Clinical Trials Logo

Clinical Trial Summary

The main objective of the study is to assess whether the distal radial arterial approach (snuff box or back of the hand) is not inferior to the radial arterial approach at the wrist, in the management of coronary angiography for diagnostic purposes


Clinical Trial Description

Coronary angiography is the reference examination for anatomical exploration coronary arteries to determine the presence or absence of a predominantly obstructive coronary disease. Historically, the femoral approach was the most common approach used in interventional cardiology. The radial approach to the forearm presents multiple advantages over the femoral route, and it became the gold standard approach to coronary angiography and intervention percutaneous coronary. Although uncommon, vascular complications related to the radial pathway exist. This is why a more distal radial approach, above the long tendon extensor of the thumb (at the level of the anatomical snuff box) or downstream (at the back of the hand) was suggested more than 10 years ago. This pathway is now an advantageous alternative to the radial approach of first intention, both for the patient and for the practitioner. The two procedures are common today but few studies have been developed to compare the two approaches. Therefore, the main objective of the study is to assess whether the distal radial arterial approach (snuff box or back of the hand) is not inferior to the radial arterial approach at the wrist, in the management of coronary angiography for diagnostic purposes ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05725616
Study type Interventional
Source GCS Ramsay Santé pour l'Enseignement et la Recherche
Contact Patrick STAAT, MD
Phone + 33 6 77 34 49 69
Email staatpatrick@gmail.com
Status Recruiting
Phase N/A
Start date July 1, 2023
Completion date March 31, 2024

See also
  Status Clinical Trial Phase
Completed NCT01239225 - Prevalence of Abdominal Aortic Aneurysm in Patients Undergoing Coronary Angiography Phase 4
Recruiting NCT05075590 - Coronary Access After Supra-Annular THV Implantation N/A
Completed NCT02606734 - DyeVert Pilot Trial N/A
Completed NCT00632918 - Effects of Heart Rates and Variability of Heart Rates on Image Quality of Dual-Source CT Coronary Angiography N/A
Completed NCT04801901 - Distal Transradial Access for Percutaneous Coronary Intervention N/A
Completed NCT00345501 - Iloprost for Prevention of Contrast-Mediated Nephropathy in High-Risk Patients Undergoing Coronary Angiography and/or Intervention Phase 2/Phase 3
Recruiting NCT04521660 - The Effect of Using Virtual Reality Glasses During Coronary Angiography N/A
Completed NCT05982366 - Feasibility and Safety of the Routine Distal Transradial Approach N/A
Recruiting NCT04982419 - Remote Ischemic Preconditioning for Renal and Cardiac Protection in Congestive Heart Failure (RICH) Trial Phase 2/Phase 3
Completed NCT00468195 - Optimizing Image Quality in Obese Patients Undergoing Coronary Computed Tomography (CT) Angiography N/A
Completed NCT00468325 - Coronary Computed Tomography for Systematic Triage of Acute Chest Pain Patients to Treatment (CT-STAT) N/A
Completed NCT04911218 - GlideSheath Slender® Versus Conventional 5Fr Arterial Sheath in Coronary Angiography Through the Distal Radial Artery N/A
Completed NCT04318990 - DIstal vs Proximal Radial Artery Access for Cath N/A
Recruiting NCT06312397 - The Effect on Back Pain and Fatigue Level of Acupressure N/A
Recruiting NCT05319119 - Fractional Flow Reserve Derived From CT Related Treatment
Not yet recruiting NCT05133206 - Fasting or Non-fasting Before Cardiac Catheterization N/A
Completed NCT02818101 - Hypnosis Efficacy for the Prevention of Anxiety During a Coronary Angiography N/A
Completed NCT00465335 - Usefulness of Coronary CT Angiography in Patients With Inconclusive Stress Test Results N/A
Recruiting NCT06035783 - Calcium Reduction by Orbital Atherectomy in Western Europe
Completed NCT04407936 - Risk Factors and Prognosis of Adverse Cardiovascular and Kidney Events After Coronary Intervention