Clinical trial NCT02695407: Radial Artery Stenosis Following PiCCO Catheter Implementation
Official title: Occurrence of Radial Artery Stenosis Following PICCO Catheter Cannulation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Artery Stenosis
Keywords: artery cannulation
haemodynamic monitoring
Lead sponsor: Medical University of Gdansk
Sponsor class: OTHER
First posted: 2016-03-01
Enrollment: 37
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Cardiac output monitoring devices are commonly used in ICU patients. The most precise use direct measurement, which require artery cannulation. The gold standard is Swan-Ganz catheter, but it is a very invasive technique. PiCCO (Pulse index Continuous Cardiac Output) is the alternative way of haemodynamic monitoring. This technology is the easy, less invasive and cost-efficient tool for determining the main hemodynamic parameters of critically ill patients. It is based on two physical principles - transpulmonary thermodilution and pulse contour analysis. Both principles allow the calculation of haemodynamic parameters in critically ill patients. PiCCO method requires peripheral artery cannulation.

Cannulation may be followed by artery stenosis.

Aims of the study are:

1. to verify the occurrence of radial artery stenosis after 3 days of having a PiCCO cannula in place.
2. whether 5 days cannulation of radial artery with PiCCO catheter is related to more frequent stenosis rate.

An additional assessment:

1. to check whether the eventual stenosis is still present after 3, 14 and 30 days after decannulation - assessment depending on patients availability

Detailed description: Barbeau test and Doppler - ultrasonography preceded radial artery cannulation. Catheter removal (after 3 or 5 days of cannulation) is followed by Doppler - usg. Usg -Doppler is performed also 3, 14 and 30 days after decannulation - depending on patient being available

Eligibility criteria: Inclusion Criteria:

* critically ill patients with haemodynamic monitoring required

Exclusion Criteria:

* Barbeau test type D in radial artery
* artery inaccessible for cannulation - based on doppler ultrasonography

Primary outcomes:
measure: Number of patients with artery stenosis after radial artery decannulation, confirmed by Doppler ultrasonography
timeFrame: up to 5 days after cannulation
Secondary outcomes:
measure: Number of patients with persistent artery stenosis after radial artery decannulation, confirmed by Doppler ultrasonography
timeFrame: 3, 14 and 30 days after decannulation
Other outcomes:
Locations:
city: Gdansk
country: Poland
facility: Medical University of Gdansk
Study officials:
affiliation: Department of Ophthalmology, Mediacal University of Gdansk, Gdansk, Poland
name: Magdalena Wujtewicz
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wujtewicz M, Regent B, Marszalek-Ratnicka R, Smugala A, Szurowska E, Owczuk R. The Incidence of Radial Artery Occlusion in Critically Ill Patients after Cannulation with a Long Catheter. J Clin Med. 2021 Jul 19;10(14):3172. doi: 10.3390/jcm10143172.