Clinical trial NCT05634642: Analysis of the Inner Diameter of the Distal Radial Artery and the Influencing Factors in Chinese Patients
Official title: Analysis of the Inner Diameter of the Distal Radial Artery and the Influencing Factors in Chinese Patients
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Distal Radial Artery
Lead sponsor: Wujin People's Hospital
Sponsor class: OTHER
First posted: 2022-12-02
Enrollment: 1182
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Patients who is prepare for coronary angiography

Brief summary: Cardiovascular intervention via distal radial artery (DRA) approach has become more and more extensive. However, the DRA is smaller than conventional radial artery (CRA). Assessing the size of the DRA before vascular intervention is extremely important to select suitable patients. There are still few large-sample studies to evaluate the size of DRA and its influencing factors in the Chinese population.

Detailed description: In recent years, the clinical application of distal radial artery (DRA) approach in cardiovascular intervention has become more and more extensive. However, compared with CRA, the DRA is smaller, resulting in an increased proportion of patients requiring multiple punctures and a lower success rate of implantation. It has been found that the mismatch between artery sheath and vessel size is one of the independent risk factors for postoperative vascular approach complications. Therefore, assessing the size of the DRA before vascular intervention is extremely important to select suitable patients, improve the success rate of puncture, and reduce the complications associated with the approach There are still few large-sample studies to evaluate the size of DRA and its influencing factors in the Chinese population.

Eligibility criteria: Inclusion Criteria:

* Patients who is prepare for coronary angiography

Exclusion Criteria:

* Lack of upper limbs

Primary outcomes:
measure: Diameter of distal radial artery
timeFrame: 24 hours before coronary intervention
Secondary outcomes:
measure: Diameter of conventional radial artery
timeFrame: 24 hours before coronary intervention
measure: Diameter of ulnar artery
timeFrame: 24 hours before coronary intervention
Other outcomes:
Locations:
city: Changzhou
country: China
facility: Changzhou Wujin People's Hospital
state: Jiangsu
Study officials:
affiliation: Wujin hospital affiliated with Jiangsu University
name: Gaojun Cai, Dr.
role: STUDY_CHAIR
References:
citation: Kiemeneij F. Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI). EuroIntervention. 2017 Sep 20;13(7):851-857. doi: 10.4244/EIJ-D-17-00079.
citation: Li F, Shi GW, Yu XL, Song RX, Xiao JQ, Huang HM, Li LM, Zhang LY, Gong C, Cai GJ. Safety and efficacy of coronary angiography and percutaneous coronary intervention via distal transradial artery access in the anatomical snuffbox: a single-centre prospective cohort study using a propensity score method. BMC Cardiovasc Disord. 2022 Mar 2;22(1):74. doi: 10.1186/s12872-022-02518-8.
citation: Eid-Lidt G, Rivera Rodriguez A, Jimenez Castellanos J, Farjat Pasos JI, Estrada Lopez KE, Gaspar J. Distal Radial Artery Approach to Prevent Radial Artery Occlusion Trial. JACC Cardiovasc Interv. 2021 Feb 22;14(4):378-385. doi: 10.1016/j.jcin.2020.10.013.
citation: Norimatsu K, Kusumoto T, Yoshimoto K, Tsukamoto M, Kuwano T, Nishikawa H, Matsumura T, Miura SI. Importance of measurement of the diameter of the distal radial artery in a distal radial approach from the anatomical snuffbox before coronary catheterization. Heart Vessels. 2019 Oct;34(10):1615-1620. doi: 10.1007/s00380-019-01404-2. Epub 2019 Apr 10.
citation: Naito T, Sawaoka T, Sasaki K, Iida K, Sakuraba S, Yokohama K, Sato H, Soma M, Okamura E, Harada T, Yoshimachi F. Evaluation of the diameter of the distal radial artery at the anatomical snuff box using ultrasound in Japanese patients. Cardiovasc Interv Ther. 2019 Oct;34(4):312-316. doi: 10.1007/s12928-018-00567-5. Epub 2019 Jan 7.