Comparing the Safety and Efficacy of Cerebral TFA and TRA Methods
Comparing the Safety and Efficacy of Cerebral Angiography Using Trans-femoral Approach Versus Trans-radial Approach
Mashhad University of Medical Sciences
600 participants
Jan 1, 2020
INTERVENTIONAL
Summary
Transradial diagnostic angiography in cardiovascular disease given lower vascular complications. However, neuroendovascular surgeons have not widely adopted the transradial approach for diagnostic approach and interventional procedures. This study aims to compare the efficacy, safety, and patient satisfaction with the transradial approach versus the transfemoral approach in diagnostic cerebral angiography.
Eligibility
Inclusion Criteria2
- All consecutive adult inpatients and outpatients referred for diagnostic cerebral angiography
- the presence of the right radial pulse and at least one femoral pulse
Exclusion Criteria3
- age<18
- pregnant patients
- occlusion of aorta or proximal both iliac/ femoral artery
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Interventions
In transradial access, no preprocedural upper extremity collateral blood supply testing was completed. When the radial access is unsuccessful, it is shifted to ulnar or femoral access. All right arms were secured in the fully supine position to allow access to both radial and ulnar arteries. At the conclusion of radial access procedures, a TR band was applied to close the access. Neurological exams as well as radial artery pulse and pulse oximeter of the right first finger were assessed during and on discharge by trained recovery nurses. Femoral access was performed in a standard manner. After the access (femoral or radial), a cerebral angiogram was performed in a standard manner using appropriate catheters (vertebral, bern, Simmons 2 or 3) according to the access. For the radial access, the patient was slightly sedated.
Locations(1)
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NCT06490848