Comparison of Vascular Access in STEMI

NCT04941638 | Completed

• 1 other identifier: DRA-STEMI
• Study Type: observational
• Target: 109
• Locations: 1 country
• Sites: 1

Brief Summary

Distal radial access (DRA) has recently introduced and previous studies have demonstrated that it is feasible option, showing several advantages including less bleeding and access-site complications over proximal radial access (PRA). Previous study reported the feasibility of DRA as an alternative option for primary percutaneous coronary intervention (PCI) in STEMI patients without major complication. However, comparison study of each vascular access for primary PCI have not been conducted until now. Here, The investigators aim to compare the DRA, PRA and femoral access (FA), in terms of feasibility and safety, in patients with STEMI. This is a retrospective study with patients who underwent primary PCI for STEMI between March 2020 to May 2021. The primary outcome of this study is the access-site complication including major bleeding requiring transfusion or surgery, hematoma and arterial occlusion.

Conditions

ST Elevation Myocardial Infarction

Keywords

Distal radial access; Snuffbox approach; ST Elevation Myocardial Infarction

Outcome Measures

Primary Outcomes (1)

• access-site complication

  puncture site related complication

  1 month

Secondary Outcomes (3)

• The success rate of the puncture

  Through procedure

• The success rate of the primary PCI

  Through procedure

• The percentage of puncture time in Door-to-wiring time (%)

  Through procedure

Interventions

Distal radial access PROCEDURE

Vascular access for primary PCI in patients with STEMI

Also known as: Proximal radial access, Femoral access

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who underwent primary PCI for STEMI without ECMO

You may qualify if:

• Between March 2020 to May 2021, patients who underwent primary PCI for STEMI at the Yongin Severance Hospital

You may not qualify if:

• Refractory cardiogenic shock requiring extracorporeal membrane oxygenation (ECMO)

Sponsors & Collaborators

• Yonsei University: lead

Study Sites (1)

Yongin Severance Hospital

Yongin, Gyeonggi-do, 16995, South Korea

Location

MeSH Terms

Conditions

ST Elevation Myocardial Infarction

Condition Hierarchy (Ancestors)

Myocardial Infarction; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis

Study Officials

• Yongcheol Kim

  Yongin Severance Hopistal

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 18, 2021
• First Posted: June 28, 2021
• Study Start: June 17, 2021
• Primary Completion: June 22, 2021
• Study Completion: June 29, 2021
• Last Updated: April 22, 2022

Record last verified: 2021-06

Locations

KR (1)