Evidence map›Paper›PMID 40114735›Full record

ArticleAsiaIntervention2025

"Distal radial first": feasibility and safety for coronary angiography and PCI in Australia.

Samantha L Saunders, Sanjeev J Casinader, Ritin S Fernandez, Kelly M Easey, Eunice Chuah, Adam R Perkovic, Shubhang Hariharan, David Scott, Philopatir Mikhail, Christian Said and 4 more

Abstract read
In one paragraph

Article in AsiaIntervention, 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. Review
  2. 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

14 authors.

Samantha L SaundersDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Sanjeev J CasinaderDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Ritin S FernandezSchool of Nursing and Midwifery, The University of Newcastle, Callaghan, Australia.
Kelly M EaseyDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Eunice ChuahDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Adam R PerkovicDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Shubhang HariharanDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
David ScottDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Philopatir MikhailDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Christian SaidDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Roberto SpinaDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.
Austin N MaySchool of Medicine and Public Health, The University of Newcastle, Callaghan, Australia.
Andrew BoyleSchool of Medicine and Public Health, The University of Newcastle, Callaghan, Australia.
Thomas J FordDepartment of Cardiology, Gosford Hospital, Central Coast Local Health District, Gosford, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Distal transradial artery (dTRA) access offers benefits to patients and operators. Aims: We sought to determine the feasibility and safety of the dTRA as a first-line vascular access site and to evaluate predictors of dTRA approach success. Methods: This retrospective cohort study analysed consecutive patients from three Australian centres who underwent coronary angiography and percutaneous coronary intervention via the dTRA (from November 2019 to December 2023). The primary outcome was procedural success (completion of a case using the dTRA puncture site). Secondary outcomes were access site crossover, procedural safety, arterial patency at follow-up, and predictors of procedural success. Results: A total of 1,692 patients were included (mean age 70.6±10.5 years, 59% male [n=993], mean body mass index [BMI] 31.0±7.0 kg/m Conclusions: The "distal radial first" approach is feasible and safe for coronary procedures. Factors associated with procedural success include increased operator experience, a low BMI, and hypertension.

Identifiers

PMID40114735
PMCPMC11905101

What OpenQuestion holds

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Read underepoch 390

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.