Compared with conventional artery sheath (TERUMO, Introducer II ), GlideSheath Slender® has more smaller outer-side diameter. The investigators suspected that use of the GlideSheath Slender® can reduce the incidence of distal radial artery occlusion in cardiovascular intervention via dTRA approach.
Distal transradial artery (dTRA) approach has emerged as a new approach in cardiovascular intervention in recent years. Compared to the conventional radial artery (CRA) approach, the dTRA approach dramatically reduced the risk of radial artery occlusion (RAO). In recent years, the incidence of distal radial artery occlusion (dRAO) after dTRA intervention has been reported in the literature, ranged from 0.12% to 5.2%. Outside diameter of artery sheath may affect the incidence of dRAO. Retrospective study reported that an artery/ sheath ratio \> 1.0 was least damaging to the vessel during coronary intervention via dTRA. Compared with conventional artery sheath (TERUMO, Introducer II ), 6 French GlideSheath Slender® has more smaller outer-side diameter (2.46mm vs. 2.62mm). The investigators suspected that use of the GlideSheath Slender can reduce the incidence of dRAO in cardiovascular intervention via dTRA approach.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
600
Using the GlideSheath Slender® with the outside diameter 2.46mm
Placement of 6 French conventional Sheath (TERUMO, Introducer II )
Changzhou Wujin People's Hospital
Changzhou, Jiangsu, China
RECRUITINGRate of distal radial artery occlusion
The rate of distal radial artery occlusion is evaluated by ultrasound
Time frame: 24 hours after the coronary angiography or intervention
Rate of radial artery occlusion
The rate of radial artery occlusion is evaluated by ultrasound
Time frame: 24 hours after the coronary angiography or intervention
Pain during the placement of the sheath
Visual analog scale is used to evaluate the pain during the placement of the sheath, which ranges from 0-10, and 0 meas no pain
Time frame: 24 hours after the coronary angiography or intervention
Radial artery dissection
The incidence of dissection of the radial artery is evaluated by ultrasound
Time frame: 24 hours after the coronary angiography or intervention
Time of hemostasis
The time from the compress to hemostasis
Time frame: 24 hours after the coronary angiography or intervention
Haematoma
The incidence of haematoma is evaluated by Early Discharge After Transradial Stenting of Coronary Arteries Study criteria
Time frame: 24 hours after the coronary angiography or intervention
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