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Comparison of transradial access with transfemoral access for complex coronary interventions

Not Applicable
Conditions
Health Condition 1: I220- Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
Registration Number
CTRI/2021/04/032563
Lead Sponsor
PGIMER CHANDIGARH
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Needs a complex TR coronary intervention requiring the use of a 7 Fr guiding catheter according to operator expertise.

2.Specific anatomic settings and techniques requiring large bore guiding catheter such as Left main (LM) disease, Complex bifurcation stenting, Chronic total occlusion (CTO), Rotational atherectomy, Lesion within vessels with severe tortuousity or large vessels ( >3.5 mm)

3.Patients undergoing emergent or elective PCIs

4.Hemodynamically stable

5.No history of prior ipsilateral brachial or transradial procedure

Exclusion Criteria

1.Previous coronary artery bypass grafts (CABG) using both internal thoracic arteries,

2.Cardiogenic shock,

3.Unsuccessful radial puncture,

4.Patients having PCI with both radial and femoral access

5.Planned cardiac surgery within 1 month after PCI,

6.Arteriovenous shunt for renal dialysis on the procedure forearm

7.Raynaudâ??s phenomenon

8.Unable to follow up at 6 weeks

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Procedural successTimepoint: 1 year
Secondary Outcome Measures
NameTimeMethod
major bleeding, <br/ ><br>vascular access site complications, <br/ ><br>spasm, <br/ ><br>major sheath kinking, <br/ ><br>crossover to transfemoral access, <br/ ><br>postprocedural RAOTimepoint: 1 year
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