Evidence map›Paper›PMID 36498587›Full record

ArticleJournal of clinical medicine2022

Simultaneous Radial and Ipsilateral Ulnar Artery Compression versus Isolated Radial Artery Compression after Conventional Radial Access for Coronary Angiography and/or Intervention: A Systematic Review and Meta-Analysis.

Francesco Condello, Michele Cacia, Matteo Sturla, Riccardo Terzi, Jorge Sánz-Sanchez, Bernhard Reimers, Gabriele L Gasparini, Paolo Pagnotta, Sabato Sorrentino, Carmen Spaccarotella and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Traditional Versus Distal Radial Access for Coronary Diagnostic and Revascularization Procedures: Final Results of the TENDERA Multicenter, Randomized Controlled Study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2024
    Trial
  2. Article
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

12 authors at 5 institutions in 2 countries.

Francesco CondelloDepartment of Biomedical Sciences, Humanitas University, 20090 Milan, Italy.ORCID 0000-0002-7830-4341
Michele CaciaDepartment of Biomedical Sciences, Humanitas University, 20090 Milan, Italy.
Matteo SturlaDepartment of Biomedical Sciences, Humanitas University, 20090 Milan, Italy.ORCID 0000-0002-1096-962X
Riccardo TerziIRCCS Ospedale Galeazzi-Sant'Ambrogio, University Cardiology Department, 20157 Milan, Italy.ORCID 0000-0003-4305-3172
Jorge Sánz-SanchezHospital Universitario y Politécnico La Fe, 46026 Valencia, Spain.
Bernhard ReimersIRCCS Humanitas Research Hospital, 20089 Milan, Italy.
Gabriele L GaspariniIRCCS Humanitas Research Hospital, 20089 Milan, Italy.
Paolo PagnottaIRCCS Humanitas Research Hospital, 20089 Milan, Italy.
Sabato SorrentinoCenter for Cardiovascular Research, Magna Graecia University, 88100 Catanzaro, Italy.
Carmen SpaccarotellaDivision of Cardiology, Department of Advanced Biomedical Science, Federico II University, 80138 Naples, Italy.
Ciro IndolfiCenter for Cardiovascular Research, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0003-1241-6487
Alberto PolimeniCenter for Cardiovascular Research, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0002-9166-3031
Humanitas University · ITIRCCS Humanitas Research Hospital · ITMagna Graecia University · ITFederico II University Hospital · ITHospital Universitari i Politècnic La Fe · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Simultaneous ulnar and radial artery compression (SURC) has emerged as a strategy to increase radial artery flow and mitigate radial artery occlusion (RAO) while achieving adequate hemostasis after transradial access (TRA), though its technical adoption has been limited worldwide. Methods: A systematic search of studies comparing SURC versus isolated radial artery compression after TRA for coronary angiography and/or intervention was performed. Data were pooled by meta-analysis using random-effects models. Odds ratios (OR) with relative 95% confidence intervals (CI) and standardized mean difference were used as measures of effect estimates. The primary endpoint was the occurrence of overall RAO. Results: A total of 6 studies and 6793 patients were included. SURC method as compared to isolated radial artery compression was associated with a lower risk of RAO both overall (OR 0.29; 95% CI, 0.13−0.61, p < 0.001; number needed to treat to benefit [NNTB] =38) and in-hospital (OR 0.28; 95% CI: 0.10 to 0.75; p = 0.01, NNTB = 36), with a reduced risk of unsuccessful patent hemostasis (OR: 0.13; 95% CI: 0.02 to 0.85; p = 0.03, NNT = 5) and upper extremity pain (OR: 0.48; 95% CI: 0.24 to 0.95; p = 0.04, NNTB = 124). No significant difference was observed in hemostasis time and in the risk of hematoma. Conclusion: Compared to isolated radial artery compression, SURC is associated with lower risk of RAO, unsuccessful patent hemostasis, and reported upper limb pain, without any trade-off in safety outcomes. With further development of dedicated dual compression devices, the proposed technique should be freed from usage constraints.

Indexed as

coronary angiographyhemostasispercutaneous coronary interventionradial accessradial artery occlusion

Identifiers

PMID36498587
PMCPMC9739321
OpenAlexW4310177705

What OpenQuestion holds

Textmetadata
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.