Evidence map›Paper›PMID 40207479›Full record

ArticleJournal of the American Heart Association2025

Distal Radial Access and Women: Implications for Access Site Outcomes in Coronary Procedures.

Ji Woong Roh, Seok-Jae Heo, Oh-Hyun Lee, Eui Im, Deok-Kyu Cho, Jun-Won Lee, Bong-Ki Lee, Sang-Yong Yoo, Sang Yeub Lee, Chan Joon Kim and 10 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04080700 (Korean Prospective Registry for Evaluating the Safety and Efficacy of Distal Radial Approach), which is not on this 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.

NCT04080700 completednot on this map

Korean Prospective Registry for Evaluating the Safety and Efficacy of Distal Radial Approach (KODRA)

Typeobservational_patient_registrySponsorWonju Severance Christian HospitalRan2019 to 2022Enrolled5,000ConditionsCoronary Artery Disease, Radial Artery, PunctureArmsDistal radial approach
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

20 authors.

Ji Woong RohDivision of Cardiology, Department of Internal Medicine Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital Yongin South Korea.
Seok-Jae HeoDivision of Biostatistics, Department of Biomedical Systems Informatics Yonsei University College of Medicine Seoul South Korea.ORCID 0000-0002-8764-7995
Oh-Hyun LeeDivision of Cardiology, Department of Internal Medicine Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital Yongin South Korea.ORCID 0000-0001-7070-7720
Eui ImDivision of Cardiology, Department of Internal Medicine Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital Yongin South Korea.
Deok-Kyu ChoDivision of Cardiology, Department of Internal Medicine Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital Yongin South Korea.ORCID 0000-0001-6130-3994
Jun-Won LeeDivision of Cardiology, Department of Internal Medicine Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine Wonju South Korea.
Bong-Ki LeeDivision of Cardiology, Department of Internal Medicine Kangwon National University Hospital, Kangwon National University School of Medicine Chuncheon South Korea.ORCID 0000-0002-4289-2284
Sang-Yong YooDivision of Cardiology, Department of Internal Medicine Good Morning Hospital Pyeongtaek South Korea.ORCID 0000-0002-9054-4698
Sang Yeub LeeDivision of Cardiology Chung-Ang University College of Medicine, Chung-Ang University Gwangmyeong Hospital Gwangmyeong South Korea.ORCID 0000-0003-1386-349X
Chan Joon KimDivision of Cardiology, Department of Internal Medicine Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea Uijeongbu South Korea.ORCID 0000-0003-2929-8325
Han-Young JinDivision of Cardiology, Department of Internal Medicine Busan Paik Hospital, Inje University College of Medicine Busan South Korea.ORCID 0000-0001-7926-986X
Jin Sup ParkDivision of Cardiology, Department of Internal Medicine Pusan National University Hospital Busan South Korea.ORCID 0000-0003-4262-5853
Jung Ho HeoDivision of Cardiology, Department of Internal Medicine Kosin University Gospel Hospital, Kosin University College of Medicine Busan South Korea.ORCID 0000-0002-6491-2426
Do Hoi KimDivision of Cardiology, Department of Internal Medicine Soonchunhyang University Hospital Gumi Gumi South Korea.
Jin Bae LeeDivision of Cardiology, Department of Internal Medicine Daegu Catholic University Medical Center Daegu South Korea.ORCID 0000-0002-7814-0527
Dong-Kie KimDivision of Cardiology, Department of Internal Medicine Haeundae Paik Hospital, Inje University College of Medicine Busan South Korea.ORCID 0000-0002-0268-5395
Jun Ho BaeDivision of Cardiology, Department of Internal Medicine SM Christianity Hospital Pohang South Korea.ORCID 0009-0009-8223-5826
Sung-Yun LeeDivision of Cardiology, Department of Internal Medicine Seoul Medical Center Seoul South Korea.ORCID 0000-0001-5757-7706
Seung-Hwan LeeDivision of Cardiology, Department of Internal Medicine Konkuk University Chungju Hospital Chungju South Korea.ORCID 0000-0002-1186-0917
Yongcheol KimDivision of Cardiology, Department of Internal Medicine Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital Yongin South Korea.ORCID 0000-0001-5568-4161

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the sex-specific variations in distal radial access (DRA)-associated outcomes, as well as the factors influencing these outcomes, by utilizing a comprehensive real-world registry.

methodsIn this post-hoc analysis of the KODRA (Korean Prospective Registry for Evaluating the Safety and Efficacy of Distal Radial Approach) trial, we selected 4608 patients who underwent successful coronary procedures, including percutaneous coronary intervention or coronary angiography, via DRA. Primary end points were overall DRA site outcomes including bleeding, radial artery occlusion, tenderness, hand edema, numbness, perforation, and dissection. We performed both propensity score matching and multivariable logistic regression to evaluate sex-specific differences in DRA-associated outcomes. Moreover, a multivariable analysis using logistic regression was also performed to evaluate the independent associated factors of DRA site outcomes.

resultsThe mean age was 66.5±11.8 years, and 67.8% (3125 men and 1483 women) were male among 4608 enrolled patients. The incidence of overall DRA site outcomes was significantly higher in women than in men (7.5% versus 4.1%,

conclusionsThis subgroup analysis of the KODRA trial by sex showed that overall DRA site outcomes following coronary procedures via DRA were more common in women than in men. However, no major bleeding was observed in either men or women. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT04080700.

Indexed as

Catheterization, PeripheralCoronary AngiographyPercutaneous Coronary InterventionRadial ArteryAgedFemaleHumansMaleMiddle AgedProspective StudiesRegistriesRisk AssessmentRisk FactorsSex FactorsTreatment Outcomecoronary artery angiographydistal radial accesspercutaneous coronary interventionwomen

Identifiers

PMID40207479
PMCPMC12132851

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Registered trials

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.