Prevention of Radial Artery Occlusion After Trans-radial Cardiac Catheterization

Not Applicable

• Conditions: CARDIAC CATHETRIZATION
• Interventions: Device: radial artery compression device; Device: ulnar artery compression device; Device: radial artery compression device guided with plysthmography

• Registration Number: NCT03182530
• Lead Sponsor: Assiut University

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

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Status Verified: 2017-06
• Study First Submitted: 2017-06-08
• Study First Submitted QC: 2017-06-08
• Last Update Submitted: 2017-06-08
• Study First Posted: 2017-06-09
• Last Update Posted: 2017-06-09
• Study Start: 2017-07
• Primary Completion: 2019-01
• Study Completion: 2019-03

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 600

Inclusion Criteria

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

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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.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
control group	radial artery compression device	-
ULTRA method group	ulnar artery compression device	-
ULTRA method group	radial artery compression device	-
standard patent hemostasis group	radial artery compression device guided with plysthmography	-

Primary Outcome Measures

Name	Time	Method
The percentage of occurrence of radial artery occlusion	1 hour	the assessment will be done after compression device removal guided by duplex post trans-radial cardiac catheterization.