Evidence map›Paper›PMID 40930776›Full record

ArticleStroke and vascular neurology2026

Efficacy of Papaverine to Prevent Radial Artery Spasm During Transradial Cerebral Angiography (PASS): rationale and design.

Dong Pan, Jingwen Yang, Mengqi Liu, Yongteng Xu, Jiyun Feng, Huawen Li, Weili Luo, Baixuan He, Songhua Xiao, Xinguang Yang and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Stroke and vascular neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05861765 (The Efficacy of Papaverine to Prevent Radial Artery Spasm During Transradial Cerebral Angiography), 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.

NCT05861765 phase2unknown statusnot on this map

The Efficacy of Papaverine to Prevent Radial Artery Spasm During Transradial Cerebral Angiography: A Randomized Controlled Trial

TypeinterventionalSponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen UniversityRan2023 to 2023Enrolled240ConditionsRadial Artery SpasmArmsPapaverine Hydrochloride, normal saline
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

11 authors.

Dong PanDepartment of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.ORCID http://orcid.org/0000-0002-5952-5683
Jingwen YangDepartment of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Mengqi LiuDepartment of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Yongteng XuDepartment of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Jiyun FengDepartment of Neurology, Lianzhou People's Hospital, Qingyuan, China.
Huawen LiDepartment of Neurology, Zhongshan Chenxinghai Hospital of Integrated Traditional Chinese and Western Medicine, Zhongshan, China.
Weili LuoDepartment of Neurology, Puning People's Hospital, Jieyang, China.
Baixuan HeDepartment of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Songhua XiaoDepartment of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China tangym@mail.sysu.edu.cn yangxg23@mail.sysu.edu.cn xiaosh@mail.sysu.edu.cn.
Xinguang YangDepartment of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China tangym@mail.sysu.edu.cn yangxg23@mail.sysu.edu.cn xiaosh@mail.sysu.edu.cn.
Yamei TangDepartment of Neurology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China tangym@mail.sysu.edu.cn yangxg23@mail.sysu.edu.cn xiaosh@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-6353-6107

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleRadial artery spasm (RAS) is a common complication during transradial cerebral angiography (TRA), but currently, the optimal prevention strategy is not well established. Papaverine has anti-vasospasm, sedative and analgesic effects. However, the efficacy of papaverine in preventing RAS during TRA remains unknown.

aimsTo assess the efficacy of papaverine in preventing RAS during TRA. SAMPLE SIZE ESTIMATES: 240 participants will provide 80% power at a two-tailed significance level of 0.05 to test the superiority hypothesis with the assumption that the incidence of RAS is 4% and 14.62% in the intervention and control groups, respectively, allowing for a 5% drop-out rate. METHODS AND

designThe Efficacy of Papaverine to Prevent Radial Artery Spasm During Transradial Cerebral Angiography is a multicentre, randomised, placebo-controlled, double-blind trial. Eligible participants scheduled for TRA are 1:1 randomised to the intervention group and the control group. The intervention group will be slowly injected with 10 mL of papaverine hydrochloride solution through the successfully implanted radial artery sheath and continuously dripped papaverine hydrochloride solution through the artery sheath during the procedure, and the control group will be given normal saline in the same manner. STUDY OUTCOME: The primary outcome is the incidence of RAS during the procedure. The operator assessed RAS based on a questionnaire addressing the following five signs: persistent forearm pain, pain response on catheter manipulation, pain response to introducer withdrawal and difficult catheter manipulation after being 'trapped' by the radial artery with considerable resistance on withdrawal of the introducer. RAS was indicated by the presence of at least two of these five signs or by the presence of just one when the operator considered it necessary to administer other spasmolytic agents. TRIAL REGISTRATION NUMBER: NCT05861765.

Indexed as

Catheterization, PeripheralCerebral AngiographyPapaverineRadial ArterySpasmVasoconstrictionVasodilator AgentsDouble-Blind MethodFemaleHumansMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicTime FactorsTreatment OutcomePapaverineVasodilator AgentsClinical TrialStandard of CareTechnology

Identifiers

PMID40930776
PMCPMC13151866

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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.