RAVE: Radial Artery Vascular Complication and Resource Utilization
2 other identifiers
interventional
300
1 country
1
Brief Summary
The primary objective of this study is to determine if there is a reduction in time to hemostasis in subjects treated with SoftSeal®-STF hemostatic pad when used in conjunction with a vascular compression device after radial transcatheter procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2018
Longer than P75 for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
April 30, 2018
CompletedStudy Start
First participant enrolled
May 9, 2018
CompletedFirst Posted
Study publicly available on registry
May 11, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedResults Posted
Study results publicly available
February 9, 2023
CompletedOctober 3, 2024
January 1, 2023
3.6 years
April 30, 2018
November 28, 2022
October 1, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to Hemostasis
Time interval in minutes beginning with sheath removal and ending with removal of hemostatic device and/or observed hemostasis
1 day
Secondary Outcomes (12)
Number of Participants With Major Access Site Bleeding
Post procedure to prior to discharge, on average same day discharge or up to 1-2 days
Number of Participants With Minor Access Site Bleeding
Post procedure to prior to discharge, on average same day discharge or up to 1-2 days
Number of Participants With Minor Access Site Bleeding
At time of follow up office visit, if done within 45 days post procedure
Number of Participants With Hematoma Formation
1 day
Visual Analogue Scale (VAS)
3 day
- +7 more secondary outcomes
Study Arms (4)
RadAR EasyCLik plus SoftSeal®-STF hemostatic pad
EXPERIMENTALHemostasis will be obtained with the SoftSeal®-STF hemostatic pad and vascular compression device by applying pressure at the point proximal and distal to the puncture site and removing the sheath. While still maintaining pressure, the SoftSeal®-STF hemostatic pad will be applied over the puncture site. The cath lab staff will allow a small amount of blood (\< 0.2 mL) to contact the surface of the hemostatic pad and then will apply constant pressure with a vascular compression device.
TR BAND® plus SoftSeal®-STF hemostatic pad
ACTIVE COMPARATORHemostasis will be obtained with the SoftSeal®-STF hemostatic pad and vascular compression device by applying pressure at the point proximal and distal to the puncture site and removing the sheath. While still maintaining pressure, the SoftSeal®-STF hemostatic pad will be applied over the puncture site. The cath lab staff will allow a small amount of blood (\< 0.2 mL) to contact the surface of the hemostatic pad and then will apply constant pressure with a vascular compression device.
SoftSeal®-STF hemostatic
EXPERIMENTALHemostasis at the radial access site for subjects randomized to the SoftSeal®-STF hemostatic pad will be obtained by applying pressure at the point proximal and distal to the puncture site and removing the sheath. While still maintaining pressure, the SoftSeal®-STF hemostatic pad will be applied over the puncture site. The cath lab staff will allow a small amount of blood (\< 0.2 mL) to contact the surface of the hemostatic pad and then will apply constant pressure.
VascBand™ Hemostat
ACTIVE COMPARATORHemostasis at the radial access for subjects randomized to the VascBand™ Hemostat will be obtained in accordance to the manufacturer's instructions. The VascBand™ device will be placed proximal to the puncture site and inflated slowly while simultaneously removing the sheath, and continue to inject air (max. 18 mL) into the device until hemostasis is obtained.
Interventions
Chitosan-based, non-woven pad with a unique, proprietary fiber structure that when hydrated with tissue fluids forms a gel-like synthetic clot in conjunction with the RadAR EasyCLik compression device
Chitosan-based, non-woven pad with a unique, proprietary fiber structure that when hydrated with tissue fluids forms a gel-like synthetic clot in conjunction with the TR BAND® compression device
Chitosan-based, non-woven pad with a unique, proprietary fiber structure that when hydrated with tissue fluids forms a gel-like synthetic clot
The VascBand™ Hemostat is an FDA-approved compression device designed to assist hemostasis of arterial, venous and hemodialysis percutaneous access sites.
Eligibility Criteria
You may qualify if:
- Scheduled for an angiogram/PCI
- Planned transradial approach
You may not qualify if:
- Evidence of impaired dual perfusion to the hand when tested using Allen's test
- Inaccessible radial arteries due to anatomic variations
- Infection or other skin disorder at the puncture site
- Undergoing an emergent or unplanned angiogram using the transradial approach
- Evidence of severe cognitive impairment or inability to understand the study procedures and answer follow-up questions
- Known sensitivity or allergic reaction to materials in the study devices
- Unwilling to participate in the study and follow all study-related procedures
- Participating physician deems the subject to not be a good candidate
- Inability to achieve radial access
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Wake Forest University Health Scienceslead
- Chitogen, Inc.collaborator
Study Sites (1)
Aurora Health Care
Milwaukee, Wisconsin, 53202, United States
Limitations and Caveats
The limitations of our study are that only the first phase of the study was randomized. The second phase was nonrandomized, which could potentially cause bias in our study. However, we used a consecutive enrollment approach where the first 100 patients were scheduled for the SoftSeal + EasyClick approach, and the subsequent 100 patients were enrolled for SoftSeal + TR Band approach.
Results Point of Contact
- Title
- Dr. Muhammad Fuad Jan
- Organization
- Aurora Health Care
Study Officials
- PRINCIPAL INVESTIGATOR
Muhammad F Jan, MD
Wake Forest University Health Sciences
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
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
April 30, 2018
First Posted
May 11, 2018
Study Start
May 9, 2018
Primary Completion
December 1, 2021
Study Completion
December 1, 2021
Last Updated
October 3, 2024
Results First Posted
February 9, 2023
Record last verified: 2023-01