Decrease Artery Occlusion by Distal Radial Arterial Cannulation, Observational Study

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

UNKNOWN

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-01

Study Completion Date

2024-01-01

Brief Summary

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The site of arterial access for coronary angiography and intervention has been the focus of research for decades as it is the source of major complications. Transradial access (TRA) reduces complications among patients undergoing percutaneous coronary procedures but is reported with the complication of radial artery occlusion (RAO) that limits the radial artery for future needs. Distal radial access (dTRA) has recently gained global popularity as an alternative access route for vascular procedures. Among the benefits of dTRA are the low risk of entry site bleeding complications, the low rate of radial artery occlusion, and improved patient and operator comfort. This study aims to reveal the feasibility and safety of dTRA and routine TRA procedures in acute coronary syndrome patients. The primary endpoints are forearm radical occlusion rate and major adverse cardiovascular events (MACEs) in the two groups. Investigators conduct this retrospected analysis to demonstrate the difference of the two procedure of Cannulation.

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Detailed Description

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Conditions

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Acute Coronary Syndrome Procedural Complication Outcome, Fatal

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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dTRA group

Investigators perform percutaneous coronary intervention by dTRA for patients

Radial Artery Approach

Intervention Type PROCEDURE

dTRA or conventional TRA for radical artery approach

TRA group

Investigators perform percutaneous coronary intervention by conventional TRA for patients

Radial Artery Approach

Intervention Type PROCEDURE

dTRA or conventional TRA for radical artery approach

Interventions

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Radial Artery Approach

dTRA or conventional TRA for radical artery approach

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* presence of a pulse in the snuffbox

Exclusion Criteria

* Absence of pulse
* Ultrasound indication of arterial occlusion or severe calcification
* Severe forearm artery malformation
* Patients with severe liver and renal failure, or abnormal coagulation function
* Established cardiogenic shock
* History of previous coronary artery bypass grafting and radial artery use.
* Raynaud's disease in the medical history

Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No