Distal Transradial Access for Primary Percutaneous Coronary Intervention in STEMI Patients
NCT04861389 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 414
Last updated 2021-04-27
Summary
The transradial access (TRA) is currently the preferred approach for percutaneous coronary intervention (PCI). However, in patients with ACUTE ST-segment elevation myocardial infarction (STEMI) after emergency PCI, the high incidence of THE radial artery RAO limits the future choice of the radial artery for percutaneous intervention. The literature reported that distal transradial access (dTRA) significantly reduced RAO after elective PCI, but the application of dTRA in emergency PCI in STEMI has not been reported. We have completed 126 cases of dTRA undergoing emergency PCI after STEMI, which has been preliminarily confirmed to be safe and effective. A single-center, open, prospective, randomized controlled study is planned to compare the use of dTRA and TRA in emergency PCI in STEMI patients. The primary endpoint was the INCIDENCE of RAO within 24 hours after surgery. This clinical study verified that dTRA compared with TRA could reduce the RAO incidence of STEMI patients after emergency PCI. The project will explore a new artery approach to reduce RAO, and provide a basis for the selection of artery approach in STEMI emergency PCI patients.
Conditions
- Acute ST-segment Elevation Myocardial Infarction
- Radial Artery Occlusion
- Distal Radial Artery Approach
Interventions
- PROCEDURE
-
Arterial access
Arterial access for primary percutaneous coronary intervention in STEMI patients
Sponsors & Collaborators
-
Shenzhen People's Hospital
lead OTHER
Principal Investigators
-
Shaohong Dong, MD · Shenzhen People's Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-01-01
- Primary Completion
- 2021-12-31
- Completion
- 2022-01-31
Countries
- China
Study Locations
More Related Trials
-
Left vs Right Radial Approach in the Setting of Primary Percutaneous Coronary Intervention for ST-elevation Myocardial Infarction
NCT02239757 ·Status: COMPLETED ·Phase: NA
-
Comparison of Success Rate Between Distal Radial Approach and Radial Approach in STEMI
NCT03611725 ·Status: COMPLETED ·Phase: NA
-
Distal vs. Forearm Radial Artery Access
NCT04125992 ·Status: COMPLETED ·Phase: NA
-
Arterial Access for Coronary Intervention in Myocardial Infarction
NCT00356044 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Radial and Ulnar Artery Intervention in Patients With ST Elevated Myocardial Infarction
NCT04183140 ·Status: COMPLETED ·Phase: NA
-
CORonaRy Angiography and intErventions Via Distal vs Proximal aCcess
NCT04194606 ·Status: UNKNOWN ·Phase: NA
-
Fast Radial Pharmaco-invasive Strategy In ST Elevation Myocardial Infarction Trial
NCT04300582 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Feasibility of Radial Access for Primary Angioplasty and to Assess it in High Risk Subgroups
NCT03488407 ·Status: COMPLETED
-
Distal Transradial Access for Coronary Angiography and Percutaneous Coronary Intervention.
NCT03948165 ·Status: COMPLETED
-
Efficacy and Safety of the Distal Radial Approach
NCT05311111 ·Status: UNKNOWN ·Phase: NA
-
RadIal Versus Femoral InvEstigation in ST Elevation Acute Coronary Syndrome
NCT01420614 ·Status: UNKNOWN ·Phase: NA
-
Thrombus Aspiration in Patients With STEMI
NCT02606435 ·Status: UNKNOWN ·Phase: PHASE4
-
Trial Comparing Radial and Femoral Approach in Primary Percutaneous Coronary Intervention (PCI)
NCT01136187 ·Status: COMPLETED ·Phase: NA
-
Distal Protection Device in ST-elevation Myocardial Infarction (STEMI)
NCT01384019 ·Status: COMPLETED ·Phase: PHASE4
-
Timing of Complete Revascularization in Patients With ST-segment Elevation Myocardial Infarction And Multivessel Disease
NCT05231226 ·Status: UNKNOWN ·Phase: NA
-
Remote Ischemic Conditioning in ST-elevation Myocardial Infarction as Adjuvant to Primary Angioplasty
NCT02313961 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety Study of Deferred Stenting in Patients With STEMI
NCT02324348 ·Status: COMPLETED ·Phase: NA
-
Evaluate Early Invasive Strategy for Patients With STEMI Presenting 24-48 Hours From Symptom Onset
NCT04962178 ·Status: UNKNOWN ·Phase: NA
-
Thrombectomy in Acute Myocardial Infarction
NCT00675480 ·Status: COMPLETED ·Phase: PHASE3
-
Compare Early With Deferred Invasive Strategy for STEMI Presenting 24-48 Hours From Symptom Onset
NCT04575012 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Primary PCI vs. Post-thrombolysis PCI as Reperfusion Strategies in STEMI
NCT02268669 ·Status: UNKNOWN ·Phase: PHASE4
-
Vascular Closure Device Versus Transradial Approach in Primary Percutaneous Coronary Intervention
NCT02831166 ·Status: COMPLETED ·Phase: PHASE4
-
Selective Aspiration Thrombectomy in STEMI
NCT03841487 ·Status: COMPLETED
-
Antegrade Dissection and Re-entry Versus Retrograde Strategy in CTO PCI
NCT06878729 ·Status: RECRUITING ·Phase: NA
-
Safety and Feasibility of Using a Single Transradial Guiding Catheter for Primary PCI
NCT01759043 ·Status: COMPLETED ·Phase: NA