N/A
N=75
Caring for the Radial Artery Post-angiogram
Transradial Angiogram
Bottom Line
View on ClinicalTrials.gov: NCT01326455 ↗Enrolled (actual)
75
Serious AEs
0.0%
Results posted
Sep 2022
Primary outcome: Primary: Bleeding Requiring Intervention After Initial Hemostasis Achieved — 2; 6; 3 participants — p=0.25
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Terumo TR wristband (Device); Clo-Sur-P.A.D. (Device)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Alberta
- Primary completion
- Mar 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Bleeding Requiring Intervention After Initial Hemostasis Achieved |
2; 6; 3 | 0.25 |
| PRIMARY Bleeding Requiring Intervention Post-CATH Day 1 |
0; 1; 0 | 0.47 |
| SECONDARY Time to Discharge |
178.2; 134; 113.7 | 0.002 sig |
| SECONDARY Hematoma or Bruising at Discharge |
1; 2; 0 | 0.372 |
| SECONDARY Hematoma or Bruising Post-CATH Day 1 |
4; 4; 7 | 0.468 |
| SECONDARY Radial Artery Occlusion Post-CATH |
0; 0; 0 | — |
| SECONDARY Radial Artery Occlusion Post-CATH Day 1 |
0; 0; 0 | — |
Summary
The purpose of this pilot study was to compare two devices and three methods for achieving hemostasis after a transradial angiogram while assessing vascular complications and time endpoints. The heart has traditionally been accessed through the femoral artery. However, in the last 20 years, the radial artery has gained more popularity among physicians and patients, thereby offering an alternative to the femoral approach. Various methods of applying compression to the radial puncture site have been used, but no research has been done to show what best practice is. In this case, best practice would be the most effective way of getting hemostasis while limiting complications and ensuring the efficient use of nursing and medical resources. It is hypothesized that statistically significant differences are seen in time to discharge in the fast-release Terumo and Clo-Sur P.A.D. groups, as compared with the control Terumo group, without increasing vascular complications.
Eligibility Criteria
Inclusion Criteria
- nonemergent
- outpatient
Exclusion Criteria
- inpatients
- emergency patients
- booked angioplasty patients
- cognitive impairment
- those in whom the approach was initiated but aborted due to inability to puncture the radial artery
Data sourced from ClinicalTrials.gov (NCT01326455). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.