Coronary Artery Disease, Ischemic Heart Disease Without Angina, Non-ST Elevation Myocardial Infarction, Stable Angina, ST-segment Elevation Myocardial Infarction, Unstable Angina
Conditions
Keywords
Access site, Transradial access, Coronary artery disease, Learning curve
Brief summary
This trial will compare the procedural success rate between right and left radial approach in patients undergoing coronary angiography and coronary intervention.
Detailed description
The three operators who are proficient in the left radial approach for coronary angiography and coronary intervention will be assigned to the right radial approach for 3 months (phase 1). After then, these three operators will switch approach site to the left radial for another 3 months (phase 2). Procedural success, time of the procedure, use of contrast agent, and fluoroscopic data will be compared between right radial approach (phase 1) group and left radial approach (phase 2).
Interventions
PROCEDURERadial approach
Approach site for coronary angiography and coronary intervention
Sponsors
Wonju Severance Christian Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER
Masking
NONE
Intervention model description
1\ 3 months: Right radial approach 4\ 6 months: Left radial approach
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Subjects undergoing coronary angiography via radial approach * Subjects undergoing coronary intervention via radial approach * Subjects give written informed consent
Exclusion criteria
* Subjects undergoing procedure(s) other than coronary angiography or intervention * Subjects with contraindication of radial approach (i.e, non-palpable radial pulsation, abnormal Allen's test, known radial artery tortuosity or occlusion, arteriovenous fistula for dialysis)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Procedural success | At the end of procedure | Finishing coronary angiography/intervention without changing approach site |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Coronary angiography time | At the end of procedure | Duration from the insertion of sheath to the end of coronary angiography |
| Puncture + Coronary angiography time | At the end of procedure | Sum of puncture time and coronary angiography time |
| Coronary intervention time | At the end of procedure | Duration from the end of coronary angiography to the end of coronary intervention |
| Contrast amount during coronary angiography | At the end of procedure | Amount of contrast agent used during coronary angiography |
| Puncture time | At the end of procedure | Duration from the start of local anesthesia infiltration to the insertion of sheath |
| Fluoroscopic dose, dose area product during coronary angiography | At the end of procedure | Dose area product during coronary angiography |
| Fluoroscopic dose, dose area product during coronary intervention | At the end of procedure | Dose area product during coronary intervention |
| Fluoroscopic time during coronary angiography | At the end of procedure | Fluoroscopic time during coronary angiography |
| Fluoroscopic time during coronary intervention | At the end of procedure | Fluoroscopic time during coronary intervention |
| Contrast amount during coronary intervention | At the end of procedure | Amount of contrast agent used during coronary intervention |
Countries
South Korea
Outcome results
None listed