Distal Versus Proximal Radial Artery Access for Cardiac Catheterization and Intervention: Design and Rationale of the DIPRA Trial
Autor: | Michael Dimaio, Jared Christensen, Chadi Dib, Michael J. Mack, Katalin Martits-Chalangari, Mohanad Hamandi, Amr Idris, Sibi Thomas, Jasjit K. Banwait, Sarah Hale, Kristen Chionh, Karim Al-Azizi, Molly Szerlip, Penni Dolton, Ginika Apakama, Srinivasa Potluri, Jennifer Swim, Sameh Sayfo, Julie Mcckracken, Preethi Ravindranathan, Adam Smith, Johanna S. van Zyl |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Cardiac Catheterization medicine.medical_treatment Femoral artery 030204 cardiovascular system & hematology Coronary Angiography 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine Percutaneous Coronary Intervention medicine.artery Occlusion Catheterization Peripheral medicine Humans 030212 general & internal medicine Prospective Studies Radial artery Coronary Artery Bypass Radial nerve Cardiac catheterization business.industry General Medicine Surgery Clinical trial medicine.anatomical_structure Treatment Outcome Radial Artery Cardiology and Cardiovascular Medicine business Artery |
Zdroj: | Cardiovascular revascularization medicine : including molecular interventions. 35 |
ISSN: | 1878-0938 |
Popis: | Background Radial artery (RA) catheterization is the access of choice over femoral artery access for most interventional vascular procedures given its safety and faster patient recovery. There has been growing interest in distal radial artery (dRA) access as an alternative to the conventional proximal radial artery (pRA) access. Preserving the RA is important which serves as a potential conduit for future coronary artery bypass surgery, dialysis conduit or preserve the artery for future cardiovascular procedures . The dRA runs in close proximity to the radial nerve , which raises the concern of potential detrimental effects on hand function. Study design The Distal versus Proximal Radial Artery Access for cardiac catheterization and intervention (DIPRA) trial is a prospective, randomized, parallel-controlled, open-label, single center study evaluating the outcomes of hand function and effectiveness of dRA compared to pRA access in patients undergoing cardiac catheterization. The eligible subjects will be randomized to dRA and pRA access in a (1:1) fashion. The primary end point is an evaluation of hand function at one and twelve months follow-up. Secondary end points include rates of access site hematoma, access site bleeding, other vascular access complications, arterial access success rate, and RA occlusion at one and twelve months follow up. Conclusion Effects of dRA on hand function remains unknown and it's use questionable in the presence of a widely accepted pRA. DIPRA trial is designed to determine the safety and effectiveness of dRA for diagnostic and interventional cardiovascular procedures compared to the standard of care pRA. |
Databáze: | OpenAIRE |
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