Distal vs Proximal Radial Approach for Coronary Interventions
Comparison of the Distal Radial Approach Using a "Snuff Box" and the Proximal Radial Approach in Coronary Angiography and PCI
1 other identifier
interventional
750
0 countries
N/A
Brief Summary
The distal radial approach ('snuff box' / fossa radialis) has become as valuable as the 'classical' radial approach for coronary angiography and interventions. Up to now, the success of the procedures has been described in several papers, with no difference in the complication rate and characteristics of the coronarography compared to the radial approach. It was observed that patients using distal radial access had fewer postoperative radial artery occlusions. This study will compare the characteristics of coronary angiography / percutaneous coronary intervention (duration of procedure, time to obtain the vascular arterial access, amount of contrast used, time and amount of radiation, success of procedure) and patency of radial arteries 3 months after the intervention using the distal ('snuff box') and proximal ('classic') radial approach
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2020
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
January 14, 2020
CompletedFirst Posted
Study publicly available on registry
January 18, 2020
CompletedStudy Start
First participant enrolled
February 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2021
CompletedJanuary 18, 2020
January 1, 2020
11 months
January 14, 2020
January 15, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Occlusion of the radial artery
Occlusion of the radial artery used for coronary intervention diagnosed using Color Doppler
3 months
Study Arms (2)
Angiography performed using distal radial artery
EXPERIMENTALPatients undergoing coronary angiography with or without intervention using distal radial artery ('snuff box') as a vascular access
Angiography performed using proximal radial artery
ACTIVE COMPARATORPatients undergoing coronary angiography with or without intervention using proximal radial artery as a vascular access
Interventions
Patients undergoing coronary angiography with or without percutaneous coronary intervention will be catheterised using distal radial artery ('snuff box'); color doppler will be performed after 3 months to estimate eventual occlusion of the radial artery
Patients undergoing coronary angiography with or without percutaneous coronary intervention will be catheterised using proximal radial artery; color doppler will be performed after 3 months to estimate eventual occlusion of the radial artery
Eligibility Criteria
You may qualify if:
- signed a performed consent, older than 18 YO, clear indication for coronary angiography, palpable radial pulse
You may not qualify if:
- hemodynamic instability, critically ill patient, usual coronary angiography contraindication
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- University Hospital
Study Record Dates
First Submitted
January 14, 2020
First Posted
January 18, 2020
Study Start
February 1, 2020
Primary Completion
December 31, 2020
Study Completion
February 1, 2021
Last Updated
January 18, 2020
Record last verified: 2020-01