Snuff-box Deep Palmar Arch Artery Versus Radial Angiography

Study Overview
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Brief Summary
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Angiography is a common diagnostic and therapeutic procedure in patients with acute coronary syndrome (ACS). The complications are variable between mild self-limited complications to severe life-threatening complications which need early interventions. New angiographic methods are associated with variable complications. Death, myocardial infarction, and stroke are among major angiography complications. In addition, some local complications including bleeding at the site of insertion, infection, arteriovenous fistula, pseudoaneurysm, and thrombosis is reported after angiography. Radial and femoral methods are common angiographic methods. Its shown that radial method is associated with less complications and patients need shorter duration of hospitalization. Radial artery thrombosis is common complication of radial angiography. However, the prevalence is between 5 to 19 percent but often it is not clinically important. Risk of ischemia due to thrombosis is low because of blood flow in radial and ulnar and collaterals. In patients with incomplete palmar arch this is important and may cause ischemia. The aim of this study is to compare the outcomes of coronary angiography using Snuff-box deep palmar arch artery and radial artery in patients attending angiography center of Shahid Mohammadi hospital in Bandar Abbas in 2017.

Official Title
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Snuff-box Deep Palmar Arch Artery Versus Radial Angiography

Conditions
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Ischemic Heart Disease

Intervention / Treatment
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* Procedure: Radial
* Procedure: Palmar


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: indication of coronary artery angiography confirmed by a cardiologist Accepting to sign the written informed consent Exclusion Criteria: No follow up visit after one-month period

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Radial<br>Coronary angiography using radial approach | Procedure: Radial<br>* Coronary angiography using radial approach<br>|
| Experimental: palmar<br>Coronary angiography using palmar approach | Procedure: Palmar<br>* Coronary angiography using radial approach<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thrombosis | Thrombosis at the site of angiography using ultrasonography | 1 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Infection | Number of patients with infection at the site of angiography in physical examnination | 1 months | 
| Pain | Number of patients with pain at the site of angiography using questionnaire | 1 months | 
| Numbness | Number of patients with numbness at the site of angiography using questionnaire | 1 months | 
| Loss of movement | Number of patients with loss of movement at the site of angiography in physical examination | 1 months |