Candidate patients for angiography and angioplasty through the radial artery.
Conditions
Interventions
Intervention 1: Intervention group: recipient of combined topical gel. Intervention 2: Control group: receiving placebo gel.
Sponsors
Mazandaran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with coronary heart disease and clinical candidates for radial catheterization for diagnostic or therapeutic interventions. Able to understand Persian language Providing written consent Age above 18 years No previous pain and injury in the right hand
Exclusion criteria
Exclusion criteria: Atrioventricular block QRS prolongation of more than 120 milliseconds Parkinson's disease Long QT intervals of more than 0.44 seconds breastfeeding pregnancy Known liver dysfunction Type D response in Barbeau test Acute coronary syndrome Raynaud's syndrome Known history of hypersensitivity to local anesthetics Radial pulse not palpable Systolic blood pressure drop of less than 90 mmHg More than two attempts to reach the radial artery Lack of radial artery access and femoral access as an alternative solution History of radial artery access in the last 6 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Radial artery spasm. Timepoint: During catheterization. Method of measurement: Using the radial artery spasm scoring scale.;Hand function. Timepoint: before the start of catheterization and two hours after catheter removal. Method of measurement: Using the tool: HAKIR Questionnaire (HQ-8).;The pain. Timepoint: Before, during and after catheterization. Method of measurement: using visual analog scale (VAS).;Sympathetic tone. Timepoint: Before, during and after catheterization. Method of measurement: Using a hemodynamic monitoring device and a pulse oximeter. | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of attempts to access the radial artery. Timepoint: During catheterization. Method of measurement: It will be calculated as the number of passes of the needle through the skin and will be observed and recorded by the researcher.;Lack of access to the radial artery. Timepoint: During catheterization. Method of measurement: The sheath cannot be inserted or pressure is not detected. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAmir Akbari Malekabadi
Mazandaran University of Medical Sciences
Outcome results
None listed