, and improved patient and operator comfort. The aim of this large multicenter registry was to demonstrate the feasibility and safety of dRA in a wide variety of routine procedures in the catheterization laboratory, ranging from coronary angiography and percutaneous coronary intervention to peripheral procedures.
methodsThe study comprised 1240 patients who underwent coronary angiography, PCI or noncoronary procedures through dRA in two Hungarian centers from January 2019 to April 2021. Baseline patient characteristics, number and duration of arterial punctures, procedural success rate, crossover rate, postoperative compression time, complications, hospitalization duration, and different learning curves were analyzed.
resultsThe average patient age was 66.4 years, with 66.8% of patients being male. The majority of patients (74.04%) underwent a coronary procedure, whereas 25.96% were involved in noncoronary interventions. dRA was successfully punctured in 97% of all patients, in all cases with ultrasound guidance. Access site crossover was performed in 2.58% of the patients, mainly via the contralateral dRA. After experiencing 150 cases, the dRA success rate plateaued at >96%. Our dedicated dRA step-by step protocol resulted in high open radial artery (RA) rates: distal and proximal RA pulses were palpable in 99.68% of all patients at hospital discharge. The rate of minor vascular complications was low (1.5%). A threshold of 50 cases was sufficient for already skilled radial operators to establish a reliable procedural method of dRA access.
conclusionThe implementation of distal radial artery access in the everyday routine of a catheterization laboratory for coronary and noncoronary interventions is feasible and safe with an acceptable learning curve.
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