Distal Versus Conventional Transradial Artery Access for Coronary Catheterization in Patients With STEMI
Distal Versus Conventional Transradial Artery Access for Coronary Catheterization in Patients With ST-elevation Myocardial Infraction (STEMI): The DR-STEMI Trial
University Hospital of Patras
554 participants
May 23, 2024
INTERVENTIONAL
Conditions
Summary
Recently, a novel distal transradial, through anatomical snuffbox, approach has been proposed for undertaking percutaneous coronary angiography and interventions. The existing literature has evaluated distal transradial access (dTRA) as a feasible and safe approach, with faster hemostasis, lower rates of periprocedural complications and reduced incidence of radial artery occlusion (RAO). Aim of the present study is to compare dTRA versus conventional TRA access in patients with STEMI undergoing coronary angiography and interventions regarding peri- and post-procedural characteristics.
Eligibility
Inclusion Criteria2
- Age \> 18 years old
- Indication: ST-Elevation Myocardial Infraction
Exclusion Criteria5
- Non-palpable radial artery
- Previous CABG
- Anatomical restrictions for forearm approach
- Hemodynamic instability
- Previous radial artery catheterization from the same arm during the last 30-days
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Interventions
Coronary angiography +/- percutaneous coronary intervention
Locations(3)
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NCT05605288