Comparison of Radial and Ulnar Artery Intervention in Patients With ST Elevated Myocardial Infarction

Sakarya University

Status: Completed

Conditions: ST Elevated Myocardial Infarction

Treatments: Procedure: primary percutaneous coronary intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04183140

SEAH

Details and patient eligibility

About

In the literature, there are no studies comparing these two pathways in ST elevation myocardial infarction (STEMI). In this patient group, it will be investigated whether transulnar intervention causes similar or less complications than transradial intervention, and whether it provides superiority or similarity in terms of outcomes.

Full description

The transulnar approach is known as an alternative procedure for transradial coronary angiography due to its safety and applicability. For cardiologists, experienced in trans-ulnar access, this access zone is comfortable to use. Because less spasm is developing. In addition, no significant difference was found between the transradial and transulnar routes in terms of other complications.In the literature, there are no studies comparing these two pathways in ST elevation myocardial infarction (STEMI). In this patient group, it will be investigated whether transulnar intervention causes similar or less complications than transradial intervention, and whether it provides superiority or similarity in terms of outcomes.

Enrollment: 200 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients over 18 years of age
• admitted for primary percutaneous intervention
• either of these two routes has not been used in the last week
• a sufficient pulse at both routes

Exclusion criteria

• cardiogenic shock
• stent thrombosis
• the use of either of these two arteries in the last 1 week
• either of these arteries can not be pulsed or very weak pulsed

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Transradial

Active Comparator group

Description:

Transradial intervention

Treatment:

Procedure: primary percutaneous coronary intervention

Transulnar

Active Comparator group

Description:

Transulnar intervention

Treatment:

Procedure: primary percutaneous coronary intervention