Trial Outcomes & Findings for Utility of a Smart Phone Application in Assessing Radial Artery Patency - the CAPITAL iRADIAL Study (NCT NCT02519491)

NCT ID: NCT02519491

Last Updated: 2023-02-08

Results Overview

Diagnostic accuracy of the iRADIAL iPhone application in assessing competency of the collateral blood supply to the hand by comparing the results of the iPhone application to the gold standard (i.e. Doppler ultrasound)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

438 participants

Primary outcome timeframe

1 year

Results posted on

2023-02-08

Participant Flow

Participant milestones

Participant milestones
Measure
Modified Allen's Test
The Modified Allen's Test to assess radial and ulnar patency. Modified Allen Test: The Modified Allen's Test (MAT) will be performed in a well-lit room on both of the participant's hands. This technique will involve compression of both the radial and ulnar arteries by the investigator to assess patency of the contralateral artery. The participant will then be asked to clench and open their hand several times. The participant will then be asked to maintain their hand in an open position. The investigator will then release the compression over the ulnar artery and observe for palmar blush. The length of time to achieve maximal palmar blush will be recorded. This technique will then be repeated by maintaining compression over the ulnar artery and releasing of the compression over the radial artery.
Iphone Assessment
iPhone assessment of radial and ulnar patency. Iphone artery assessment: The iRADIAL iPhone app (Heart Rate, Azumio software) will be used to assess radial and ulnar artery patency. Briefly, the iPhone camera will be placed over the participant's thumb and patency assessed before and immediately following isolated contralateral artery compression for a maximum of two minutes.
Overall Study
STARTED
219
219
Overall Study
COMPLETED
219
219
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Utility of a Smart Phone Application in Assessing Radial Artery Patency - the CAPITAL iRADIAL Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Modified Allen's Test
n=219 Participants
The Modified Allen's Test to assess radial and ulnar patency. Modified Allen Test: The Modified Allen's Test (MAT) will be performed in a well-lit room on both of the participant's hands. This technique will involve compression of both the radial and ulnar arteries by the investigator to assess patency of the contralateral artery. The participant will then be asked to clench and open their hand several times. The participant will then be asked to maintain their hand in an open position. The investigator will then release the compression over the ulnar artery and observe for palmar blush. The length of time to achieve maximal palmar blush will be recorded. This technique will then be repeated by maintaining compression over the ulnar artery and releasing of the compression over the radial artery.
Iphone Assessment
n=219 Participants
iPhone assessment of radial and ulnar patency. Iphone artery assessment: The iRADIAL iPhone app (Heart Rate, Azumio software) will be used to assess radial and ulnar artery patency. Briefly, the iPhone camera will be placed over the participant's thumb and patency assessed before and immediately following isolated contralateral artery compression for a maximum of two minutes.
Total
n=438 Participants
Total of all reporting groups
Age, Continuous
65.6 years
STANDARD_DEVIATION 13.2 • n=5 Participants
67.0 years
STANDARD_DEVIATION 12.5 • n=7 Participants
66.3 years
STANDARD_DEVIATION 12.8 • n=5 Participants
Sex: Female, Male
Female
83 Participants
n=5 Participants
70 Participants
n=7 Participants
153 Participants
n=5 Participants
Sex: Female, Male
Male
136 Participants
n=5 Participants
149 Participants
n=7 Participants
285 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
20 Participants
n=5 Participants
11 Participants
n=7 Participants
31 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
199 Participants
n=5 Participants
208 Participants
n=7 Participants
407 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Population: Intention to treat

Diagnostic accuracy of the iRADIAL iPhone application in assessing competency of the collateral blood supply to the hand by comparing the results of the iPhone application to the gold standard (i.e. Doppler ultrasound)

Outcome measures

Outcome measures
Measure
Modified Allen's Test
n=219 Participants
The Modified Allen's Test to assess radial and ulnar patency. Modified Allen Test: The Modified Allen's Test (MAT) will be performed in a well-lit room on both of the participant's hands. This technique will involve compression of both the radial and ulnar arteries by the investigator to assess patency of the contralateral artery. The participant will then be asked to clench and open their hand several times. The participant will then be asked to maintain their hand in an open position. The investigator will then release the compression over the ulnar artery and observe for palmar blush. The length of time to achieve maximal palmar blush will be recorded. This technique will then be repeated by maintaining compression over the ulnar artery and releasing of the compression over the radial artery.
Iphone Assessment
n=219 Participants
iPhone assessment of radial and ulnar patency. Iphone artery assessment: The iRADIAL iPhone app (Heart Rate, Azumio software) will be used to assess radial and ulnar artery patency. Briefly, the iPhone camera will be placed over the participant's thumb and patency assessed before and immediately following isolated contralateral artery compression for a maximum of two minutes.
Diagnostic Accuracy
81.7 Overall diagnostic accuracy (%)
Interval 76.0 to 86.6
91.8 Overall diagnostic accuracy (%)
Interval 87.3 to 95.1

Adverse Events

Modified Allen's Test

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Iphone Assessment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Benjamin Hibbert, Cardiologist

University of Ottawa Heart Institute

Phone: 613-696-7000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place