The Effect of Using Virtual Reality Glasses on Anxiety-related Radial Vasospasm in Patients Undergoing Transradial Coronary Angiography

NCT ID: NCT06726031

Last Updated: 2024-12-10

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-10

Study Completion Date

2025-04-01

Brief Summary

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Compared to transfemoral access, transradial access is a safe and effective method for coronary interventions, associated with lower rates of vascular complications, including major bleeding. Additionally, it facilitates early ambulation and reduces post-procedural hospital stays. As a result, current guidelines now recommend transradial access as the preferred approach for coronary interventional procedures. However, the most commonly recognized limitation of this method is radial artery spasm (RAS).

The radial artery is more susceptible to spasm than other peripheral arteries due to its thicker muscular layer and the predominance of alpha-adrenergic receptors. RAS can sometimes limit the advantages of transradial access, prolong procedural duration, or even lead to procedural failure and termination. Consequently, the prevention of potential causes of RAS has garnered significant interest.

The reported incidence of RAS ranges between 7.8% and 25%. These rates are notably high for diagnostic procedures, underscoring the importance of identifying and addressing risk factors before the intervention. The literature identifies several risk factors for RAS, including female sex, advanced age, smaller radial artery diameter, and the number of interventions performed.

Cardiac procedures frequently induce pain and anxiety in patients. The prevalence of anxiety disorders among patients with cardiovascular diseases can reach up to 15%, with cardiac procedures exacerbating these conditions, resulting in anxiety prevalence rates as high as 72%.

Given the limitations of pharmacological approaches in managing pain and anxiety, innovative digital solutions such as virtual reality (VR) have been proposed. However, VR was not found to have a statistically significant effect on pain levels.

The literature review revealed that, based on the current understanding, no prior studies have investigated the impact of VR headset use on anxiety-induced vasospasm in patients undergoing transradial coronary angiography. Therefore, the study aimed to explore whether VR applications could influence the successful completion of this widely performed procedure worldwide.

Detailed Description

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Conditions

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Radial Artery Spasm Radial Artery Access Virtual Reality

Keywords

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radial artery spasm virtual reality anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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control group

Participants in this group will not undergo VR glasses application during transradial coronary angiography.

Group Type NO_INTERVENTION

No interventions assigned to this group

VR Glass Group

Participants in this group will use VR glasses during transradial coronary angiography. With the help of VR glasses, patients will be shown visuals based on nature and listen to calming sounds.

Group Type ACTIVE_COMPARATOR

wearing VR glass

Intervention Type DEVICE

The intervention is the application of VR headsets during the procedure for patients who were previously indicated for transradial coronary angiography and were randomized to the VR headset group.

Interventions

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wearing VR glass

The intervention is the application of VR headsets during the procedure for patients who were previously indicated for transradial coronary angiography and were randomized to the VR headset group.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Indicated for coronary angiography via the transradial approach for reasons other than Acute Coronary Syndrome.
* Patients with no prior history of coronary angiography
* Patients aged 18 years and older
* Patients who are conscious, oriented, cooperative, and able to read and understand Turkish.
* Patients without any physical issues that would prevent the use of virtual reality glasses.
* Patients with no known malignancy, neuropsychiatric disorders, or diagnosed anxiety disorders.
* Patients who agree to participate in the study and sign the "Informed Consent Form" will be included.

Exclusion Criteria

* Patients indicated for coronary angiography due to Acute Coronary Syndrome,
* Patients undergoing coronary angiography via an approach other than the transradial route,
* Patients under the age of 18,
* Patients who are unconscious, disoriented, or uncooperative,
* Patients who cannot read or understand Turkish,
* Patients with physical issues preventing the use of virtual reality glasses,
* Patients with known neuropsychiatric disorders, diagnosed anxiety disorders, or those receiving antidepressant or anxiolytic treatment,
* Patients with malignancy,
* Patients who do not agree to participate or who do not sign the "Informed Consent Form" will be excluded.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mersin University

OTHER

Sponsor Role lead

Responsible Party

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Ahmet Burak KECECİ

researcher doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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ahmet b KECECI, Research Assistant

Role: PRINCIPAL_INVESTIGATOR

Mersin University faculty of medicine

Locations

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Mersin University Faculty of Medicine

Mersin, Yenisehir, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Ahmet B KECECI, Research Assistant

Role: CONTACT

Phone: +90 554 557 1249

Email: [email protected]

Emrah YEŞİL, specialist doctor

Role: CONTACT

Phone: +90 505 654 12 73

Email: [email protected]

Facility Contacts

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ahmet b kececi, Research Assistant

Role: primary

Other Identifiers

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MersinU-CAR-ABK-01

Identifier Type: -

Identifier Source: org_study_id