Cerebral Angiography
Conditions
Brief summary
Transradial diagnostic angiography in cardiovascular disease given lower vascular complications. However, neuroendovascular surgeons have not widely adopted the transradial approach for diagnostic approach and interventional procedures. This study aims to compare the efficacy, safety, and patient satisfaction with the transradial approach versus the transfemoral approach in diagnostic cerebral angiography.
Detailed description
Transradial diagnostic angiography in cardiovascular disease given lower vascular complications. However, neuroendovascular surgeons have not widely adopted the transradial approach for diagnostic approach and interventional procedures. This study aims to compare the efficacy, safety, and patient satisfaction with the transradial approach versus the transfemoral approach in diagnostic cerebral angiography.
Interventions
PROCEDUREDiagnostic cerebral angiography
In transradial access, no preprocedural upper extremity collateral blood supply testing was completed. When the radial access is unsuccessful, it is shifted to ulnar or femoral access. All right arms were secured in the fully supine position to allow access to both radial and ulnar arteries. At the conclusion of radial access procedures, a TR band was applied to close the access. Neurological exams as well as radial artery pulse and pulse oximeter of the right first finger were assessed during and on discharge by trained recovery nurses. Femoral access was performed in a standard manner. After the access (femoral or radial), a cerebral angiogram was performed in a standard manner using appropriate catheters (vertebral, bern, Simmons 2 or 3) according to the access. For the radial access, the patient was slightly sedated.
Sponsors
Mashhad University of Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
In this study, all consecutive patients referred for diagnostic cerebral angiography at a large academic tertiary care medical center were randomly assigned to two groups: right radial access versus femoral access for diagnostic cerebral angiography.
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* All consecutive adult inpatients and outpatients referred for diagnostic cerebral angiography * the presence of the right radial pulse and at least one femoral pulse
Exclusion criteria
* age\<18 * pregnant patients * occlusion of aorta or proximal both iliac/ femoral artery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| technical success | during procedure | Incidence of sucess of performing the programmed cerebral angiogram through the randomised access without for crossover. |
| access success | during procedure | Incidence of puncture success to insert a sheat in the access point |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| total procedure time | during procedure | the duration (minutes) between the insertion of sheath and removal of sheath. fluoroscopy time, the need for performing 3D angiography, dose area product (DAP), total radiation dose, successful puncture (successful insertion of radial artery sheath and femoral artery sheath). Procedures that yielded angiograms with acceptable quality through the subclavian artery injection (with an inflated blood pressure cuff on the arm), in cases of failed vertebral artery cannulation, were also considered successful. |
| total fluoroscopy time | during procedure | the duration of fluoroscopy |
| complication | during procedure or one week after procedure | incidence of any procedural-related complication procedure |
Other
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction | immediately after procedure, one hour after the procedure | The pain evaluation by the Visual analog score (VAS) by trained nurses and recorded as the scoring system (No pain: 0; Mild:1-3; Moderate:4-7; Severe:8-10). |
Countries
Iran
Contacts
Primary ContactHumain Baharvahdat, MD
Backup ContactFarid Qoorchi Moheb Seraj, MD
Outcome results
None listed