Evidence map›Paper›PMID 39994502›Full record

ArticleVascular specialist international2025

Rivaroxaban versus Enoxaparin in Patients with Radial Artery Occlusion after Transradial Coronary Catheterization: A Pilot Randomization Trial.

Mohsen Maadani, Soudabeh Shafiee Ardestani, Farnaz Rafiee, Kiara Rezaei-Kalantari, Parham Rabiee, Yasmin Mohtasham Kia, Ali Zahedmehr, Bahram Mohebbi, Armin Elahifar, Ehsan Khalilipur and 2 more

Abstract read
In one paragraph

Article in Vascular specialist international, 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
–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

2 citing papers in PubMed.

  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

12 authors.

Mohsen MaadaniVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0002-6093-0280
Soudabeh Shafiee ArdestaniVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0009-0008-1872-8944
Farnaz RafieeVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0002-8404-8858
Kiara Rezaei-KalantariRajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0003-1973-4760
Parham RabieeRajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0001-7981-1516
Yasmin Mohtasham KiaVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0001-5796-2049
Ali ZahedmehrCardiovascular Intervention Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0001-7788-4463
Bahram MohebbiVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0002-9207-6971
Armin ElahifarVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0001-5667-3077
Ehsan KhalilipurVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0001-5909-613X
Ata FirouziVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0002-4092-641X
Parham SadeghipourVascular Disease and Thrombosis Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.ORCID 0000-0001-9602-0513

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The radial artery is currently the main vascular access site for cardiac catheterization. Radial artery occlusion (RAO), although a relatively silent complication, raises concerns because of its potential impact on future procedures. This pilot randomized controlled trial compared the efficacy and safety of two anticoagulation regimens-subcutaneous enoxaparin and oral rivaroxaban-in resolving symptomatic ultrasound-confirmed RAO in 40 patients (median age 55 years [interquartile range, 48-64], including 26 female patients [70.3%]) who underwent diagnostic cardiac catheterization without requiring dual antiplatelet therapy. Thirty-seven patients completed the 28-day ultrasound-based follow-up, demonstrating comparable complete or partial resolution rates between rivaroxaban (16 of 20 patients [80.0%]) and enoxaparin (14 of 17 patients [82.3%]), with an odds ratio of 0.85 (95% confidence interval: 0.16 to 4.50). No major bleeding events occurred during the 28-day follow-up period. While rivaroxaban shows potential in resolving RAO, larger studies are necessary to validate these findings and evaluate the long-term outcomes.

Indexed as

AnticoagulantsEnoxaparinRadial artery occlusionRivaroxaban

Identifiers

PMID39994502
PMCPMC11850656

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Registered trials

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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.