Trials / Recruiting
RecruitingNCT05605288
Distal Versus Conventional Transradial Artery Access for Coronary Catheterization in Patients With STEMI
Distal Versus Conventional Transradial Artery Access for Coronary Catheterization in Patients With ST-elevation Myocardial Infraction (STEMI): The DR-STEMI Trial
- Status
- Recruiting
- Phase
- N/A
- Study type
- Interventional
- Enrollment
- 554 (estimated)
- Sponsor
- University Hospital of Patras · Academic / Other
- Sex
- All
- Age
- 18 Years
- Healthy volunteers
- Not accepted
Summary
Recently, a novel distal transradial, through anatomical snuffbox, approach has been proposed for undertaking percutaneous coronary angiography and interventions. The existing literature has evaluated distal transradial access (dTRA) as a feasible and safe approach, with faster hemostasis, lower rates of periprocedural complications and reduced incidence of radial artery occlusion (RAO). Aim of the present study is to compare dTRA versus conventional TRA access in patients with STEMI undergoing coronary angiography and interventions regarding peri- and post-procedural characteristics.
Detailed description
Gaining vascular access is the first, mandatory step for undertaking percutaneous coronary angiography and interventions. The recent guidelines, published by European Society of Cardiology (ESC), American College of Cardiology (ACC), American Heart Association (AHA) and Society for Cardiovascular Angiography and Interventions (SCAI), propose TRA as the gold standard for acute coronary syndromes (ACS), chronic coronary syndrome (CCS) percutaneous coronary interventions (PCI). Recently, a novel distal transradial, through anatomical snuffbox, approach has been proposed. The existing literature has evaluated distal transradial access (dTRA) as a feasible and safe approach, with faster hemostasis, lower rates of periprocedural complications and reduced incidence of radial artery occlusion (RAO). Mutual point of all the previous RCTs is that excluded patients suffering from ST-elevation Myocardial Infraction (STEMI). Aim of the present study is to compare dTRA versus conventional TRA access in patients with STEMI undergoing coronary angiography and interventions regarding peri- and post-procedural characteristics.
Conditions
- ST Elevation Myocardial Infarction
- Coronary Artery Disease
- Distal Transradial Artery
- Transradial Artery
- Coronary Catheterization
- Percutaneous Coronary Intervention
- Primary PCI
Interventions
| Type | Name | Description |
|---|---|---|
| PROCEDURE | Coronary angiography +/- percutaneous coronary intervention | Coronary angiography +/- percutaneous coronary intervention |
Timeline
- Start date
- 2024-05-23
- Primary completion
- 2025-11-01
- Completion
- 2025-12-01
- First posted
- 2022-11-04
- Last updated
- 2024-05-29
Locations
3 sites across 3 countries: Belgium, Greece, Switzerland
Source: ClinicalTrials.gov record NCT05605288. Inclusion in this directory is not an endorsement.