Radial Versus Femoral Arterial Access for Cardiac Catheterization: Comparison of Complications at 30 Days

16:45 EDT 31st October 2014 | BioPortfolio

Summary

Cardiac catheterization has traditionally been performed via access to the arterial circulation from the femoral artery located in the groin. As an alternative to this approach, the radial artery, located in the arm, is gaining wider use in clinical practice. Multiple studies have demonstrated that cardiac catheterization via the radial approach has a very low complication rate, in the short term. This study is intended to determine if there are any differences in the long term complication rate between radial artery cardiac catheterization as compared with femoral artery cardiac catheterization.

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Conditions

Radial Artery Occlusion

Intervention

Allen's test, Distal pulses

Location

Creighton University Medical Center
Omaha
Nebraska
United States
68131

Status

Not yet recruiting

Source

Creighton University

Results (where available)

View Results

Links

Clinical Trials [607 Associated Clinical Trials listed on BioPortfolio]

Predictive Value of Allen's Test Result in Elective Patients Undergoing Coronary Catheterization Through Radial Approach

The study will evaluate the feasibility and safety of radial approach in patients undergoing coronary catheterisation without any restrictions based on the results of Allen's test.

Radial Artery Clamp Times in Patients Undergoing Diagnostic Cardiac Catheterization Via Transradial Approach

The investigators will assess the effect of different times of radial clamp post procedure on radial artery occlusion and bleeding.

Study of Endoscopic Versus Open Harvest of the Radial Artery in Coronary Artery Bypass Surgery

The purpose of this study is to compare the safety and effectiveness of minimally invasive endoscopic harvest of the radial artery to the conventional open method of radial artery harvest ...

Radial Optic Neurotomy in Central Retinal Vein Occlusion : a Randomized Trial

Natural evolution of severe central retinal vein occlusion with low visual acuity is very poor. A randomized clinical trial will compare troxerutin and platelet anti-aggregating agents (dr...

Radial Artery Dilation Study: The Effect of Topical Administration of Nitroglycerin and Lidocaine Versus Lidocaine Alone of the Radial Artery Diameter

The radial artery, which is located on the outer side of the forearm, can be used in interventional procedures, such as cardiac catheterization, to provide access to the arterial blood sup...

PubMed Articles [10893 Associated PubMed Articles listed on BioPortfolio]

Ophthalmic artery occlusion after carotid revascularization.

Distal embolization resulting from carotid angioplasty and stenting (CAS) occurs mainly in the cerebral hemisphere. We report a case of ophthalmic artery occlusion after carotid revascularization. A 7...

Predictors of Outcome following Stroke due to Isolated M2 Occlusions.

Factors influencing outcome after cerebral artery occlusion are not completely understood. Although it is well accepted that the site of arterial occlusion critically influences outcome, the majority ...

A case of acute brachial artery occlusion after transradial coronary intervention.

In 2010, a 49-year-old man was admitted to our hospital with chest pain. Angiography via the radial approach was performed. Acute brachial artery occlusion was present after the procedure. By transcat...

Successful angioplasty for radial artery chronic total occlusion in a patient with digital gangrene.

Critical hand ischemia caused by chronic occlusive arterial disease is an uncommon condition. Diabetes mellitus and chronic renal insufficiency are the concomitant conditions in most of these patients...

Symptomatic radial artery thrombosis successfully treated with endovascular approach via femoral access route.

Radial access has been increasingly utilized for coronary intervention due to higher safety profile in comparison to femoral access site with lower bleeding rate. Radial artery occlusion is not uncomm...

Medical and Biotech [MESH] Definitions

The larger of the two terminal branches of the brachial artery, beginning about one centimeter distal to the bend of the elbow. Like the RADIAL ARTERY, its branches may be divided into three groups corresponding to their locations in the forearm, wrist, and hand.

A complication of INTERNAL MAMMARY-CORONARY ARTERY ANASTOMOSIS whereby an occlusion or stenosis of the proximal SUBCLAVIAN ARTERY causes a reversal of the blood flow away from the CORONARY CIRCULATION, through the grafted INTERNAL MAMMARY ARTERY (internal thoracic artery), and back to the distal subclavian distribution.

The continuation of the axillary artery; it branches into the radial and ulnar arteries.

Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.

The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.

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