Coronary atherosclerotic heart disease
Conditions
Interventions
Distal radial artery (dTRA) group:In the dTRA group, puncture was performed at the anatomical snuffbox with subsequent insertion of a 6F sheath.
Conventional radial artery (cTRA) group:In the cTRA group, puncture was performed at the conventional forearm radial artery site with insertion of a 6F sheath
Sponsors
Wujin People's Hospital of Changzhou City
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1.Meeting the diagnostic criteria for STEMI (chest pain lasting >=30 minutes, ST-segment elevation >=0.1 mV in corresponding leads on ECG, and elevated troponin levels); 2.Aged 18–85 years; 3.Scheduled to undergo emergency PCI, with a palpable distal radial artery pulse confirmed during pre-procedure assessment; 4.Provided signed informed consent.
Exclusion criteria
Exclusion criteria: 1.Previous history of radial artery puncture or radial artery occlusion; 2.Absence of palpable distal or proximal radial artery pulse; 3.Presence of skin ulceration, infection, or scarring at the puncture site; non-removable objects such as bracelets on the wrist; or significant peripheral vascular disease (e.g., peripheral artery stenosis >50%); 4.Cardiogenic shock, hemodynamic instability, or significant anatomical deformity of the wrist/hand.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Puncture time;Door to Balloon time;Puncture to Balloon time;Success rate of puncture;Major adverse cardiac events;Radial artery occlusion rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Bleeding complications;Total operation time; | — |
Countries
China
Contacts
Public ContactLi Wenhua
Wujin People's Hospital of Changzhou City
Outcome results
None listed