Distal Radial Access for Coronary Procedures

Summary

Distal radial access (DRA) in the anatomical snuffbox (AS) is a relatively novel approach that can be considered an alternative to trans radial access (TRA) for coronary procedures. Several observational and randomized studies have established its feasibility and safety, with evidence of certain advantages over TRA, such as a reduction in hemostasis time, a lower incidence of complications at the puncture site, and a lower incidence of radial artery occlusion (RAO). Notwithstanding that a recent randomized study reported a similar RAO rate between DRA and TRA, several meta-analyzes confirm the advantages of DRA, despite a consistently higher crossover rate.

The objective of this observational study is to assess the performance of the procedure and to compare clinical characteristics in an all-comer population undergoing diagnostic or interventional coronary procedures.

The main questions it aims to answer are:

* Determine the success rate of DRA and measure the incidence of RAO in an all-comer population undergoing coronary procedures.
* Compare the clinical and anatomical characteristics of patients with DRA for coronary procedures and determine predictors of failure of access.

Conditions

• Vascular Access Complication
• Coronary Artery Disease
• STEMI
• Non STEMI
• Angina, Unstable
• Angina, Stable
• Artery Occlusion
• Hematoma
• Procedural Pain
• Procedural Blood Vessel Puncture

Interventions

PROCEDURE

Distal radial access

Distal radial access for coronary procedures

Sponsors & Collaborators

• Hospital Universitario Torrecárdenas

  collaborator OTHER

• Hospital Regional de Malaga

  collaborator OTHER

• Hospital Universitari de Bellvitge

  collaborator OTHER

• Hospital Universitari Joan XXIII de Tarragona.

  collaborator OTHER

• Hospital Arnau de Vilanova

  lead OTHER

Principal Investigators

• Kristian Rivera, MD · University Hospital Arnau de Vilanova, Lleida Spain.

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-08-01

Primary Completion

2025-12-31

Completion

2025-12-31

Countries

• Spain

Study Locations