Evidence map›Paper›PMID 39495436›Full record

Trial reportLa Radiologia medica2024

Left radial vs right femoral: comparison between arterial accesses in c-TACE procedures in terms of operator radiations exposure and patient comfort.

Francesco Giurazza, Antonio Vizzuso, Tiziana Capussela, Fortuna De Martino, Valentina Pirozzi Palmese, Gianluigi Giorgetti, Fabio Corvino, Anna Maria Ierardi, Pierpaolo Biondetti, Pierleone Lucatelli and 3 more

Abstract readComparative StudyRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in La Radiologia medica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
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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

13 authors.

Francesco GiurazzaVascular and Interventional Radiology Department, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131, Naples, Italy. francescogiurazza@hotmail.it.ORCID http://orcid.org/0000-0002-9080-8833
Antonio VizzusoDepartment of Diagnostic and Interventional Radiology, Morgagni-Pierantoni Hospital, 47121, Forlì, Italy.
Tiziana CapusselaPhysics Unit, Department of Diagnostic-Therapeutic Advanced Technologies and Healthcare Services, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131, Naples, Italy.
Fortuna De MartinoPhysics Unit, Department of Diagnostic-Therapeutic Advanced Technologies and Healthcare Services, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131, Naples, Italy.
Valentina Pirozzi PalmesePhysics Unit, Department of Diagnostic-Therapeutic Advanced Technologies and Healthcare Services, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131, Naples, Italy.
Gianluigi GiorgettiPhysics and Clinical Engineering Unit, AUSL Romagna, 47121, Forlì, Italy.
Fabio CorvinoVascular and Interventional Radiology Department, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131, Naples, Italy.
Anna Maria IerardiRadiology Department, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122, Milan, Italy.
Pierpaolo BiondettiRadiology Department, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122, Milan, Italy.
Pierleone LucatelliVascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, 00185, Rome, Italy.
Emanuela GiampalmaDepartment of Diagnostic and Interventional Radiology, Morgagni-Pierantoni Hospital, 47121, Forlì, Italy.
Gianpaolo CarrafielloRadiology Department, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122, Milan, Italy.
Raffaella NiolaVascular and Interventional Radiology Department, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis multicenter prospective study aims to compare transradial access versus transfemoral access in conventional transarterial chemoembolization (c-TACE) procedures, focusing on operators radiations exposure, patients comfort, technical success and vascular access complications. MATERIALS AND

methodsPatients were affected by hepatocellularcarcinoma (HCC) in intermediate stage or previous stages unfit for ablation and/or surgery; they were randomized into two groups according to arterial access site (Group F: right femoral access in standard position; Group R: radial access with left arm abduced 90°). Overall fluoroscopy time was recorded. Eight thermoluminescence dosimeters were positioned immediately before each procedure to monitor radiation doses. Technical success was intended as complete HCC nodules lipiodolization at final plain cone-beam CT.

resultsGroup F included 23 patients, while group R 19. Mean fluoroscopy time was lower in group F but difference was not statistically significant (p-value > 0.05). In terms of operators radiations exposure, no significant differences were found (p-value > 0.05). Technical success was obtained in 81.5% in group F and 84.8% in group R, without significant differences (p-value > 0.05). Patients discomfort was significantly (p-value < 0.05) higher in group F. Concerning minor complications, no statistical differences were appreciated (p-value > 0.05); no major complications occurred.

conclusionsIn this study, no statistical differences were observed in terms of operators radiations exposure, fluoroscopy time and technical success during c-TACE performed with left radial access compared to right femoral access; patients comfort was significantly better with radial access. These data should lead interventional radiologists to favor radial access in c-TACE interventions.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticFemoral ArteryLiver NeoplasmsRadial ArteryRadiation ExposureAgedCone-Beam Computed TomographyFemaleFluoroscopyHumansMaleMiddle AgedOccupational ExposurePatient ComfortProspective StudiesComfortFemoralRadialRadiation exposureTACEVascular access

Identifiers

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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.