The Prevalence of Radial Artery Occlusion in Diagnostic Cardiac Catheterization and Percutaneous Intervention

Coronary Angiography Clinical Trial

Official title:

The Prevalence of Radial Artery Occlusion in Diagnostic Cardiac Catheterization and Percutaneous Intervention

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01996553
• Other study ID #: 743024-6
• Status: Completed
• Phase: N/A
• First received: November 22, 2013
• Last updated: August 8, 2017
• Start date: April 2013
• Est. completion date: July 2017

Study information

• Verified date: August 2017
• Source: Jesse Brown VA Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to establish the rate of radial artery occlusion post transradial cardiac catheterization through different modalities.

The study hypothesis is that specialized imaging can provide specific information to help identify hand complications after cardiac catheterization through the wrist.

Description:

The purpose of this study is to establish the rate of radial artery occlusion post diagnostic/interventional cardiac catheterization through different modalities, and to compare current assessment methods (such as Allen's test, Modified Barbeau test and duplex ultrasonography) to specialized imaging techniques for sensitivity and specificity of radial artery occlusion detection post transradial catheterization.

The study hypothesis is that specialized imaging can provide a specific focused analysis of hand characteristics to identify physiologic abnormalities as a result of radial artery occlusion post transradial catheterization.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 172
• Est. completion date: July 2017
• Est. primary completion date: July 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult subjects over the age of 18 who present to the Jesse Brown VA cath lab for a diagnostic radial artery angiogram or percutaneous intervention will be considered for the study.

Exclusion Criteria:

• Any subject who is unable to give informed consent or declines to participate will be excluded.

• Patients who have previously had a cardiac catheterization through the radial artery will be excluded because it will not be known if the changes to the circulation of the hand is secondary to the current or previous transradial catheterization.

Related Conditions & MeSH terms

• Arterial Occlusive Diseases
• Coronary Angiography
• Radial Artery Occlusion

Locations

Country	Name	City	State
United States	Jesse Brown VA Medical Center	Chicago	Illinois

Sponsors (1)

Lead Sponsor	Collaborator
Jesse Brown VA Medical Center

Country where clinical trial is conducted

United States, 

References & Publications (5)

Barbeau GR, Arsenault F, Dugas L, Simard S, Larivière MM. Evaluation of the ulnopalmar arterial arches with pulse oximetry and plethysmography: comparison with the Allen's test in 1010 patients. Am Heart J. 2004 Mar;147(3):489-93. — View Citation

Bazemore E, Mann JT 3rd. Problems and complications of the transradial approach for coronary interventions: a review. J Invasive Cardiol. 2005 Mar;17(3):156-9. Review. — View Citation

Dandekar VK, Vidovich MI, Shroff AR. Complications of transradial catheterization. Cardiovasc Revasc Med. 2012 Jan-Feb;13(1):39-50. doi: 10.1016/j.carrev.2011.08.005. Epub 2011 Nov 23. Review. — View Citation

Durham KA. Cardiac catheterization through the radial artery. Am J Nurs. 2012 Jan;112(1):49-56. doi: 10.1097/01.NAJ.0000410370.81555.54. — View Citation

Sanmartin M, Gomez M, Rumoroso JR, Sadaba M, Martinez M, Baz JA, Iniguez A. Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv. 2007 Aug 1;70(2):185-9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Physiologic abnormalities of the hand	Blood flow to the hand in which transradial access was accomplished will be assessed for physiologic abnormalities as a result of radial artery occlusion post transradial catheterization	1 day to 3 weeks post transradial cardiac catheterization
Primary	Physiologic abnormalities of the hand	Blood flow to the hand in which transradial access was accomplished will be assessed for physiologic abnormalities as a result of radial artery occlusion	3 weeks to 3 months post transradial cardiac catheterization
Secondary	Radial Artery Occlusion	Radial artery blood flow will be assessed for patency or occlusion 1 day to 3 weeks post transradial cardiac catheterization	1 day to 3 weeks post transradial catheterization
Secondary	Radial Artery Occlusion	Radial artery blood flow will be assessed for patency or occlusion 3 weeks to 3 months post transradial catheterization	3 weeks to 3 months post transradial catheterization