Evidence map›Paper›PMID 42222124›Full record

ReviewFrontiers in cardiovascular medicine2026

Management of femoral large-bore access and closure during microaxial flow pump-supported interventions.

Rocco Vergallo, Marco Lombardi, Andrea Macchione, Fabio Pescetelli, Stefano Benenati, Matteo Vercellino, Gioel G Secco, Nieves Gonzalo, Javier Escaned, Italo Porto

Abstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 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

10 authors.

Rocco Vergallo *Department of Internal Medicine and Medical Specialties (DIMI), Università di Genova, Genova, Italy.
Marco Lombardi *Department of Internal Medicine and Medical Specialties (DIMI), Università di Genova, Genova, Italy.
Andrea MacchioneCardiothoracic and Vascular Department (DICATOV), IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Fabio PescetelliCardiothoracic and Vascular Department (DICATOV), IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Stefano BenenatiCardiothoracic and Vascular Department (DICATOV), IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Matteo VercellinoCardiothoracic and Vascular Department (DICATOV), IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Gioel G SeccoInterventional Cardiology Unit, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Nieves GonzaloInterventional Cardiology Unit, Hospital Clínico San Carlos IDISSC and CIBER-CV, Complutense University of Madrid, Madrid, Spain.
Javier EscanedInterventional Cardiology Unit, Hospital Clínico San Carlos IDISSC and CIBER-CV, Complutense University of Madrid, Madrid, Spain.
Italo PortoDepartment of Internal Medicine and Medical Specialties (DIMI), Università di Genova, Genova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microaxial flow pump (mAFP) is increasingly employed for hemodynamic support in both cardiogenic shock (CS) and high-risk percutaneous coronary interventions (HR-PCI). However, its implantation requires large-bore arterial access, which carries a substantial risk of vascular complications, translating into higher morbidity, mortality, and healthcare costs. Optimizing outcomes depends on safe vascular access and effective closure strategies. Ultrasound- and angiography-guided puncture, often complemented by advanced imaging, enhance the safety of femoral access. In the HR-PCI setting, pre-closure techniques are generally feasible and advisable as a prophylactic strategy. Conversely, in CS patients, where pre-closure is frequently not achievable, post-closure techniques during mAFP removal play a pivotal role. This review provides a contemporary, practical framework to manage femoral large-bore access and closure in patients undergoing mechanical circulatory support with mAFP.

Indexed as

hemodynamic supportImpellalarge-bore accessmicroaxial flow pumppost-closurepre-closurevascular closure devicevascular complications

Identifiers

PMID42222124
PMCPMC13219311

What Socratic 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 Socratic graph.