Radial Artery Stenosis Following PiCCO Catheter Implementation

Medical University of Gdansk

Status: Completed

Conditions: Artery Stenosis

Treatments: Other: 5 days cannulation; Other: 3 days cannulation

Study type: Interventional

Funder types: Other

Identifiers

NCT02695407

GUMed-Wu-001

Details and patient eligibility

About

Cardiac output monitoring devices are commonly used in ICU patients. The most precise use direct measurement, which require artery cannulation. The gold standard is Swan-Ganz catheter, but it is a very invasive technique. PiCCO (Pulse index Continuous Cardiac Output) is the alternative way of haemodynamic monitoring. This technology is the easy, less invasive and cost-efficient tool for determining the main hemodynamic parameters of critically ill patients. It is based on two physical principles - transpulmonary thermodilution and pulse contour analysis. Both principles allow the calculation of haemodynamic parameters in critically ill patients. PiCCO method requires peripheral artery cannulation.

Cannulation may be followed by artery stenosis.

Aims of the study are:

1. to verify the occurrence of radial artery stenosis after 3 days of having a PiCCO cannula in place.
2. whether 5 days cannulation of radial artery with PiCCO catheter is related to more frequent stenosis rate.

An additional assessment:

1. to check whether the eventual stenosis is still present after 3, 14 and 30 days after decannulation - assessment depending on patients availability

Full description

Barbeau test and Doppler - ultrasonography preceded radial artery cannulation. Catheter removal (after 3 or 5 days of cannulation) is followed by Doppler - usg. Usg -Doppler is performed also 3, 14 and 30 days after decannulation - depending on patient being available

Enrollment: 37 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• critically ill patients with haemodynamic monitoring required

Exclusion criteria

• Barbeau test type D in radial artery
• artery inaccessible for cannulation - based on doppler ultrasonography

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

37 participants in 2 patient groups

3 days cannulation

Experimental group

Description:

radial artery cannula removed after 3 days

Treatment:

Other: 3 days cannulation

5 days cannulation

Experimental group

Description:

radial artery cannula removed after 5 days

Treatment:

Other: 5 days cannulation