Fluoroscopy Guided Femoral Arterial Access
1 other identifier
interventional
990
1 country
2
Brief Summary
The purpose of this study is to compare the use of fluoroscopic guidance, (a commonly used X-ray technique), with the traditional approach, (where the doctors feel for the strongest pulse), to obtain access to the blood vessel in the groin. These two methods are being compared to assess which is faster, safer and more often allows your physician to use an "arterial closure device," a small suture or plug applied at the end of the angiogram where the needle enters your blood vessel if he/she chooses.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2005
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 20, 2005
CompletedFirst Posted
Study publicly available on registry
September 22, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2006
CompletedMarch 28, 2012
March 1, 2012
1.3 years
September 20, 2005
March 27, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Prediction of ability to use femoral artery closure device based on angiographic data of the femoral artery from fluoroscopy arm versus traditional technique arm.
24 hours
Secondary Outcomes (4)
Compare the incidence of known major side effects of femoral artery puncture between the two methods of access
24 hours
Compare the time and number of attempts needed to obtain arterial access between the two groups of patients.
Intraprocedural
Compare the ability to puncture the common femoral artery using fluoroscopy vs. anatomical landmarks among different levels of trainees (cardiology fellows) and attending cardiologists.
Intraprocedural
Assess whether fluoroscopic guidance is a superior method to obtain access and thus should be used as a training technique for cardiology fellows.
End of study analysis
Study Arms (2)
A
ACTIVE COMPARATORUsual standard coronary angiographic procedure
B
EXPERIMENTALFluoroscopy-guided coronary angiography
Interventions
Eligibility Criteria
You may qualify if:
- Age 18 and over.
- Patients undergoing elective or urgent left heart cath from the femoral approach.
- Willingness to participate and sign the consent form.
You may not qualify if:
- Access from site other than the common femoral artery.
- Creatinine \>= 3.0mg/dl.
- Graft in the common femoral artery or other surgeries at that site that might have changed the anatomy of the groin.
- Unable or refusal to sign a consent form.
- Patients from the Department of Corrections.
- Pregnant Women
- Undetectable femoral artery pulse.
- Patients undergoing emergent cardiac catheterization for ST elevation MI or unstable ACS.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University of Oklahoma Medical Center
Oklahoma City, Oklahoma, 73104, United States
Veterans Affairs Medical Center
Oklahoma City, Oklahoma, 73104, United States
Related Publications (1)
Abu-Fadel MS, Sparling JM, Zacharias SJ, Aston CE, Saucedo JF, Schechter E, Hennebry TA. Fluoroscopy vs. traditional guided femoral arterial access and the use of closure devices: a randomized controlled trial. Catheter Cardiovasc Interv. 2009 Oct 1;74(4):533-9. doi: 10.1002/ccd.22174.
PMID: 19626694RESULT
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas Hennebry, M.D.
University of Oklahoma
- PRINCIPAL INVESTIGATOR
Mazen S Abu-Fadel, M.D.
University of Oklahoma
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 20, 2005
First Posted
September 22, 2005
Study Start
March 1, 2005
Primary Completion
July 1, 2006
Study Completion
July 1, 2006
Last Updated
March 28, 2012
Record last verified: 2012-03