Shortening Compression Time After Radial Access for Cardiac Catheterisation
NCT ID: NCT02398305
Last Updated: 2015-03-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
173 participants
INTERVENTIONAL
2012-10-31
2013-08-31
Brief Summary
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The bedrest period for patients with an ACD is 1 hour after diagnostic cardiac catheterization and 2 hours after PCI. After the bedrest period patients are discharged 1 hour after diagnostic procedures or 4 hours after PCI. This to observe potential bleeding complications after the procedure. In patients with radial access, the TR bandage will be removed according to current protocol after 4 hours and additionally 1 hour observation is required. Several cardiologists have the intention to use the radial artery more frequent for cardiac catheterization or PCI. In a meta-analysis radial access is related to a 73% decrease in major bleeding complications compared to femoral access. Also there are no significant differences in MACE. Even so there are no differences in success percentage for cardiac catheterization or PCI and admission time is shorter for radial access (Am Heart J. 2009 Jan;157(1):132- 40). Admission time for diagnostic cardiac catheterization at the short-stay unit is in case of femoral access with an ACD approximately 2 hours. For patients after radial access post procedural admission time is approximately 5 hours. To guarantee patient throughput, uniformity of care and more efficient use of capacity of the short-stay unit, patients after radial access should not have a longer hospital admission time than patients after femoral access. Carrington et al. (J Interv Cardiol. 2009 Dec;22(6):571-5) have shown that it is safe to deflate the TR wrist band faster than four hours.
Objective of the study:
To describe the differences in safety, patient comfort and admission period after diagnostic cardiac catheterization through radial access, between the current protocol and the protocol of fast desufflation by Carrington et al.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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TR Band accelerated
Diminishing air pressure in the TR Band using accelerated protocol
TR Band Quick
Diminishing the air pressure in the TR Band following a faster protocol
TR band standard
Diminishing air pressure in the TR band according to standard care
TR Band standard
Diminishing the air pressure in the TR Band following standard protocol
Interventions
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TR Band standard
Diminishing the air pressure in the TR Band following standard protocol
TR Band Quick
Diminishing the air pressure in the TR Band following a faster protocol
Eligibility Criteria
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Inclusion Criteria
* Radial access
* 6 French sheath
Exclusion Criteria
* Percutaneous coronary intervention
18 Years
ALL
Yes
Sponsors
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University Medical Center Groningen
OTHER
Responsible Party
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J.H.H. (Han) Deuling
MANP
Principal Investigators
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Pim van der Harst, MD PhD
Role: STUDY_DIRECTOR
University Medical Center Groningen
Locations
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University Medical Centre Groningen
Groningen, Provincie Groningen, Netherlands
Countries
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Other Identifiers
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METc2011-233
Identifier Type: -
Identifier Source: org_study_id
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