Evidence map›Paper›PMID 37997046›Full record

Trial reportThe journal of vascular access2025

Prospective evaluation of efficacy and safety of distal radial and radial artery access using a novel articulating-tip guidewire.

Michael G Tal, Anne Covey, Shaker Qaqish, Ron Livne, Darren Klass

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in The journal of vascular access, 2025. 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
0.5field-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, 2 citations in OpenAlex.

  1. Article
  2. Review
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

5 authors at 3 institutions in 3 countries.

Michael G TalDivision of Interventional Radiology, Hadassah Medical Center, Jerusalem, Israel.ORCID 0000-0002-2642-4296
Anne CoveyMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Shaker QaqishPreferred Vascular Group, Atlanta, GA, USA.ORCID 0000-0002-9082-3902
Ron LivneEmbrace Medical Ltd., Tel Aviv, Israel.
Darren KlassVancouver Coastal Health, Vancouver, BC, Canada.
Hadassah Medical Center · ILMemorial Sloan Kettering Cancer Center · USVancouver Coastal Health · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundGuidewire-facilitated access to peripheral vessels is commonplace in vascular access, but guidewire insertion into small vessels, such as the radial and distal radial arteries, can still be challenging. Failure to gain access on the first attempt may contribute to increased risks of procedural complications, such as vessel dissection, spasm, and occlusion. This research assessed the safety and efficacy of radial and distal radial artery access using a novel, FDA-cleared, small-core-diameter guidewire with an articulating tip, under ultrasound guidance.

methodsThis was a prospective, single-arm, single-center trial. Patients in need of vascular access were screened for participation and enrolled in the study. Guidewire insertion was attempted by four physicians (three interventional radiologists and an interventional nephrologist) at 162 arterial sites-65 radial and 97 distal radial, having a mean diameter of 2.0 mm.

resultsFirst-attempt successful placement of the guidewire in the artery occurred at 87.6% of access sites (142/162) and differences in the success rate between the radial and distal radial arteries or between vessels with diameter smaller or larger than 2 mm were not observed (62/68 and 67/77, respectively;

conclusionsFirst-attempt placement of a novel articulating tip guidewire in the radial and distal radial arteries occurred at a high rate in our study and was not associated with safety concerns.

Indexed as

Catheterization, PeripheralRadial ArteryRenal DialysisVascular Access DevicesAgedAged, 80 and overEquipment DesignFemaleHumansMaleMiddle AgedProspective StudiesPuncturesRisk FactorsTreatment OutcomeUltrasonography, InterventionalAccessarteryarticulating-tipdistalguidewireradialsnuffbox

Identifiers

PMID37997046
PMCPMC11849246
OpenAlexW4388975908

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.