Left vs Right Radial Approach in the Setting of Primary Percutaneous Coronary Intervention for ST-elevation Myocardial Infarction

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02239757

Enrollment

200

Registered

2014-09-15

Start date

2013-01-31

Completion date

2015-01-31

Last updated

2015-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Transradial Approach, Primary PCI, ST-segment Elevation Myocardial Infarction

Keywords

Transradial Approach, Primary PCI, ST-segment elevation myocardial infarction

Brief summary

Outcomes of patients with acute ST-elevation myocardial infarction (STEMI) are directly related to reperfusion time. Effect of transradial approach (left vs right) on reperfusion time has not been fully studied for SETMI patients undergoing primary percutaneous coronary intervention (PCI). The aim of this study was to randomly investigate the efficacy and safety of left radial approach for primary PCI in STEMI patients compared with right radial approach.

Detailed description

The investigators will enroll consecutively for 3 years all STEMI patients undergoing primary PCI. Patients will be included within 12 hours of symptom onset for primary PCI. Patients will be excluded if they are in cardiogenic shock.

Interventions

PROCEDURELeft radial approach

Primary PCI performed through left radial approach.

PROCEDURERight radial approach

Primary PCI performed through right radial approach.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

20 Years to 80 Years

Healthy volunteers

Inclusion criteria

All consecutive patients with ST-segment elevation myocardial infarction within 12 hours of symptom onset for primary PCI.

Exclusion criteria

Patients are excluded if they were in cardiogenic shock.

Design outcomes

Primary

Measure	Time frame
Needle to balloon time	1 day

Secondary

Measure	Time frame	Description
Radiation dose	7 days	Radiation dose include cumulative air kerma (CAK) and CAK dose area product (CAK DAP)
Fluoroscopy time	7 days	—
Contrast volume	7 days	—

Other

Measure	Time frame	Description
Vascular complications	7 days	Vascular complications include pseudoaneurysm, arteriovenous fistula, lose of radial artery pulse, puncture site bleeding and forearm hematoma.

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026