Distal Transradial Access for Percutaneous Coronary Intervention

NCT ID: NCT04801901

Last Updated: 2022-08-15

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-01

Study Completion Date

2022-07-29

Brief Summary

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Prospective randomized non-blinded study to determine degree of vessel trauma and adverse remodeling of the proximal forearm radial artery following distal radial artery access (dTRA) for cardiac catheterization compared to standard forearm transradial access (fTRA).

Detailed Description

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To determine degree of vessel trauma and adverse remodeling of the proximal forearm radial artery, using ultrahigh resolution (55 MHz) ultrasound, following distal radial artery access (dTRA) for cardiac catheterization compared to standard forearm transradial access (fTRA) at 90 days post-procedure. Secondary outcome measures will include metrics of procedural success at 24 hours, as well as functional assessment of pain and motor strength of the ipsilateral upper extremity at 90 days post-procedure.

Conditions

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Transradial Access Coronary Angiography Radial Artery Intimal Medial Thickness Distal Radial Artery Access (dTRA)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective randomized non-blinded study evaluating whether distal radial artery access (dTRA) from the anatomic snuffbox is associated with less trauma and adverse remodeling to the forearm radial artery compared to standardard forearm radial access (fTRA).
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Distal transradial access (dTRA)

Subjects randomized to the experimental arm will undergo left heart catheterization using distal transradial access (dTRA) to facilitate coronary angiography and/or percutaneous coronary intervention.

Group Type EXPERIMENTAL

dTRA

Intervention Type PROCEDURE

Subjects randomized to the experimental arm will undergo left heart catheterization, coronary angiography and/or percutaneous coronary intervention using distal transradial access (dTRA)

Forearm radial access (fTRA)

Cardiac catheterization to facilitate coronary angiography and/or percutaneous coronary intervention using the standard forearm radial artery which is the current standard of care in interventional cardiology.

Group Type ACTIVE_COMPARATOR

fTRA

Intervention Type PROCEDURE

Left heart catheterization, coronary angiography and/or percutaneous coronary intervention using the left forearm radial artery.

Interventions

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dTRA

Subjects randomized to the experimental arm will undergo left heart catheterization, coronary angiography and/or percutaneous coronary intervention using distal transradial access (dTRA)

Intervention Type PROCEDURE

fTRA

Left heart catheterization, coronary angiography and/or percutaneous coronary intervention using the left forearm radial artery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Consecutive patients undergoing elective and non-emergent TR LHC and/or PCI at the INOVA Heart and Vascular Institute
2. Able to provide informed consent.
3. Patients willing to complete a 90day post PCI radial artery ultrasound.

Exclusion Criteria

1. Patients with previous cannulation of both the right and left forearm RA's for coronary angiography and/or PCI. In patients with prior cannulation of one RA, the contralateral arm may be used for this study.
2. Patients who are not willing to undergo the necessary follow-up ultrasound examinations.
3. ST elevation myocardial infarction or other emergent PCI
4. Inability to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role collaborator

Inova Health Care Services

OTHER

Sponsor Role lead

Responsible Party

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Dr. Wayne B. Batchelor M.D.

Director of Interventional Cardiology, Inova Heart and Vascular Institute

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Inova Fairfax Hospital

Falls Church, Virginia, United States

Site Status

Countries

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United States

References

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Other Identifiers

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U20-04-4021

Identifier Type: -

Identifier Source: org_study_id

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