Cutaneous granuloma formation following the use of radial introducer sheaths used in coronary angiography and angioplasty procedures Circulatory System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients admitted for cardiac procedures with planned radial access 2. Patients under the care of a participating consultant
Exclusion criteria
Exclusion criteria: 1. Patients under 18 years of age 2. Patients unable to give informed consent 3. Patients who feel unable or unwilling to return to the study centre for outcome measure assessment 4. Patients who have had previous procedures through the same radial access site 5. Emergency or high risk procedures with survival doubt 6. Where there is a known sensitivity to the study device
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of granuloma formation by 28 days defined as an indurated, erythematous lesion, at least 3mm in its longest diameter, not related to haematoma | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The rate of successful insertion of the study sheath device 2. The rate of successful completion of the coronary procedure through the initial sheath device 3. The incidence of administration of intra-arterial vasodilator agents for the management of coronary artery spasm (routine administration is not practice at the study centre) The rate of other vascular complications 1. Small haematoma = 3cm diameter 2. Large haematoma > 3cm diameter 3. The incidence of blood transfusion related to access site complications 4. The incidence of surgical or other interventional procedures for the management of vascular access complications 5. Delayed discharge necessitating an unplanned night or more in hospital related to vascular access complications All secondary outcome measures are recorded following the index procedure and prior to hospital discharge. | — |
Countries
United Kingdom