Intervention, Transradial, Transulnar
Conditions
Keywords
transulnar approach, transradial approach, angiography, angioplasty
Brief summary
The transradial approach for coronary angiography and angioplasty is now widely used in catheterization laboratories worldwide, which had been shown as advantages over the conventional femoral and brachial approaches due to the lower incidence of bleeding and other cardiovascular complications. However, the transradial approach does not seem suitable for 5-15% of patients undergoing coronary angiography and angioplasty. The ulnar artery which is one of the two terminal branches of the brachial artery is usually larger than radial artery and it may be as a potential approach for cardiac catheterization. Recently, some reports have demonstrated that the transulnar approach may be both feasible and safe for coronary angiography and angioplasty in selective patients.we performed this study to evaluate the safety and feasibility of transulnar approach coronary catheterization in real world non-selective patients.
Interventions
PROCEDUREtransulnar approach interventional procedure
PROCEDUREtransradial approach interventional procedure
Sponsors
Fu Xianghua
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of coronary artery disease * Needed to perform coronary angiography or angioplasty
Exclusion criteria
* Arterial circulatory disease in an upper limb * History of deformity * Forearm trauma * Forearm amputated * Hemodialysis * Symptomatic peripheral artery disease * Raynaud's syndrome * Hemorrhagic disease * Cardiogenic shock * Others who were unwilling to participate the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Coronary artery cannulation | 1-12 month | vascular events including arterial occlusion through ulnar/radial artery approach |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Interventional procedure characteristic | during procedure | The secondary end points included the crossover rate, spasm, total time for the procedure |
| The access-site related complications | 1-12 month follow up | The access-site related complications were defined as the occurrence of hematoma, artery stenosis, arteriovenous fistula, pseudoaneurysm, and nerve injury |
Countries
China
Contacts
Primary ContactXianghua FU
Outcome results
None listed