RecruitingNot ApplicableNCT05605288

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

Sponsor

University Hospital of Patras

Enrollment

554 participants

Start Date

May 23, 2024

Study Type

INTERVENTIONAL

Conditions

Coronary Artery Disease Percutaneous Coronary Intervention ST Elevation Myocardial Infarction Distal Transradial Artery Transradial Artery Coronary Catheterization Primary PCI

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

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study compares two methods for accessing the heart's arteries during emergency heart attack treatment: using the standard radial artery at the wrist versus the distal radial artery in the hand (a newer approach). The goal is to see if the hand approach is equally safe and effective with fewer complications. You may be eligible if: - You are 18 or older - You are having a STEMI (ST-Elevation Myocardial Infarction, a serious type of heart attack) You may NOT be eligible if: - The radial artery in your wrist is not palpable (can't be felt) - You have previously had coronary artery bypass graft (CABG) surgery - You have anatomical restrictions that prevent using the forearm approach - You are hemodynamically unstable (critically low blood pressure) - You had a radial artery catheterization on the same arm within the last 30 days Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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