Efficacy and Safety of the Distal Radial Approach
NCT05311111 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 250
Last updated 2022-04-11
Summary
The aim of this non-inferiority trial is to determine if the distal radial access (DRA) during percutaneous coronary intervention (PCI) has an acceptable efficacy compared to the reference access through the conventional radial artery (TRA) with a lower rate of radial artery occlusion (RAO) in real life practice.
Conditions
- Vascular Access Complication
- Coronary Artery Disease
Interventions
- PROCEDURE
-
distal radial artery approach
Procedure: Use of radial artery for access for a coronary angiography or intervention After preparation and local anesthesia, the operator will puncture the distal radial artery in the dorsum of the hand or the anatomical snuff-box. Then a sheath will be placed. A cocktail combining Risordan®, Loxen® and unfractionated heparin will be injected through the sheath. a wire will be introduced. At the end of the procedure, the sheath will be removed immediately and hemostasis by compression will be carried out with an elastic band for 12 hours. The choice of limb side, sheath, catheters will be chosen according to the operator's discretion.
- PROCEDURE
-
conventional radial artery approach
Procedure: conventional radial access for a percutaneous coronary intervention After preparation and local anesthesia, the operator will puncture the proximal radial artery at the conventional site in distal forearm. Then a sheath will be placed. A cocktail combining Risordan®, Loxen® and unfractionated heparin will be injected through the sheath. a wire will be introduced. At the end of the procedure, the sheath will be removed immediately and hemostasis by compression will be carried out with an elastic band for 12 hours. The choice of limb side, sheath, catheters will be chosen according to the operator's discretion.
Sponsors & Collaborators
-
General Administration of Military Health, Tunisia
lead NETWORK
Principal Investigators
-
Aymen Noamen, MD · military hospital of Tunis , Tunis EL manar University, Faculty of medicine of Tunis
-
Nadhem Hajlaoui, Pr · military hospital of Tunis , Tunis EL manar University, Faculty of medicine of Tunis
-
Wafa Fehri, Pr · military hospital of Tunis , Tunis EL manar University, Faculty of medicine of Tunis
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-02-01
- Primary Completion
- 2022-05-30
- Completion
- 2022-06-30
Countries
- Tunisia
Study Locations
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