Randomized Comparison of Radiation Exposure in Coronary Angiography Between Right Conventional and Left Distal Radial Artery Approach: The DOSE Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 主要终点
- Radiation dose of the operator (µSv)
研究概览
简要总结
Randomized comparison of radiation exposure in coronary angiography between right conventional and left distal radial artery approach
详细描述
The left snuffbox approach is expected to be easier to perform because of less severe tortuosity of the clavicle artery. However, clinical validation of the snuffbox approach was not completed compared with the conventional radial approach. Especially, there is no clinical data on the comparison of the radiation dose in both approaches. To date, there have been some studies on the radiation dose between the left and right radial artery and femoral artery puncture site, but no studies have been conducted on the left snuffbox approach.
The purpose of this study was to compare the radiation doses of the two interventional radiologists by randomly assigning coronary angiography to the left snuffbox approach and right conventional radial approach.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 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
- •Patients who are a palpable right radial artery and left distal radial artery
- •The decision to participate voluntarily in this study and the written consent of the patient
排除标准
- •Patients who are not palpable right radial artery and left distal radial artery
- •Patients who have arteriovenous fistula
- •Patients presenting with acute myocardial infarction
- •Patients who need to perform coronary angiography via femoral approach, such as shock state
- •Patients who have atrioventricular block on the electrocardiogram
- •Patients who have a plan to perform Ergonovine provocation test
- •Patients who need percutaneous coronary intervention
- •Patients who are not appropriate for this study
结局指标
主要结局
Radiation dose of the operator (µSv)
时间窗: Through procedure completion, up to 6 hours
Radiation dose (µSv) of the operator's head, hand, and body will be compared between right conventional radial artery approach and left snuffbox approach group.
次要结局
- Fluoroscopy time for coronary angiography (second)(Through procedure completion, up to 6 hours)
- Dose-area product (mGy*cm2)(Through procedure completion, up to 6 hours)
- Success rate of radial puncture (%)(Through procedure completion, up to 6 hours)
- Hemostasis duration (minute)(During hospitalization, up to 1 month)
- Cannulation time (second)(Through procedure completion, up to 6 hours)
- Puncture site complication after hemostasis(During hospitalization, up to 1 month)
研究者
Myung Ho Jeong
Professor
Chonnam National University Hospital