Evidence map›Paper›PMID 39598181›Full record

ArticleLife (Basel, Switzerland)2024

A Multicenter Retrospective Study Evaluating Distal Radial Access vs. Conventional Transradial or Transvenous Access for Endovascular Treatment of Malfunctioning Dialysis Fistulas.

Roberto Minici, Massimo Venturini, Giuseppe Guzzardi, Federico Fontana, Andrea Coppola, Filippo Piacentino, Marco Spinetta, Davide Costa, Maria Chiara Brunese, Pasquale Guerriero and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Roberto MiniciRadiology Unit, University Hospital Dulbecco, 88100 Catanzaro, Italy.ORCID 0000-0002-7680-0851
Massimo VenturiniDiagnostic and Interventional Radiology Unit, ASST Settelaghi, Insubria University, 21100 Varese, Italy.
Giuseppe GuzzardiImagerie Vasculaire et Interventionnelle, Centre Hospitalier Princesse Grace, 98000 Monaco City, Monaco.ORCID 0000-0002-0979-4519
Federico FontanaDiagnostic and Interventional Radiology Unit, ASST Settelaghi, Insubria University, 21100 Varese, Italy.ORCID 0000-0002-3809-5696
Andrea CoppolaDiagnostic and Interventional Radiology Unit, ASST Settelaghi, Insubria University, 21100 Varese, Italy.ORCID 0000-0002-3840-6693
Filippo PiacentinoDiagnostic and Interventional Radiology Unit, ASST Settelaghi, Insubria University, 21100 Varese, Italy.ORCID 0000-0002-0756-9967
Marco SpinettaRadiology Unit, Maggiore della Carità University Hospital, 28100 Novara, Italy.ORCID 0000-0001-8738-7962
Davide CostaDepartment of Law, Economics and Sociology, University "Magna Graecia" of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0002-9199-8755
Maria Chiara BruneseDepartment of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy.
Pasquale GuerrieroDepartment of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy.ORCID 0000-0002-9525-100X
Biagio ApollonioRadiology Unit, San Timoteo Hospital, 86039 Termoli, Italy.
Mgjr Research TeamRadiology Unit, University Hospital Dulbecco, 88100 Catanzaro, Italy.
Nicola De RosiRadiology Unit, University Hospital Dulbecco, 88100 Catanzaro, Italy.
Raffaele SerraVascular Surgery Unit, Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Dulbecco University Hospital, 88100 Catanzaro, Italy.ORCID 0000-0003-4477-7412
Domenico LaganàRadiology Unit, University Hospital Dulbecco, 88100 Catanzaro, Italy.ORCID 0000-0001-9158-0140

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to evaluate the feasibility, efficacy, and safety of distal transradial access (dRA) for the endovascular management of malfunctioning dialysis fistulas. This study also compares dRA with conventional access techniques, such as proximal radial and transvenous access, focusing on technical success, clinical outcomes, and vascular access site complications (VASCs).

methodsA retrospective multicenter study was conducted across four hospitals, including 292 patients treated between January 2019 and June 2024. Of these, 57 patients underwent dRA, and 235 received proximal radial or transvenous access. Key outcomes included technical success (successful completion of the procedure), clinical success (restoration of functional dialysis access), and complication rates. Data were collected on procedure times and complication profiles.

resultsTechnical success was achieved in 96.5% of patients undergoing dRA, compared to 98.3% in those receiving conventional access (

conclusionsDistal transradial access is a feasible and effective approach for the endovascular management of malfunctioning dialysis fistulas, with outcomes comparable to conventional access techniques. It provides a safe alternative, particularly for patients with complex fistulas, while maintaining a low complication profile.

Indexed as

angioplastydistal radial arteryendovascular managementhemodialysis fistulamalfunctioning dialysis fistulasradial accessradial arterytransradial accesstransvenous access

Identifiers

PMID39598181
PMCPMC11595542

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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.