MedPath

Transradial Versus Transfemoral Arterial Access for Cerebral Angiography

Not Applicable
Not yet recruiting
Conditions
Cerebral Angiography
Interventions
Procedure: Trans-radial access
Procedure: Trans-femoral access
Registration Number
NCT05401669
Lead Sponsor
Huashan Hospital
Brief Summary

This study is multi-center, prospective, randomized (1:1) controlled trial designed to assess and compare the feasibility, safety and success of Transradial access (TRA) versus Transfemoral access (TFA) for diagnostic cerebral angiography.

Detailed Description

TFA is traditional approach for diagnostic cerebral angiography, which has several limitations and complications including pain and discomfort, retroperitoneal hemorrhage, pulmonary embolism and increased admissions. Transradial coronary angiography has demonstrated preponderance to circumvent this limitations and complications. However, this has not been studied in cerebral angiography. So, the purpose of this study is to assess and compare the feasibility, safety and success of TRA versus TFA for diagnostic cerebral angiography.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
748
Inclusion Criteria
  1. Age 18-90 years
  2. Planned cerebral angiography for clinical reason
  3. Eligible for either transfemoral or transradial approach
  4. Accept to sign the written consent form (WCF)
Read More
Exclusion Criteria
  1. Contraindications to cerebral angiography, such as allergy to iodine contrast agents and renal insufficiency (GFR < 30 ml/min), etc.;
  2. Failure to complete the follow-up as required by the protocol;
  3. Urgency/Emergency procedure
  4. Patients are participating in other clinical trials;
  5. Being pregnant or plan to get pregnant in the short term.
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Trans-radial artery accessTrans-radial access-
Trans-femoral Artery accessTrans-femoral access-
Primary Outcome Measures
NameTimeMethod
the rate of successful diagnostic cerebral angiography24 hours

the successful superselection of the aortic arch vessel without changing the arterial approach, with angiography results meeting diagnostic requirements

Secondary Outcome Measures
NameTimeMethod
the rate of successful accurate diagnosis24 hours
the duration of angiographyDuring procedure

time taken to do the full procedure

the duration of fluoroscopyDuring procedure

Radiation time (min) after placing the sheath at the initial puncture site until the completion of the diagnostic cerebral angiography

the bedridden time24 hours
the Visual Analogue Scale (VAS) score24 hours

Trial Locations

Locations (1)

Huashan Hospital

🇨🇳

Shanghai, Shangai, China

© Copyright 2025. All Rights Reserved by MedPath