Coronary Heart Disease
Conditions
Interventions
Study Group:Distal transradial access (dTRA) for percutaneous coronary intervention
Control Group:Transradial access (TRA) for percutaneous coronary intervention
Sponsors
Fuwai Hospital, CAMS & PUMC
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >=18 years; 2. Height <=180 cm; 3. Meeting the high bleeding risk (HBR) criteria as defined by the Academic Research Consortium for High Bleeding Risk (ARC-HBR); 4. Scheduled for percutaneous coronary intervention (PCI).
Exclusion criteria
Exclusion criteria: 1. Previous ipsilateral radial or distal radial artery intervention; 2. Anatomical radial artery variation unsuitable for transradial approach; 3. Non-palpable pulse or absence of radial pulse in proximal or distal radial artery; 4. Pre-procedural ultrasound demonstrating distal radial artery diameter <1.7 mm or radial artery occlusion; 5. Hemodynamic instability; 6. Emergency coronary intervention/PCI; 7. Other contraindications to coronary intervention; 8. Refusal to sign informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of grade =2 subcutaneous hematoma at 24 hours post-procedure (modified EASY classification system); | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of radial artery occlusion (RAO) at 24 hours post-procedure ;Puncture success rate (successful arterial sheath insertion rate);Compression time (duration from post-procedure compression initiation to complete removal of compression device);Pain score ;Incidence of other complications (including radial nerve injury, arteriovenous fistula, compartment syndrome, etc.); | — |
Countries
China
Contacts
Public ContactLijian Gao
Fuwai Hospital,CAMS & PUMC
Outcome results
None listed