Distal Versus Conventional Transradial Artery Access for Coronary Catheterization in Patients With STEMI
NCT ID: NCT05605288
Last Updated: 2024-05-29
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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RECRUITING
NA
554 participants
INTERVENTIONAL
2024-05-23
2025-12-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Distal transradial artery access
Vascular access after cannulation of distal transradial artery through anatomical snuffbox for coronary angiography and interventions
Coronary angiography +/- percutaneous coronary intervention
Coronary angiography +/- percutaneous coronary intervention
Conventional transradial artery access
Vascular access after puncturing on the conventional transradial artery for performing coronary angiography and interventions
Coronary angiography +/- percutaneous coronary intervention
Coronary angiography +/- percutaneous coronary intervention
Interventions
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Coronary angiography +/- percutaneous coronary intervention
Coronary angiography +/- percutaneous coronary intervention
Eligibility Criteria
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Inclusion Criteria
* Indication: ST-Elevation Myocardial Infraction
Exclusion Criteria
* Previous CABG
* Anatomical restrictions for forearm approach
* Hemodynamic instability
* Previous radial artery catheterization from the same arm during the last 30-days
18 Years
ALL
No
Sponsors
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University Hospital of Patras
OTHER
Responsible Party
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Grigorios Tsigkas
Assistant Professor of Cardiology
Principal Investigators
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Grigorios Tsigkas, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
University Hospital of Patras
Adel Aminian, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Centre Hospitalier Universitaire de Charleroi
Juan Inglesias, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Department of Cardiology, Geneva University Hospitals, Geneva, Switzerland.
Locations
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Department of Cardiology, Centre Hospitalier Universitaire de Charleroi
Charleroi, , Belgium
University Hospital of Patras
Pátrai, , Greece
Department of Cardiology, Geneva University Hospitals, Geneva, Switzerland.
Geneva, , Switzerland
Countries
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Central Contacts
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Facility Contacts
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References
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Tsigkas G, Moulias A, Papageorgiou A, Ntouvas I, Grapsas N, Despotopoulos S, Apostolos A, Papanikolaou A, Smaili K, Vasilagkos G, Davlouros P, Hahalis G. Transradial access through the anatomical snuffbox: Results of a feasibility study. Hellenic J Cardiol. 2021 May-Jun;62(3):201-205. doi: 10.1016/j.hjc.2020.02.002. Epub 2020 Mar 2.
Didagelos M, McEntegart M, Kouparanis A, Tsigkas G, Koutouzis M, Tsiafoutis I, Kassimis G, Oldroyd KG, Ziakas A. Distal Transradial (Snuffbox) Access for Coronary Catheterization: A Systematic Review. Cardiol Rev. 2021 Jul-Aug 01;29(4):210-216. doi: 10.1097/CRD.0000000000000339.
Sgueglia GA, Hassan A, Harb S, Ford TJ, Koliastasis L, Milkas A, Zappi DM, Navarro Lecaro A, Ionescu E, Rankin S, Said CF, Kuiper B, Kiemeneij F. International Hand Function Study Following Distal Radial Access: The RATATOUILLE Study. JACC Cardiovasc Interv. 2022 Jun 27;15(12):1205-1215. doi: 10.1016/j.jcin.2022.04.023. Epub 2022 May 17.
Eid-Lidt G, Rivera Rodriguez A, Jimenez Castellanos J, Farjat Pasos JI, Estrada Lopez KE, Gaspar J. Distal Radial Artery Approach to Prevent Radial Artery Occlusion Trial. JACC Cardiovasc Interv. 2021 Feb 22;14(4):378-385. doi: 10.1016/j.jcin.2020.10.013.
Tsigkas G, Papageorgiou A, Moulias A, Kalogeropoulos AP, Papageorgopoulou C, Apostolos A, Papanikolaou A, Vasilagkos G, Davlouros P. Distal or Traditional Transradial Access Site for Coronary Procedures: A Single-Center, Randomized Study. JACC Cardiovasc Interv. 2022 Jan 10;15(1):22-32. doi: 10.1016/j.jcin.2021.09.037. Epub 2021 Dec 15.
Tsigkas G, Papageorgiou A, Moulias A, Apostolos A, Kalogeropoulos AP, Davlouros P. Reply: Distal Transradial Access for Primary PCI in ST-Segment Elevation Myocardial Infarction. JACC Cardiovasc Interv. 2022 Apr 11;15(7):795-796. doi: 10.1016/j.jcin.2022.02.039. No abstract available.
Aminian A, Sgueglia GA, Wiemer M, Kefer J, Gasparini GL, Ruzsa Z, van Leeuwen MAH, Ungureanu C, Leibundgut G, Vandeloo B, Kedev S, Bernat I, Ratib K, Iglesias JF, Al Hage E, Posteraro GA, Pascut D, Maes F, Regazzoli D, Kakonyi K, Meijers TA, Colletti G, Krivoshei L, Lochy S, Zafirovska B, Horak D, Nolan J, Degrauwe S, Tobita K, Saito S. Distal Versus Conventional Radial Access for Coronary Angiography and Intervention: The DISCO RADIAL Trial. JACC Cardiovasc Interv. 2022 Jun 27;15(12):1191-1201. doi: 10.1016/j.jcin.2022.04.032. Epub 2022 May 17.
Tsigkas G, Apostolos A, Davlouros P. Less Is More, But Not Always: Distal Transradial Access for Radial Artery Occlusion Prevention. JACC Cardiovasc Interv. 2022 Jun 27;15(12):1202-1204. doi: 10.1016/j.jcin.2022.05.001. Epub 2022 May 17. No abstract available.
Tsigkas G, Trigka-Vasilakopoulou A, Apostolos A, Papafaklis M, Colletti G, Mugnolo A, Ruzsa Z, Ungureanu C, Nikas D, Xaplanteris P, Gasparini GL, Sciahbasi A, Tsiafoutis I, Poulimenos LE, Didagelos M, Pappas L, Stougiannos P, Hamilos M, Ziakas A, Timpilis F, Karanasos A, Moulias A, Sgueglia GA, Aminian A, Iglesias JF, Michalis L, Davlouros P. Distal versus conventional transradial artery access for coronary catheterization in patients with STEMI (DR-STEMI): Rationale and design of an international, multicenter, randomized trial. Am Heart J. 2025 Aug 13;291:73-80. doi: 10.1016/j.ahj.2025.08.007. Online ahead of print.
Other Identifiers
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26150/30.09.22
Identifier Type: -
Identifier Source: org_study_id
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