Evidence map›Paper›PMID 37889176›Full record

Trial reportJournal of the American Heart Association2023

Distal Versus Proximal Radial Artery Access for Cardiac Catheterization: 30-Day Outcomes of the DIPRA Study.

Karim Al-Azizi, Ghadi Moubarak, Chadi Dib, Sameh Sayfo, Molly Szerlip, Sibi Thomas, Julie McCracken, Adam Smith, Uma Kelavkar, Sarah Hale and 9 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
4.4field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Distal versus proximal radial access in coronary angiography: a meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Pooled it
  3. Pooled it
  4. 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
  5. Trial
  6. Review
  7. Article
  8. Observational
  9. 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

19 authors at 2 institutions in 1 country.

Karim Al-AziziDepartment of Cardiology Baylor Scott and White The Heart Hospital Plano TX.ORCID 0000-0003-0195-4984
Ghadi MoubarakBaylor Scott and White Research Institute Plano TX.ORCID 0009-0002-9280-5238
Chadi DibDepartment of Cardiology Baylor Scott and White The Heart Hospital Plano TX.
Sameh SayfoDepartment of Cardiology Baylor Scott and White The Heart Hospital Plano TX.
Molly SzerlipDepartment of Cardiology Baylor Scott and White The Heart Hospital Plano TX.ORCID 0000-0002-4907-1825
Sibi ThomasDepartment of Cardiology Baylor Scott and White The Heart Hospital Plano TX.
Julie McCrackenBaylor Scott and White Research Institute Plano TX.
Adam SmithBaylor Scott and White Research Institute Plano TX.
Uma KelavkarBaylor Scott and White Research Institute Plano TX.
Sarah HaleBaylor Scott and White Research Institute Plano TX.
Johanna Van ZylBaylor Scott and White Research Institute Plano TX.ORCID 0000-0003-4205-9214
Shelby L McCoyBaylor Scott and White Research Institute Plano TX.ORCID 0000-0003-2158-8432
Allison T LanfearBaylor Scott and White Research Institute Plano TX.
Jasjit K BanwaitBaylor Scott and White Research Institute Plano TX.
Preethi RavindranathanBaylor Scott and White Research Institute Plano TX.
Kristen ChionhBaylor Scott and White Research Institute Plano TX.
J Michael DiMaioBaylor Scott and White Research Institute Plano TX.ORCID 0000-0002-6064-5869
Michael J MackBaylor Scott and White Research Institute Plano TX.ORCID 0000-0002-3148-9158
Srinivasa PotluriDepartment of Cardiology Baylor Scott and White The Heart Hospital Plano TX.
Baylor Medical Center at Garland · USHeart Hospital Baylor Plano · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Proximal radial artery (pRA) access for cardiac catheterization is safe but can jeopardize subsequent use of the artery because of occlusion. Distal radial artery (dRA) access in the anatomical snuffbox preserves the radial artery, but safety and potential detrimental effects on hand function are unknown. Methods and Results In the DIPRA (Distal Versus Proximal Radial Artery Access for Cardiac Catheterization and Intervention) study, a single-center trial, 300 patients were randomized 1:1 to cardiac catheterization through dRA or pRA. The primary end point of change in hand function from baseline to 30 days was a composite of the QuickDASH (Quick Disabilities of the Arm, Shoulder and Hand) questionnaire, hand-grip test, and thumb forefinger pinch test. Secondary end points included access feasibility and complications; 254 of 300 patients completed follow-up at 30 days; of these, 128 were randomized to dRA and 126 to pRA with balanced demographic and procedural characteristics. Both groups had similar rates of access site bleeding (dRA 0% versus pRA 1.4%;

Indexed as

Arterial Occlusive DiseasesPercutaneous Coronary InterventionCardiac CatheterizationCoronary AngiographyHumansRadial ArteryTreatment OutcomeWristclosurecomplicationscoronary and vascular accessmanagement

Identifiers

PMID37889176
PMCPMC10727396
OpenAlexW4387965287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.