Radial Artery Access With Ultrasound Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 698
- 试验地点
- 11
- 主要终点
- Number of Attempts
研究概览
简要总结
Radial artery access for cardiac catheterization can require multiple attempts. Multiple attempts increase the time required, patient discomfort, and the risk of arterial spasm. Ultrasound guidance has been shown in other studies to reduce the number of attempts and complications in central venous and femoral artery access. This study will test if the addition of ultrasound guidance reduces the number of attempts and time required to access the radial artery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients presenting for cardiac or peripheral catheterization with planned radial approach.
- •Barbeau's or Allen's test indicating at least some degree of collateral circulation in palmar vessels
- •Functional ultrasound equipment with ultrasound trained attending operator
排除标准
- •Inability to provide informed consent
- •Femoral access
- •Emergency procedure (Shock, STEMI)
- •End-stage renal disease on hemodialysis
- •Previous ipsilateral puncture within 1 week
结局指标
主要结局
Number of Attempts
时间窗: Immediately during procedure. (up to 30 minutes)
Number of passes of the needle required to access the artery during the cardiac catheterization procedure. This is only assessed at the time of the procedure, i.e. during the first 30 minutes. This is to be reported as both total number of attempts and as a first pass success rate.
次要结局
- Time to Sheath Insertion (Seconds)(Immediately during procedure (within 30 minutes))
- First-pass Success Rate(Immediate)
研究者
Arnold Seto
Assistant Clinical Professor
University of California, Irvine