Using distal radial access for coronary procedures
Distal Radial Access for Diagnostic and Interventional Coronary Procedures in an All-comer Population: Observational Registry
This study is testing if using a new access point in the wrist for heart procedures can be safer and more comfortable for patients compared to the traditional method.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 2000 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Hospital Arnau de Vilanova Academic / other |
| Locations | 1 site (Lleida) |
| Trial ID | NCT06165406 on ClinicalTrials.gov |
What this trial studies
This observational study evaluates the use of distal radial access (DRA) in the anatomical snuffbox as an alternative to traditional trans radial access (TRA) for coronary procedures. It aims to assess the success rate of DRA and measure the incidence of radial artery occlusion (RAO) among patients undergoing diagnostic or interventional coronary procedures. The study will compare clinical characteristics and outcomes in an all-comer population, leveraging previous findings that suggest DRA may reduce complications and improve patient comfort. The research is conducted across multiple hospitals to gather diverse data.
Who should consider this trial
Good fit: Ideal candidates include adults over 18 years old who are undergoing diagnostic or therapeutic coronary procedures and have a detectable distal radial pulse.
Not a fit: Patients with known allergies to iodinated contrast, those without a feasible distal radial artery, or women who may be pregnant may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to fewer complications and improved outcomes for patients undergoing coronary procedures.
How similar studies have performed: Previous studies have shown promising results for distal radial access, indicating its feasibility and safety compared to traditional methods.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion criteria: * Patients who have undergone diagnostic or therapeutic coronary procedures using DRA in any clinical setting. * Patients over 18 years of age. * Presence of distal radial pulse. * The Barbeau test was recommended but not mandatory. Exclusion criteria: * Previously known allergy to iodinated contrast and inability to receive premedication. * Absence of distal radial pulse and distal radial artery not feasible by ultrasound. * Women with the possibility of being pregnant. * Inclusion in other clinical trials or registries.
Where this trial is running
Lleida
- Hospital Universitari Arnau de Vilanova — Lleida, Spain (Recruiting)
Study contacts
- Principal investigator: Kristian Rivera, MD — University Hospital Arnau de Vilanova, Lleida Spain.
- Study coordinator: Kristian Rivera, MD
- Email: psrivera.lleida.ics@gencat.cat
- Phone: 0034973705354
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.