N/A
N=698
Radial Artery Access With Ultrasound Trial
Coronary Artery Disease
Bottom Line
View on ClinicalTrials.gov: NCT01605292 ↗Enrolled (actual)
698
Serious AEs
0.0%
Results posted
Feb 2015
Primary outcome: Primary: Number of Attempts — 3.05; 1.65 forward attempts — p=<0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Ultrasound guidance (Procedure); Palpation (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of California, Irvine
- Primary completion
- Mar 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Attempts |
3.05; 1.65 | <0.0001 sig |
| SECONDARY Time to Sheath Insertion (Seconds) |
108; 88 | 0.006 sig |
| SECONDARY First-pass Success Rate |
104; 153; 133; 83 | <0.0001 sig |
Summary
Radial artery access for cardiac catheterization can require multiple attempts. Multiple attempts increase the time required, patient discomfort, and the risk of arterial spasm. Ultrasound guidance has been shown in other studies to reduce the number of attempts and complications in central venous and femoral artery access. This study will test if the addition of ultrasound guidance reduces the number of attempts and time required to access the radial artery.
Eligibility Criteria
Inclusion Criteria
- Adult patients presenting for cardiac or peripheral catheterization with planned radial approach.
- Barbeau's or Allen's test indicating at least some degree of collateral circulation in palmar vessels
- Functional ultrasound equipment with ultrasound trained attending operator
Exclusion Criteria
- Inability to provide informed consent
- Femoral access
- Emergency procedure (Shock, STEMI)
- End-stage renal disease on hemodialysis
- Previous ipsilateral puncture within 1 week
Data sourced from ClinicalTrials.gov (NCT01605292). 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.