NCT04080700

Brief Summary

The left distal radial approach (DRA) has been introduced as a feasible and safe alternative route of the radial artery. However, there is still lack of evidence for DRA regarding the feasibility, safety, effective time for hemostasis and hemostasis method. This prospective multicenter registry aimed to investigate the safety and efficacy of DRA for CAG and PCI.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2019

Typical duration for all trials

Geographic Reach
1 country

14 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 31, 2019

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 6, 2019

Completed
3 days until next milestone

Study Start

First participant enrolled

September 9, 2019

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2021

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 23, 2022

Completed
Last Updated

May 11, 2022

Status Verified

May 1, 2022

Enrollment Period

2.1 years

First QC Date

August 31, 2019

Last Update Submit

May 10, 2022

Conditions

Outcome Measures

Primary Outcomes (2)

  • Success rate of coronary angiography

    Success rate of coronary angiography (%)

    Through procedure completion, up to 6 hours

  • Success rate of percutaneous coronary intervention

    Success rate of percutaneous coronary intervention (%)

    Through procedure completion, up to 6 hours

Secondary Outcomes (7)

  • Success rate of distal radial artery puncture

    Through procedure completion, up to 6 hours

  • Puncture time

    Through procedure completion, up to 6 hours

  • Hemostasis time

    Through procedure completion, up to 24 hours

  • Puncture-related complications

    Up to 1 month

  • Total procedure time

    Through procedure completion, up to 6 hours

  • +2 more secondary outcomes

Interventions

Operator puncture the distal radial artery with open needle or venipuncture catheter needle for coronary angiography and percutaneous coronary intervention.

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients who need coronary angiography will be enrolled.

You may qualify if:

  • Patients aged ≥ 20 years who planned coronary angiography
  • Patients with palpable distal radial artery
  • Patients who give informed consent

You may not qualify if:

  • Patients with small or non-palpable distal radial artery
  • Positive result in modified Allen test (suspicious of single blood supply)
  • Pregnant women, possible candidate for pregnancy, or breastfeeding women
  • Patients who are deemed unsuitable by the investigator

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

Yongin Severance Hospital

Yongin-si, Kyeonggi-do, 17046, South Korea

Location

Inje University Busan Paik Hospital

Busan, South Korea

Location

Inje University Haeundae Paik Hospital

Busan, South Korea

Location

Kosin Univeristy Gospel Hospital

Busan, South Korea

Location

Pusan National University Hospital

Busan, South Korea

Location

Chungbuk National University Hospital

Cheongju-si, South Korea

Location

Kangwon National University Hospital

Chuncheon, South Korea

Location

Daegu Catholic University Medical Center

Daegu, South Korea

Location

GangNeung Asan Hospital

Gangneung, South Korea

Location

Inje University Ilsan Paik Hospital

Goyang, South Korea

Location

Dongguk University Gyeongju Hospital

Gyeongju, South Korea

Location

Uvis Hospital

Incheon, South Korea

Location

The Catholic university of Korea Uijeongbu St. Mary's hospital

Uijeongbu-si, South Korea

Location

Wonju Severance Christian Hospital

Wŏnju, South Korea

Location

Related Publications (3)

  • Roh JW, Heo SJ, Lee OH, Im E, Cho DK, Lee JW, Lee BK, Yoo SY, Lee SY, Kim CJ, Jin HY, Park JS, Heo JH, Kim DH, Lee JB, Kim DK, Bae JH, Lee SY, Lee SH, Kim Y. Distal Radial Access and Women: Implications for Access Site Outcomes in Coronary Procedures. J Am Heart Assoc. 2025 Apr 15;14(8):e036285. doi: 10.1161/JAHA.124.036285. Epub 2025 Apr 10.

  • Jin IT, Roh JW, Lee OH, Im E, Cho DK, Lee JW, Lee BK, Yoo SY, Lee SY, Kim CJ, Jin HY, Park JS, Heo JH, Kim DH, Lee JB, Kim DK, Bae JH, Lee SY, Lee SH, Kim Y. Feasibility of Distal Radial Access in High Bleeding Risk Patients Who Underwent Percutaneous Coronary Intervention. Korean Circ J. 2025 Apr;55(4):291-301. doi: 10.4070/kcj.2024.0239. Epub 2024 Nov 14.

  • Lee JW, Kim Y, Lee BK, Yoo SY, Lee SY, Kim CJ, Jin HY, Park JS, Heo JH, Kim DH, Lee JB, Kim DK, Bae JH, Lee SY, Lee SH. Distal Radial Access for Coronary Procedures in a Large Prospective Multicenter Registry: The KODRA Trial. JACC Cardiovasc Interv. 2024 Feb 12;17(3):329-340. doi: 10.1016/j.jcin.2023.11.021.

MeSH Terms

Conditions

Coronary Artery Disease

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Study Officials

  • Seung-Hwan Lee, MD, PhD

    Yonsei University Wonju College of Medicine, Wonju Severance Christian Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
1 Month
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 31, 2019

First Posted

September 6, 2019

Study Start

September 9, 2019

Primary Completion

October 30, 2021

Study Completion

January 23, 2022

Last Updated

May 11, 2022

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will not share

Locations