Evidence map›Paper›PMID 41675798›Full record

ArticleAnnals of medicine and surgery (2012)2026

Transulnarversus transradial artery access in patients undergoing cardiac procedures: a systematic review and meta-analysis.

Mohamed Falah Abdullah Al-Shamari, Sofian Mohamed M Zreigh, Ahmed A Mosa, Daniya Waqas, Yamin Htet, Iqra Iqbal, Efrah Ashraf, Sana Javaid, Imshal Farooq, Milikyas Abera Feyisa and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Mohamed Falah Abdullah Al-ShamariDepartment of Medicine, West Cumberland Hospital, Cumbria, UK.
Sofian Mohamed M ZreighDepartment of Medicine, Ankara Yildirim Beyazit University, Ankara, Turkey.
Ahmed A MosaDepartment of Medicine, College of Medicine, University of Zakho, Zakho, Iraq.
Daniya WaqasDepartment of Medicine, Shaikh Khalifa bin Zayed Al Nahyan Medical and Dental College, Lahore, Pakistan.
Yamin HtetDepartment of Medicine, University of Medicine, Yangon, Myanmar.
Iqra IqbalDepartment of Medicine, Services Institute of Medical Sciences, Lahore, Pakistan.
Efrah AshrafDepartment of Medicine, Bahawal Victoria Hospital, Bahawalpur, Pakistan.
Sana JavaidDepartment of Medicine, Mayo Hospital, Lahore, Pakistan.
Imshal FarooqDepartment of Medicine, CMH Hospital, Lahore, Pakistan.
Milikyas Abera FeyisaDepartment of Medicine, Naas General Hospital, Naas, Ireland.
Mohammad Ebad Ur RehmanDepartment of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan.
Huzaifa Ahmad CheemaDepartment of Cardiology, King Edward Medical University, Lahore, Pakistan.
Asma'a Munasar Ali AlsubariFaculty of Medicine, Sana'a University, Sana'a, Yemen.ORCID https://orcid.org/0009-0005-1722-3926
Abdulqadir J NashwanNursing & Midwifery Research Department, Hamad Medical Corporation, Doha, Qatar.
Ameen M MohammadDepartment of Cardiovascular Disease, College of Medicine, University of Duhok, Duhok, Iraq.
Adeel AhmadDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Wajeeh Ur RehmanDepartment of Internal Medicine, United Health Services Hospital, Johnson City, NY, USA.
Raheel AhmedDepartment of Cardiovascular Medicine, National Heart & Lung Institute, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Transradial artery access (TRA) is the favored approach for percutaneous coronary intervention (PCI) and coronary angiography (CAG). However, transulnar artery access (TUA) has emerged as an alternative, particularly when TRA is not feasible. This systematic review and meta-analysis aims to compare the efficacy and safety of TUA versus TRA in patients undergoing PCI and CAG. Methods: From inception to August 2025, a systematic search of electronic databases was conducted. Data were synthesized using a random-effects model, and heterogeneity was assessed using the Results: Nine RCTs involving 6089 patients were included. Meta-analysis revealed no significant difference in procedural success between TUA and TRA (RR: 0.93, 95% CI: 0.82-1.06, Conclusion: TUA provides a viable alternative to TRA, with similar success rates and complication profiles. However, TRA remains superior in terms of procedure time. Further large-scale RCTs are warranted to confirm these findings and refine clinical guidelines.

Indexed as

coronary angiographypercutaneous coronary interventionradial arteryulnar artery

Identifiers

PMID41675798
PMCPMC12889296

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.