Health Condition 1: I220- Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
Conditions
Interventions
Intervention1: Transradial access: Transradial 7 Fr access
Frequency of intervention around 300-350 depending upon randomization sequence with device lasting till the duration of procedure
Control I
Sponsors
PGIMER CHANDIGARH
Eligibility
Inclusion criteria
Inclusion criteria: 1. Needs a complex TR coronary intervention requiring the use of a 7 Fr guiding catheter according to operator expertise. 2. Specific anatomic settings and techniques requiring large bore guiding catheter such as Left main (LM) disease, Complex bifurcation stenting, Chronic total occlusion (CTO), Rotational atherectomy, Lesion within vessels with severe tortuousity or large vessels ( >3.5 mm) 3. Patients undergoing emergent or elective PCIs 4. Hemodynamically stable 5. No history of prior ipsilateral brachial or transradial procedure
Exclusion criteria
Exclusion criteria: 1. Previous coronary artery bypass grafts (CABG) using both internal thoracic arteries, 2. Cardiogenic shock, 3. Unsuccessful radial puncture, 4. Patients having PCI with both radial and femoral access 5. Planned cardiac surgery within 1 month after PCI, 6. Arteriovenous shunt for renal dialysis on the procedure forearm 7. Raynaudâ??s phenomenon 8. Unable to follow up at 6 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Procedural successTimepoint: 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| major bleeding, vascular access site complications, spasm, major sheath kinking, crossover to transfemoral access, postprocedural RAOTimepoint: 1 year | — |
Countries
India
Contacts
Public ContactDr Rajesh Vijayvergiya
Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh
Outcome results
None listed