Evidence map›Paper›PMID 42478941›Full record

ReviewCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2026

Percutaneous Transaxillary Access for Large-Bore Cardiovascular Interventions: Evidence, Technique, and Complication Management.

Gioel Gabrio Secco, Marco Lombardi, Edoardo Elia, Juan Guido Chiabrando, Andrea Demarchi, Rocco Vergallo, Andrea Audo, Giulia Maj, Giuseppe Patti, Nicolas M Van Mieghem

Abstract readReview
In one paragraph

Review in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2026. 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. Percutaneous Transaxillary Access for Large-Bore Cardiovascular Interventions: Evidence, Technique, and Complication Management.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    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

10 authors.

Gioel Gabrio SeccoInterventional Cardiology Unit, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Marco LombardiInterventional Cardiology Unit, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.ORCID https://orcid.org/0000-0002-4045-2859
Edoardo EliaInterventional Cardiology Unit, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Juan Guido ChiabrandoInterventional Cardiology Unit, UOSD Emodinamica, Ospedale Barone Romeo, Patti, Italy.ORCID https://orcid.org/0000-0002-2128-8280
Andrea DemarchiInterventional Cardiology Unit, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Rocco VergalloDepartment of Internal Medicine and Medical Specialties (DIMI), Università di Genova, Genova, Italy.ORCID https://orcid.org/0000-0001-5577-081X
Andrea AudoDivision of Cardiac Surgery, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Giulia MajDivision of Cardiothoracic Intensive Care, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.ORCID https://orcid.org/0000-0002-1928-0693
Giuseppe PattiDepartment of Translational Medicine, University of Eastern Piedmont, Novara, Italy.ORCID https://orcid.org/0000-0002-5404-3968
Nicolas M Van MieghemDepartment of Cardiology, Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Percutaneous transaxillary access is an established alternative to transfemoral large-bore arterial access for transcatheter structural heart interventions and mechanical circulatory support (MCS). Although useful for overcoming hostile iliofemoral anatomy and providing prolonged support and patient mobilization in case of MCS, the axillary/subclavian territory poses distinct technical and anatomical challenges that demand meticulous pre-procedural imaging, patient selection, accurate puncture under ultrasound and angiographic guidance, preservation of bailout access, and familiarity with suture-based and balloon-assisted closure strategies. This review provides a contemporary practical framework for percutaneous transaxillary access, summarizing the available clinical evidence, technical aspects of puncture and closure, complication management, and procedural tips to improve safety and reproducibility.

Indexed as

Axillary ArteryCardiac CatheterizationCatheterization, PeripheralHemorrhageHemostatic TechniquesHumansPuncturesRisk FactorsTreatment OutcomeVascular Closure Deviceslarge‐bore arterial accessmechanical circulatory supportpercutaneous transaxillary accessTAVRvascular closure

Identifiers

PMID42478941
PMCPMC13667324

What OpenQuestion holds

Textmetadata
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.