Evidence map›Paper›PMID 40480768›Full record

ArticleJACC. Case reports2025

Innovative Closure of an Iatrogenic Arteriovenous Radial Fistula Via the Distal Radial "Snuffbox" Access.

Dimitrios N Nikas, Persefoni N Margariti, Dimitrios N Chatzis, Andreas P Eustathopoulos, Konstantinos P Tsimos, Michalis G Peroulis, Maria I Argyropoulou, Christos S Katsouras

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. 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

8 authors.

Dimitrios N NikasFirst Cardiology Department, Ioannina University Hospital, Ioannina, Greece. Electronic address: dimitrios.nikas@gmail.com.
Persefoni N MargaritiRadiology Department, Ioannina University Hospital, Ioannina, Greece.
Dimitrios N ChatzisVascular Surgery Department, Ioannina University Hospital, Ioannina, Greece.
Andreas P EustathopoulosFirst Cardiology Department, Ioannina University Hospital, Ioannina, Greece.
Konstantinos P TsimosFirst Cardiology Department, Ioannina University Hospital, Ioannina, Greece.
Michalis G PeroulisVascular Surgery Department, Ioannina University Hospital, Ioannina, Greece.
Maria I ArgyropoulouRadiology Department, Ioannina University Hospital, Ioannina, Greece.
Christos S KatsourasFirst Cardiology Department, Ioannina University Hospital, Ioannina, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIatrogenic radial arteriovenous fistula (AVF) is a rare but serious complication of transradial interventions, with no standardized management approach. CASE SUMMARY: We report a case of iatrogenic radial AVF after a complex transradial percutaneous coronary intervention (PCI). Five months after PCI, the patient presented with right forearm swelling. Clinical examination revealed an audible bruit, suggestive for an AVF, which was confirmed by duplex ultrasound. The AVF was successfully treated by means of distal radial artery access (dTRA) via the "snuffbox" approach and deployment of a coronary stent-graft. DISCUSSION: Management of radial AVFs remains nonstandardized, ranging from conservative strategies to surgical and endovascular interventions. To our knowledge, this is the first case using a coronary graft-stent via dTRA for radial AVF closure, introducing a novel treatment option. TAKE-HOME MESSAGE: This case highlights dTRA as a viable approach for iatrogenic radial AVF repair. Familiarity with this technique may enhance interventionalists' ability to manage such complications effectively.

Indexed as

complicationpercutaneous coronary interventionvascular disease

Identifiers

PMID40480768
PMCPMC12235177

What OpenQuestion holds

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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.