Radial Versus Femoral Arterial Access for Cardiac Catheterization: Comparison of Complications at 30 Days
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Purpose
Cardiac catheterization has traditionally been performed via access to the arterial circulation from the femoral artery located in the groin. As an alternative to this approach, the radial artery, located in the arm, is gaining wider use in clinical practice. Multiple studies have demonstrated that cardiac catheterization via the radial approach has a very low complication rate, in the short term. This study is intended to determine if there are any differences in the long term complication rate between radial artery cardiac catheterization as compared with femoral artery cardiac catheterization.
| Condition | Intervention |
|---|---|
|
Radial Artery Occlusion |
Other: Allen's test Other: Distal pulses |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Radial Versus Femoral Arterial Access for Cardiac Catheterization: Comparison of Complications at 30 Days |
- To determine if there is a difference in complication rate measured at 30 days between radial and femoral catheterization [ Time Frame: 30 days ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 1500 |
| Study Start Date: | June 2010 |
| Estimated Primary Completion Date: | January 2014 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Femoral
Subjects receiving femoral artery cardiac catheterization
|
Other: Distal pulses
Practitioner will check that the dorsalis pedis and posterior tibialis are palpable.
|
|
Radial
Subjects receiving radial artery cardiac catheterization
|
Other: Allen's test
The Allen's test checks to make sure that radial and ulnar arteries that supply blood to the hand are not blocked. A pulse oximeter is placed on the index finger of the hand. The subject is asked to make a fist for 10 seconds.At this time, pressure is applied over the ulnar and radial arteries as to occlude (block) both of them. The pulse oximeter reading will begin to fall. Radial arterial pressure is then released. If the artery is patent (working), the pulse oximeter reading will begin to rise.
|
Eligibility| Ages Eligible for Study: | 19 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients presenting at Creighton University Medical Center Cardiac Catheterization laboratory for either radial or femoral cardiac catherization
Inclusion Criteria:
- Male or Female
- 19 years old or older
- candidate for radial or femoral cardiac catheterization
Contacts and Locations| Contact: Michael White, MD | 402-280-4566 | MichaelWhite@creighton.edu |
| United States, Nebraska | |
| Creighton University Medical Center | Recruiting |
| Omaha, Nebraska, United States, 68131 | |
| The Cardiac Center at Creighton University | Recruiting |
| Omaha, Nebraska, United States, 68131 | |
| Principal Investigator: | Michael White, MD | Creighton University |
More Information
No publications provided
| Responsible Party: | Creighton University |
| ClinicalTrials.gov Identifier: | NCT01019330 History of Changes |
| Other Study ID Numbers: | 09-15552 |
| Study First Received: | November 20, 2009 |
| Last Updated: | March 28, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Creighton University:
|
radial vs femoral radial artery cardiac catheterization |
Additional relevant MeSH terms:
|
Arterial Occlusive Diseases Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 21, 2013