This single-center, prospective, randomized study will evaluate distal radial artery (dRA) vs. proximal radial artery access (pRA) in regards to hand function and radial artery occlusion.
Primary objective is to evaluate hand function following distal radial artery access compared to proximal artery access in patients undergoing cardiac catheterization. Hand function will be assessed by: * QuickDASH questionnaire * Hand grip test * Thumb forefinger pinch test utilizing a pinch gauge Secondary objectives: Vascular access success rates, hematoma, bleeding, complications of vascular access and radial artery occlusion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
300
Patients undergoing coronary angiography or angioplasty at The Heart Hospital Baylor Plano will be randomized 1:1 to distal or proximal radial access for cardiac catheterization.
Patients undergoing coronary angiography or angioplasty at The Heart Hospital Baylor Plano will be randomized 1:1 to distal or proximal radial access for cardiac catheterization.
Baylor Scott & White The Heart Hospital - Plano
Plano, Texas, United States
Quick Disabilities of the Arm Shoulder and Hand (DASH) Questionnaire Score (0-100)
Hand function questionnaire, Range: 0 (no disability) to 100 (most severe disability)
Time frame: 1 year
Thumb and Forefinger Pinch Strength Test
Hand function: Thumb and forefinger pinch strength (kg)
Time frame: 1 year
Hand Grip Strength Test
Hand grip strength test (kg)
Time frame: 1 month
Re-intervention Using the Radial Artery
Patients who required re-intervention using the radial artery up to 1 year following the initial intervention
Time frame: 1 year
Radial Artery Occlusion
Occurrence of distal radial artery occlusion and proximal radial artery occlusion for patients who had distal or proximal radial artery access
Time frame: 1 year
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