Safety and Efficacy of Distal Radial Approach
Study Details
Study Description
Brief Summary
A Prospective Registry to assess the Safety and Efficacy of Distal Radial Approach
Detailed Description
Anaphylactic radial approach is now recognized as a basic technique in coronary artery procedures. The main advantage is increased stability due to the reduction of massive bleeding and increased patient comfort because it can move immediately after the procedure. The operator prefers access to the right radial artery because of the comfort of performing the procedure on the right side of the patient. However, the operator should frequently replace it with a left radial artery approach for various reasons, including 1) closure of the right radial artery, 2) difficulty accessing the coronary artery due to severe gambling of the radial artery, and 3) hemodialysis of the right radial artery.
As for prognosis, the left and right radial artery approaches are similar. However, the left radial artery approach is bound to experience anthropological discomfort in which the operator has to lean toward the patient. An easy solution is the approach from the anatomical left snuff box located on the back of the hand to the distal radial artery. Recently, the left snuffbox approach has been reported, and attempts are increasing in many countries. However, it is true that there is still a difference in diameter of the radial artery through the distant radial artery approach and concerns about percutaneous coronary intervention through this compared to the classical radial artery approach. Recent studies have published studies on the stability and effectiveness of distant radial artery approaches, but they are still small, and studies on specific subgroups are very scarce. Furthermore, data on the current status and performance in Korea so far is very scarce. Therefore, through this study, we would like to systematically collect and analyze data on the status and performance of the approach through the distant radial artery approach to find out the stability and effectiveness of various patient groups, treatment methods.
Study Design
Outcome Measures
Primary Outcome Measures
- Success rate of examination and procedure [hrough procedure completion, up to 24 hours]
Success rate of examination and procedure
Secondary Outcome Measures
- the success rate of the puncture [hrough procedure completion, up to 24 hours]
the success rate of the puncture
- puncture time [hrough procedure completion, up to 24 hours]
puncture time
- complications of the puncture region [the first outpatient visit after discharge]
complications of the puncture region
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients over 20 years of age
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Patients requiring coronary angiography or intervention
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Patients with palpable distant radial artery
Exclusion Criteria:
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Patients with distant radial artery too small or not palpable
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Pregnant women
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Patients not appropriate for the researcher to judge
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Yongcheol Kim | Yongin | Gyeonggi-do | Korea, Republic of | 16995 |
Sponsors and Collaborators
- Yonsei University
Investigators
- Study Director: Yongcheol Kim, MD, PhD, Severance Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 9-2021-0048