vascular damage Vascular injury
Conditions
Interventions
Transradial access (TRA) to the coronary arteries without use of a arterial
sheath (sheathless procedure) is compared to conventional TRA with use of a
arterial sheath.
Sponsors
Haaglanden Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: -Admitted for transradial coronary angiography with option to ad-hoc coronary intervention -Older than 18 years -Able and willing to give informed consent
Exclusion criteria
Exclusion criteria: -Severe renal dysfunction (eGFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The occurrence of acute radial injury, detected by post-procedural radial OCT. -Intimal tears -Medial dissections -Intraluminal thrombi -Intramural hematomas. | — |
Secondary
| Measure | Time frame |
|---|---|
| Procedural progress: -procedural time until radial OCT -fluoroscopy time until radial OCT -cross-over to contralateral radial artery or femoral artery -use of contrast Patient*s comfort 1) The occurrence of radial artery spasm. 2) Difference in pain score (Visual Analogue Scale, VAS) during and after the procedure. 3) Difference in Quick DASH score (see appendix 2) before and 1 month after intervention 4) Difference in CISS score (see appendix 3) before and 1 month after intervention The occurrence of radial artery occlusion (RAO) assessed by manual palpation. In absence of radial artery pulse, vascular ultrasound according to the local protocol will be performed to confirm RAO. | — |
Countries
Netherlands
Outcome results
None listed