Trans Radial Versus Transfemoral Route for Coronary Angiography
NCT ID: NCT02983721
Last Updated: 2016-12-06
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
400 participants
INTERVENTIONAL
2011-08-31
2015-08-31
Brief Summary
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Detailed Description
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The variables studied include Access time ,Fluoroscopy time and overall procedure time, post procedure complications( ecchymosis ,Thrombophelibites, Hematoma, procedure access bleed), Failure rates,post procedure myocardial infarction, stroke, acute renal failure and infections.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Transfemoral
in case of transfemoral approach our preference was to use right femoral route. The groin was prepared and draped and the site was punctured for femoral access after anesthetizing the skin with 2-4 ml of 1% lignocaine. Once the femoral puncture was done 6F sheath of Cordis variety was introduced and 6F Judkins, catheter was introduced and it was guided under fluoroscopic guidance through the aortic route.
transradial
transradial route for coronary angiography and PCI
Transfemoral
transfemoral route for coronary angiography and PCI
Transradial
Our preference was to use the right radial and right femoral routes as they are nearest to operator while facing cardiac monitors, in our hospital. For the radial approach, the wrist was sterilized and draped in usual fashion. Hyperextension over an arm board was done and skin over the puncture site was anesthetized with 2 - 3 ml of 1% lignocaine. A small scaled incision was performed 1 cm proximal to styloid process of radius where arterial pulse was best felt. The radial artery was punctured with a 21 G needle and 6 F sheath (Cardis, Terumo) were introduced into the artery, using Seldinger technique. All patients received verapamil (5mg) to reduce radial artery spasm. Heparin (weight adjusted) was used only in PCIs to prevent artery occlusion and not in elective diagnostic coronary studies. Long 0.038 Terumo guide wire was used under fluoroscopic guidance.
transradial
transradial route for coronary angiography and PCI
Transfemoral
transfemoral route for coronary angiography and PCI
Interventions
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transradial
transradial route for coronary angiography and PCI
Transfemoral
transfemoral route for coronary angiography and PCI
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Lack of informed consent.
* Severe infection.
* Previous contrast allergy.
* Severe intrinsic/iatrogenic caogulopathy INR\>2.
* Abnormal modified Allen's test.
20 Years
85 Years
ALL
No
Sponsors
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Sheri Kashmir Institute of Medical Sciences
OTHER
Responsible Party
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Khalid Changal
Principal Investigator
Principal Investigators
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Fayaz Bhat, MBBS, MD
Role: STUDY_CHAIR
Ministry of Health, Jammu and Kashmir, India.
References
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Bhat FA, Changal KH, Raina H, Tramboo NA, Rather HA. Transradial versus transfemoral approach for coronary angiography and angioplasty - A prospective, randomized comparison. BMC Cardiovasc Disord. 2017 Jan 11;17(1):23. doi: 10.1186/s12872-016-0457-2.
Other Identifiers
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PG thesis 003421
Identifier Type: OTHER
Identifier Source: secondary_id
car003421
Identifier Type: -
Identifier Source: org_study_id