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Clinical Trials/NCT03182530
NCT03182530UnknownNot Applicable

Prevention of Radial Artery Occlusion After Trans-radial Cardiac Catheterization. Randomized Duplex Follow-up Study.

Assiut University0 sites600 target enrollmentStarted: July 2017Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Enrollment
600
Primary Endpoint
The percentage of occurrence of radial artery occlusion

Study Overview

Brief Summary

Data from literature: transradial access failure sometimes occurs due to inability to cannulate the radial artery due to radial artery spasm1 causing severe difficulties in manipulation of the guide wires and catheters along the tortuous pathways of the arteries. both mechanical stimuli and circulating catecholamines through activation of α1-adrenoreceptors, causing smooth muscle cell contraction & radial artery spasm

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Normal radial artery and of size ≥ 2mm by duplex.
  • Normal ulnar artery by duplex.

Exclusion Criteria

  • Pre-procedural duplex detection of radial artery anomalies as hypoplasia, tortousity, severe calcification or radial artery diameter < 2 mm.
  • Severe renal failure (creatinine clearance < 30 ml/min).
  • Known peripheral vascular disease.
  • Emergency procedures.
  • Failure to successfully cannulate the radial artery was also a criterion for exclusion.
  • Patients on warfarin therapy.

Outcomes

Primary Outcomes

The percentage of occurrence of radial artery occlusion

Time Frame: 1 hour

the assessment will be done after compression device removal guided by duplex post trans-radial cardiac catheterization.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Eman Abbas Abdelaal

principal investigator

Assiut University

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