Ultrasound-Guided Technique in Distal Radial Artery Catheterization Study
NCT ID: NCT06196749
Last Updated: 2024-01-23
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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ACTIVE_NOT_RECRUITING
NA
112 participants
INTERVENTIONAL
2022-07-01
2024-01-30
Brief Summary
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Detailed Description
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In this prospective, randomized, single-center study, we will enroll 112 patients scheduled for percutaneous coronary angiography. They will be randomly assigned to either the control group (56 cases) or the study group (56 cases) using digital odd-even randomization. The control group will undergo conventional tactile guidance, while the study group will be guided by the improved ultrasound dynamic needle tip positioning method.
Parameters to be compared between the two groups include the success rate of the first puncture attempt, overall puncture success rate, number of puncture attempts, success rate of catheterization, time to successful catheterization, proportion of sheath sizes used, incidence of hematoma, and incidence of radial artery occlusion 24 hours post-procedure. The anticipated outcome is that the improved ultrasound dynamic needle tip positioning method will enhance the success rate of the first puncture attempt, overall puncture success rate, and catheterization success rate, while reducing the number of puncture attempts and operation time.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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Modified ultrasound-guided dynamic needle tip positioning technique group
Perform distal radial arterial cannulation using modified ultrasound-guided dynamic needle tip positioning technique
Perform distal radial arterial cannulation using modified ultrasound-guided dynamic needle tip positioning technique
This study employs a modified ultrasound-guided dynamic needle tip positioning technique for distal radial arterial cannulation. The technique uses an ultrasound probe with two wires to create an acoustic shadow, improving needle tip visibility. Real-time dynamic tracking assists in precise needle placement within the distal radial artery through the nose-horn region. This method is used for coronary angiography and potential percutaneous coronary interventions, aiming to increase success rates and reduce complications like hematoma, nerve injury, and arterial spasm, thus enhancing safety and efficiency.
Palpation group
Perform radial arterial cannulation under palpation guidance
Palpation guided puncture
Perform distal radial arterial cannulation under palpation guidance
Interventions
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Perform distal radial arterial cannulation using modified ultrasound-guided dynamic needle tip positioning technique
This study employs a modified ultrasound-guided dynamic needle tip positioning technique for distal radial arterial cannulation. The technique uses an ultrasound probe with two wires to create an acoustic shadow, improving needle tip visibility. Real-time dynamic tracking assists in precise needle placement within the distal radial artery through the nose-horn region. This method is used for coronary angiography and potential percutaneous coronary interventions, aiming to increase success rates and reduce complications like hematoma, nerve injury, and arterial spasm, thus enhancing safety and efficiency.
Palpation guided puncture
Perform distal radial arterial cannulation under palpation guidance
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
2. Abnormal Allen test.
3. Hemodynamic instability.
4. Preoperative ultrasound showing a distal radial artery diameter less than 1.8mm.
18 Years
85 Years
ALL
No
Sponsors
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Health and Family Planning Commission of Guangdong
OTHER_GOV
Guangdong Provincial Hospital of Traditional Chinese Medicine
OTHER
Responsible Party
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Yupeng Liang
Director
Locations
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Yupeng Liang
Zhuhai, Guangdong, China
Countries
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Other Identifiers
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B2021044
Identifier Type: -
Identifier Source: org_study_id
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